Vaginitis and STD

Question 1

What is the most common nonviral STI?

Answer 1

Trichomonas

Question 2

What should be asked in history of pt presenting with vaginitis?

Answer 2

1- sexual history (including number and gender identification of sex partners and specific sexual practices)
2- self-treatment with over-the-counter medications or prescription medications
3- vulvovaginal hygiene practices (eg, shaving, douching)
4- underlying medical conditions (eg, diabetes, HIV status, inflammatory bowel disease)
5- relation of symptoms to the menstrual cycle

Question 3

Complicated vulvovaginal candidiasis is defined as:

Answer 3

1- four or more infections in 12 months
2- an infection with severe symptomatology
3- an infection with any non-albicans Candida species
4- an infection in a woman who is immunocompromised (eg, HIV, immunosuppressive medications, or diabetes)

Question 4

When should trichomonas pt be retested for recurrence?

Answer 4

3 months after Tx

Question 5

Tx for complicated candidiasis?

Answer 5

1- Boric acid x at least 14d
2- Topical flucytosine (5g) x 14d
3-Oral Diflucan on days 1/4/7

Question 6

Bacteria that can cause BV?

Answer 6

1-Gardnerella
2-Klebsiella
3-Prevotella
4-Bacterioides
5-Streptococcus

Question 7

Complication of syphilis Tx?

Answer 7

Jarisch-Herxheimer