W05_11 STIs

Question 1

what can cause cervicitis?

Answer 1

chlamydia;

gonorrhea

Question 2

what can cause vaginitis?

Answer 2

candida;
bacterial vaginosis;
trichomonas;
allergy/atrophy;
foreign body

Question 3

DDx of mucopurulent vaginal d/c

Answer 3

chlamydia, gonorrhea, bacterial vaginosis, foreign body, trichomonas

Question 4

what 3 complications can result from pelvic inflammatory disease?

Answer 4

infertility;
ectopic pregnancy;
chronic pelvic pain

Question 5

what’s the treatment for chlamydia?

Answer 5

azithromycin (1 x 1g); or

doxycycline (7d x 100mg bid)

Question 6

is chlamydia reportable to public health?

Answer 6

yes. treat/inform partner

Question 7

why might you want to do a retest for the chlamydia treatment?

Answer 7

compliance uncertain;
alternative treatment;
reexposure;
pregnant!

Question 8

what’s the treatment for gonorrhea?

Answer 8

ceftriaxone (1 shot x 250mg) AND

azithromycin (1g; for chlamydia)

Question 9

what does a discharge with a fishy odour from the vagina indicate?

Answer 9

bacterial vaginosis (gardnerella vaginalis) or
trichomonas vaginalis

Question 10

is bacterial vaginosis reportable to public health?

Answer 10

no; not really STI.

Question 11

is gonorrhea reportable to public health?

Answer 11

yes. treat/inform partner

Question 12

what’s the treatment for bacterial vaginosis?

Answer 12

metronidazole (500mg po bid x 7 days)

Question 13

what’s the treatment for trichomonas vaginitis?

Answer 13

metronidazole po (1x2g)

Question 14

is trichomonas reportable to public health?

Answer 14

yes; treat and inform partner

Question 15

how do you collect a specimen for trichomonas?

Answer 15

diamonds medium only!

Question 16

what are 5 reportable common STIs?

Answer 16

chlamydia;
gonorrhea;
trichomonas;
syphilis;
hepatitis B

Question 17

signs and symptoms of gonorrhea?

Answer 17

mucopurulent discharge, urinary frequency, dysuria, meatal redness, or asymptomatic!

Question 18

how to treat urethritis?

Answer 18

azithromycin (1x1g) or doxycycline (100mg po bid x 7d)

+ceftriaxone IM (250mg) if GC

Question 19

how to treat epididymitis?

Answer 19

if 35 give ofloxacin (14d x 300mg po bid)

Question 20

why do we give antibiotics for epididymitis for a longer period of time?

Answer 20

epididymus doesn’t have the best exposure

Question 21

herpes type 2 is usually in which location?

Answer 21

genital

Question 22

herpes type 1 is usually in which location?

Answer 22

oral

Question 23

how to treat herpes?

Answer 23

antivirals: acyclovir, famcyclovir, valacyclovir

Question 24

what’s the difference between syphilis and herpes?

Answer 24

syphilis is usually a SINGULAR lesion, and it’s painless.

Question 25

how to treat syphilis?

Answer 25

penicillin; easy peasy.

Question 26

symptoms of chancroid?

Answer 26

painful, necrotic, painful lymph nodes

Question 27

which types of HPV can progress to cancer?

Answer 27

HPV 16, 18

Question 28

which strains of HPV cause genital warts?

Answer 28

typically HPV 6 or 11

Question 29

how long does HPV 6 or 11 take to clear?

Answer 29

6 months to 2 years

Question 30

how to treat genital warts?

Answer 30

liquid nitro, imiquimod cream, etc etc

Question 31

what is molluscum contagiosum?

Answer 31

ds DNA pox virus that causes dimpled warts

Question 32

“strawberry cervix” is a typical sign of which STI?

Answer 32

trichomonas