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Gynecology > 7 - STIs > Flashcards

7 - STIs Flashcards

1
Q

A positive “whiff” test is associated with what type of condition?

A
  • bacterial vaginosis
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2
Q

What first line medical treatment of genital warts?

A

Trichloroacetic acid (TCA)

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3
Q

What phase of syphilis is this?

You see a maculo-papular rash on palms, condyloma latum and systemic symptoms. The onset is around 6 months after primary and lasts about 2-6 weeks.

A
  • Secondary syphilis
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4
Q

What phase of syphilis is this?

Multiple systems are affected. You see gumma on the skin. Tabes Dorsalis, Argyl-Robertson pupil, blindness, paresis.

A

Tertiary syphilis

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5
Q

A patient presents with a cc of intense pruritus and a low-grade fever and malaise. What is the diagnoses?

A
  • Pubic Louse “crabs”
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6
Q

What is the outpatient antibiotic treatment for PID?

A
  • Ceftriaxone 250 mg IM

- AND Doxycycline x 14d

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7
Q

What is the cause of bacterial vaginosis?

A
  • lack of hydrogen peroxide producing lactobacilli results in an increase in pH (>4.5)
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8
Q

What phase of syphilis is this?

You see painless ulcer with raised edges, almost always single. Highly infectious. It lasts about 3-6 weeks.

A
  • Primary syphilis
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9
Q

A patient presents with a cc of intense pruritus that worsens at night. On physical exam you notice a papular rash with linear burrows. What is the diagnoses?

A
  • Scabies
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10
Q

Genital warts is more common in what population?

A

immunocompromised

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11
Q

A “strawberry red” cervix is consistent with this infection.

A

trichomoniasis

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12
Q

What are the the treatment options for chlamydia?

A
  • Azithromycin 1g PO x 1d
  • OR Doxycycline 100 mg PO x 7d

(also prescribe to partner = EPT)

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13
Q

How are chlamydia and gonorrhea diagnosed?

A

Nucleic Acid Amplification Test (NAAT)

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14
Q

How is candidiasis (yeast) treated?

A
  • Fluconazole 150 mg PO x 1

* other vaginal creams also available

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15
Q

What virus causes genital herpes?

A

HSV-1 or HSV-2

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16
Q

A patient presents for a regular check-up. She has no symptoms. When performing the pelvic exam you see mucopurulent discharge. What do you suspect the diagnosis could be?

A
  • chlamydia

* asymptomatic*

17
Q

What is usually the main treatment for molluscum contagiosum?

A
  • nothing, allow to regress
18
Q

The hallmark sign of this diagnosis is papular, centrally umbilicated lesions.

A

molluscum contagiosum

19
Q

A 24 yo female presents to the clinic complaining of a thin discharge and a “fishy” odor. On physical exam you notice a milky vaginal discharge. What do you suspect the diagnoses is?

A
  • bacterial vaginosis
20
Q

What is the treatment for primary initial HSV infection?

A
  • antivirals and topical lidocaine
21
Q

What is the first line treatment for syphilis?

A

Penicillin G

22
Q

What is the first line treatment for gonorrhea?

A
  • Ceftriaxone 500 mg IM x 1d

- AND Azithromycin unless chlamydia excluded

23
Q

How is trichomoniasis treated?

A
  • metronidazole PO
24
Q

How is bacterial vaginosis treated?

A
  • metronidazole or clindamycin
25
Q

What is the inpatient antibiotic treatment for PID?

A
  • Cefotetan IV
  • OR Cefoxitin IV
  • AND Doxycycline PO/IV 14d

(treat until 24 hr after clinical improvement)

26
Q

What is the diagnostic criteria that has to be met for PID?

A
  • sexually active + < 25 yo
  • AND history of STI OR multiple sex partners
  • AND tenderness on pelvic exam
  • AND no other etiology can be found
27
Q

The CDC recommends annual screening of all sexually active women < _____ yo.

A

< 25 yo

28
Q

What is argyll robertson pupil?

A
  • pupils that accomodates but does not react to light
29
Q

A patient presents with vaginal itching and burning. She states last time she had intercourse with her partner it was very painful. On physical exam you notice a thick white discharge that looks like “cottage cheese”. What do you suspect the diagnoses is?

A

Candidiasis (yeast)

30
Q

What is tabes dorsalis?

A
  • loss of propioception, vibration, and fine touch d/t demyelination of the dorsal columns
31
Q

What is the treatment for both scabies or pubic louse?

A
  • permethrin cream (Nix)
32
Q

A patient presents with vaginal itching, burning, and dysuria. On physical exam you notice a frothy, white or grey discharge. What do you suspect the diagnoses is?

A

Trichomoniasis

33
Q

What is the sequelae of chlamydia or gonorrhea that we try to prevent?

A

pelvic inflammatory disease

34
Q

A patient presents with PHARYNGITIS. She has no other notable symptoms. When performing the pelvic exam you see mucopurulent discharge. What do you suspect the diagnosis could be?

A
  • Gonorrhea

Gynecology (8 decks)

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