Upper and lower Tract infections Flashcards

1
Q

What are the screening guidelines for Ghonnorhea and Chlamidia?

A

Ghono and Chlam: Annual screen if Sexually active
Those with dev disabilities
Nucleic Acid amplification most sensitive
Self collected vaginal swab acceptible

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2
Q

What are the screening guidelines for Hep C?

A

One time testing if born from 1945-1965 and unknown status

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3
Q

What are the screening guidelines for HIV?

A

Screen at least once age 13-64 yrs
Annual screen based on risk factors
Opt out screening

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4
Q

What are the risk factors for STDs?

A
History of multiple partners
Sexual contact with STI person
Repeated STIs
Attendance at clinic for STI
Inconsistent condom use, sex work, drug use
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5
Q

How is a detailed sexual history obtained?

A

Open ended questions
Understandable language
Normalizing language

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6
Q

What is the best way to prevent STIs?

A
Delay Coitarche
Limiting # partners 
Limiting exposure to risk patients 
Encourage immunization
Increase condom usage
Partner notification and treatment
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7
Q

What STIs are reportabe in ALL STATES?

A

Ghonorrhea, syphillis, chlamidia, HIV, AIDS

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8
Q

What are the considerations in HPV vaccine?

A

Protects against 6,11,16,18
6/11 cause wwarts
16/18 cause cervical cancer

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9
Q

What are the considerations in Hep A vaccine?

A

Postexposure prophylaxis up to 2 weeks after exposure

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10
Q

What are the considerations in Hep B vaccine?

A

Recommended for all unvaccinated uninfected persons evaluated for STD

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11
Q

What are the best type of condoms?

A

Latex

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12
Q

What is the proper use of male condoms?

A

Water based lubricant prevents breakage
New condom with each sex act
avoid teeth, nails

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13
Q

Which STDs should be re-tested in the 3rd trimester of pregnancy?

A

HIV
Syphilis
Chlamidia
Hep C

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14
Q

How is HIV screened for vs Confirmed?

A

Screen: Ez immunoassay

Rapid Test

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15
Q

WHat type of bacteria is Haemophilus ducrei?

A

G(-) Streptobacillus

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16
Q

What is the Tx of Chancroid?

A

Azithromycin or
Ceftriaxone IM or
Cipro BID
Erythromycin tid

17
Q

How is herpesvirus infection diagnosed?

A

Culture
PCR
Serology

18
Q

What are stages of Herpes Infection?

A

Primary
Non-primary first episode
Recurrent

19
Q

How is systemic syphilis diagnosed?

A

Darkfield Exam
Direct Fluorescent Ab
VDRL, RPR
Fluorescent treponemal Ab

20
Q

What are the stages of Syphilis and symptoms?

A

1) Chancre at site
2) Rash, mucocutaneous, LAN
3) Aortitis, iritis, uveitis, auditiry abn, Gummas
Latent)

21
Q

How is neurosyphilis treated?

A

Aqueous crystalline PCN Daily
Procaine
Probenicid
Repeat CSF exam every 6 mon until cell count normal

22
Q

What are the US findings of Congenital syphilis?

A

Hepatomegaly
Ascites
Hydrops
Thickened placenta

23
Q

What are the S and S of Vaginitis?

A
Discharge
Malodor
Pruritis
Burning
Swelling
Dysparunia
Dysuria
24
Q

How is Vaginitis diagnosed?

A
Vaginal pH
Amine (whiff) test
Saline Microscopy
KOH microscopy
DNA amplification
Fungal Culture
25
Q

What is the Tx of Chlamidia?

A
Azithromycin or 
Doxycycline
Erythromycin
Ofloxacin
Levofloxacin
26
Q

What is the Tx for Gonorrhea?

A

Ceftriaxone AND Azithromax

27
Q

How is PID Treated?

A

Cover Ghon, Chlam, Anaerobes, Bact vaginitis

28
Q

What is the criteria for Hospitalization in PID?

A
Surgical EM cant be excluded
PReggo
Non-compliant
Unable to tolerate PO meds
Tubovarian abcess
29
Q

What causes Granuloma INguinale?

A

Klebsiella Granulomatosis

Tx with Doxycycline

30
Q

How is HPV condyloma diagnosed?

A
Clinical Diagnosis
uncertain Dx
unresponsive to Tx
Immunocomprimise
Pigmented , indurated, fixed, bleeding, or ulcerated
31
Q

WHat is recurrent respiratory papillomatosis?

A

HPV passed to infants and infects the airway

32
Q

How is Trichomonas diagnosed?

Treatment?

A

Wet mount
Culture
Trich antigens

Metronidozole

33
Q

How can molluscum contagiosum be diagnosed?

A

Umbilicated center of lesions

Self limited

34
Q

What are the common microbes that cause Cystitis?

A

E Coli (75-95%)
Proteus Mirabilus
Klebsiella
Staph Saprophyticus

35
Q

What is the Tx of Cystitis?

A

Nitrofurantoin
TMP-SMX
Fosfomycin
Fleuroquinolones