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Clinical Medication: HEENT > Women's Health- STI's > Flashcards

Women's Health- STI's Flashcards

1
Q

Estradiol

  • Estrone
  • Estriol
A

Estradiol Predominent estrogen during reproductive years – Most potent 80x that of estriol
• Estrone Predominant during menopause
• Estriol Predominant during pregnancy

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2
Q

• Hypoactive sexual desire disorder

A

Deficient (or absent) sexual fantasies and desire for sexual activity

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3
Q

• Female sexual arousal disorder

A

Inability to attain or maintain until completion adequate lubrication-swelling response of sexual excitment

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4
Q

Female organismic disorder

A

Delay in or absence of orgasm following a normal sexual excitment

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5
Q

Vaginismus:

A

involuntary contraction of the penile muscle due to something going in

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6
Q

Untreated G and C lead to

A

Infertility.

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7
Q

Untreated Syphilis leads to

what if + during preg?

A

brain CV and organ damage

if + during perg baby will be + too

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8
Q

what are the 5 Ps of protection

A

Partmeners, Prevention of pregnancy, protection from STDs, Practices, Past hx of STDs

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9
Q

what STIs are infected from the urethra or vaginal sections

A

G, C, trich

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10
Q

what STIs are infected from the surface/ skin?

A

Herpes, Syphilis, chancroid, HPV

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11
Q

what is one of the most affective methods for preventing the transmission of STDs

A

pre exposure vaccinations.
HPV
HEP B- everyone
Hep A and B ( recommended for MSM and Injecion drug users)

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12
Q

There are 2 HPV vaccinations what are they and who are they recommended for?

A

Gardasil and cerviarix
Girls 13-26
Boys: 13-21

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13
Q

Male Condoms
Helpful in the privation of:
-
May be helpful in the prevention of:

Heterosexual

A

• Helpful in prevention
– Pregnancy, GC, HIV, hepatits, chlamydia and
trichomonas
• May be helpful in prevention of (data is limited)
– HSV, HPV and syphilis
• Heterosexual relationships
– HIV negative partners likely to become HIV infected compared to similar rela+onships without condom use

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14
Q

what type of lubricant can you use with condoms?>

A

only water based, not oil based.

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15
Q

Female Condoms

A

Effective : Viruses, HIV, Semen

may be better at preventing HPV skin transmission

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16
Q

Male circumcision reduces the risk of what?

A

HIV and STDs in heterosexulal men

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17
Q

is there a post exposure prophylaxis for HIV and STD?

A

Antivital therapy (ART)

18
Q

what STIs are reportable to the state?

A

C&G, Syphilis, chancroid, HIV and AIDs

19
Q

rates of what STDs are highest in adolescents?

A

Chlamydia, HPV and hERPES

20
Q

What STI is common in WSW?

A

BV

21
Q

what is pelvic inflammatory disease?

A

Ascending genital infection of the fallopian tubes.

C&C aerobic and anaerobic

22
Q

what are some PE findings for PID?

A

Cervical Motion Tenderness (Chandelier sign)
Mucopurulent cercitis
Adenexal tenderness

23
Q

what is the treatment for PID?

A

Out pt: Rocephin Ceftriazone and Doxycycline

In:
Clindamycin and gentamicin IV

CAUSES INFERTILITY!

24
Q

All patients who have genital, anal or perianal ulcers should be evaluated with a serologic test for:

in the US what are the most common causes for genital ulcers?

A

Syphilis and Genital Herpes

Chancroid, herpes and syphilis

25
Q

in the setting where chancroid is + a test for _________ should also be performed

A

Haemophilius ducreyi

26
Q

For genital, anal and perianal warts when do you start treatment?

A

RIGHT away!

27
Q

Chancroid

what does it look like?

A

Painful genital ulcer and tender suppurative ingulinal adenopathy

Vesiculo pustule that breaks down to form a painful, soft ulcer with necrotic base

28
Q

how do you dx charncroid?

Tx:

A

Identification of H. Ducreyi

Azithromycin, F/U in 3-7d should see improvement in 3 days

29
Q

Herpes Simplex II ( Genital herps)

cause:

presentation

transmission

dx:

Tx:

A

Herpes simplex virus

Multiple vesicular lesions in anogenital region, wil assoicated puritis, dysuria, vulvitis

sexual contact

clinical findings, confirm via viral culture of unroofed vesicle, tzank smear
Blood: HSV II antibody

Tx: Acyclovir

30
Q

HSV-II
highest rates in:
More common among:

A

Young white teenager

females than males

31
Q

Syphilis
Causative agent

Presentation

Primary
Secondary
Tertiary

dx

A
  • Treonema pallidum
  • Papular lessons that ulcerate to painless genital oral or anal lesions.

Primary: Chancre (PAINLESS)
Secondary: Rash (Copper Pennies) malase, mucocutaneous lessions and lympadenopathy
tertiary: Neurologic, cardiac, opthalmic and auditory Neurosyphilis

Dx: VDRL, if + then confirm with FTA-ABS of lesion

32
Q

If you suspect neurosyphilis you must perform what?

A

a LP with VDRL

33
Q

Gonorrhea:
Highest among who
causative agent:

presentaion:
F:
M

Dx

tX:

Complications
M
F

A

MSM
Neisseria gonorrhoeae

F: Vaginal D/c lower ab pain, cervical motion tenderness and fever

Males: Experience dysuria and yellowish white penile D/C

DX: swab

Tx: Rocephin

PID
Epidiymitis

34
Q

Chlamydia:
Most common

dx

-Preg:

A

Reported Infectious disaese in the US ( 9th -12 th grade most common)

NAAT

Tx: Azithtomycin
Preg: Amox or azithro

35
Q

Asherman syndrom:
define:
symptoms:
Tx:

A

Scaring of the uterus, most after D &C
Symptoms: Amenorhhea, repeated miscarriage

Tx: Sxr

36
Q

HPV

most of the time

A

The system fights off HVP within 2 years- if not treated causes most cancers of the anus vagina and penis and about 1/3 of ca in the oral pharynx

37
Q

Genital warts
Causative agent:

Clinical presentation
Visible:
Strong link to cervical ca: 1

A

HPV

Soft fleshy growths on genital area

Visible: types 6 and 11
Strong link to cervical ca: 16, 18, 31, 33, 35

38
Q

Genital warts Dx:
Tx
Provider applied:
Patient applied:

A

Stain with Acetic acid and PAP smear

Provider applies:
Trichloroacetic acid or Podophylline resin or Cryo

Patient applied:
Condylox or aldara

39
Q

what is Sub clinical gentital HPV without exophytic warts?

A

+ for HPV with no warts

40
Q 
Trichamonas: 
causative agent:
Presentation
Dx
T
A

Tichomonas Vagnialis

Frothy yellow/ green malodorous discharge with strawberry cervix

Microscopic exam and wet mount

Metronidalzole

41
Q 
BV
Causative agent: 
presentation 
dx 
Tx
A

Gardnerella vainalis

Fishy odor grey dc
DX: Clue cells and wiff test
tx: Metronidazole

42
Q

Molluscum Contagiosum

A

Cantharidlin solution .

Clinical Medication: HEENT (39 decks)

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