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STD's > Walden > Flashcards

Walden Flashcards

1
Q

Painless chancre heals in 6-9 weeks, clean base well demarcated in indurated margins, white papules look like warts (condyloma Lata), maculopapular rash on palms and soles not pruritic, neurosyphilis gumma (soft tissue tumors) aneurysms, valvular damaged

A

Syphilis

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2
Q

RPR or VDRL screening tests if positive, confirm with FAT-ABS test

A

Syphilis Dx

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3
Q

benthazine-penicillin IM 1 dose, for late treatment- benthazine-penicillin once per week x 3 weeks, or doxycycline

A

Syphilis Tx

Bx1

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4
Q

Green colored, pelvic pain, vaginal discharge, penile discharge, dysuria, purulent mildly odorous, urethritis, cervicitis, proctitis, pharyngitis, endometritis, salpingitis, epididymitis,

  • Dx NAAT testing,
  • Tx ceftriaxone IM and Azithro, annual screenings, co treat with syphilis
A

Gonorrhea urethritis

C-Az

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5
Q
  • Tx ceftriaxone, azithro
A

Sexual assault

C-Az

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6
Q
  • Tx ceftriaxone, azithro
A

Chancroid

C-Az

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7
Q
  • Tx ceftriaxone, doxy, flagyl
A

Epididymitis

C-D-F

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8
Q
  • Tx ceftriaxone, azithro, doxy
A

Cervicitis

C-Az-D

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9
Q

Atypical bacterium, treponema pallidum, internal infection not on labia.

A

Chlamydia

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10
Q

Asymptomatic, mucopurulent, vaginal discharge, bleeding

A

Fitz-Hugh syndrome

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11
Q
  • Dx gold standard, nucleic acid amplification test NAAT, gen probe, antigen detection (swab), urinalysis, wet prep >20 WBC
A

Fitz-Hugh syndrome

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12
Q
  • Tx Azithro 1 dose or doxycycline for 7 days annual screenings
A

Fitz-Hugh syndrome

Az-D

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13
Q

Chlamydial/gonorrhea infection of liver capsule extensive scarring scars look like violin strings complication of PID

A

Fitz Hugh-Curtis syndrome

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14
Q
  • Tx azithro, doxy
A

Nongonococcal Urethritis

Az-D

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15
Q
  • Dx Thayer- Martin

- Tx ceftriaxone, azithro, doxy

A

Pharyngitis

C-Az-D

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16
Q

Risk factors history of PID, age 25 or younger, adnexal tenderness, cervical motion,
uterine tenderness, lastly temp >101.f,
- Dx NAAT
- Tx ceftriaxone, doxy, flagyl

A

PID

C-D-F

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17
Q

Yellow-greenish discharge with dyspareunia, pelvic exam reveals
strawberry patches on cervix,
- Dx is wet mount/prep, flagella, partner needs treated too
- Tx flagyl PO for 7 days

A

Trichomoniasis

Fx7

18
Q

Asymptomatic, grayish white milky, watery discharge, unpleasant fish odor,

A

BV

19
Q
  • Dx wet mount clue cells (mature squamous epithelial cells with numerous bacteria on cell
    borders, surfaces edges are coated with bacteria), gram stain,
A

BV

20
Q
  • Tx flagyl PO for 7 days
A

BV

Fx7

21
Q
  • Dx herpes viral culture or RPR assay (more
    sensitive)
  • Tx acyclovir 7- 10 days, famciclovir 5 days
A

Herpes
HSV1 is oral
HSV2 is genital

Ac7-F5

22
Q

Used as adjunct for evaluation herpetic infections, positive smear will show large abnormal nuclei squamous epithelial cells, (Giant cells)not commonly used

A

Tzanck smear

23
Q

HPV strain 16/18 are carcinogenic, soft painless flesh colored warts,
- Tx podophyllum resin, trichloroacetic acid- causes acetowhite changes, cryotherapy, Imiquimod, laser CONTRAINDICATED IN PREGNANT WOMEN OR MECHANICAL METHODS

A

Human papilloma virus

24
Q
  • Tx permethrin
A

Scabies lice

25
Q

Thick white curdy discharge

  • Dx wet mount,
  • TX clotrimazole, miconazole
A

Candidiasis

CM

26
Q
  • Tx clotrimazole, nystatin, miconazole
A

Yeast

CNM

27
Q

Cervical cells that appear slightly abnormal but not

precancerous

A

Low grad Intraepithelial lesions

28
Q

Precancerous cells not cancer HPV

testing and refer to colposcopy

A

High grade squamous intraepithelial lesions

29
Q

Identified CD4 t lymphocyte count <200,

A

AIDS

30
Q

S/S oral candidiasis, fever wt. loss diarrhea,

SOB, purple to bluish red bumps on skin (Kaposi sarcoma). Pneumocystis jirovecii

A

AIDS

31
Q
  • Tx Bactrim is infection that causes most deaths with HIV
A

AIDS

32
Q
  • Dx HIV1/HIV2 antibodies test and P24 antigen, step 2 HIV1/HIV2 antibodies differentiation immunoassay if indeterminate HIV RNA Prophylaxis is Bactrim
A

HIV

33
Q
  • Tx Antiretroviral therapy ART, HIV women take AZT (zidovudine)
    Goal- prevent therapy for PCP, pneumocytis pneumonia jiurevisitis
A

HIV

34
Q

Flu like or mono like infection, symptoms in persons infected within 2-4 weeks, HIV antibodies detected 3 months after exposure
- Dx HIV RNA, PCR test

A

Acute HIV

35
Q

Can detect HIV infection in 7-28 days

A

NAAT

36
Q

Detects HIV antibodies

A

Elisa/Western blot

37
Q

Petechial or pustular lesions on hands sole, swollen, red, tender joints, asymmetrical joints, signs of STD Urethritis, cervicitis, pharyngitis
with green purulent sputum

A

Disseminated Gonococcal disease

38
Q
  • Tx Bactrim or Macrobid, spermicide increase risk
A

UTI

BM

39
Q

Scotch tape, early morning

A

Enterobiasis (pinworms)

40
Q

(balanitis xerotica) whitish patches on genitals, lesions chronic affect
vulva/anal in elderly patients, risk for cancer

A

Lichen sclerosus

STD's (1 decks)

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