Sexually Transmitted Disease

Question 1

Scientific name for Chlamydia

Answer 1

Chlamydia trachomatis.

Question 2

Age group of new chlamydia infections

Answer 2

15-24

Question 3

How is Chlamydia spread?

Answer 3

direct sexual contact or mother to child during birth

Question 4

Most common bacterial STI

Answer 4

Chlamydia

Question 5

presentation of chlamydia

Answer 5

FEMALES:
urethritis
cervicitis

MALES:
Urethritis (most common presentation in males)
Epididymitis
Prostatitis
Proctitis

Question 6

What is the gold standard for laboratory diagnosis of chalmydia

Answer 6

nucleic acid amplification testing (NAAT)

Question 7

preferred treatment for chlamydia

Answer 7

Doxy 100mg BID
(Azithromycin 1g single dose alternative)

Ceftriaxone for coinfection. (Gonorrhea)

Question 8

when should personel be retested for chlamydia

Answer 8

3 months post treatment

Question 9

Gonorrhea has more symptomatic presentation in which sex?

Answer 9

males

Question 10

treatment for Gonorrhea

Answer 10

Ceftriaxone 500mg singly dose

and doxy or azithro for coinfection

Question 11

Which STI is called the “great pretender”

Answer 11

Syphilis

Question 12

What are the three distinct phases of infetion with syphilis

Answer 12

early
primary and secondary syphilis

late
tertiary syphilis

Question 13

what are the sx in each phase of syphilis

Answer 13

primary- chancre that last 3-6 weeks, painless.
secondary- rashes, fever, muscle aches, fatigue
tertriary- Depends on system affected. Cartiovascual, neuro, or gummatous

Question 14

Diagnosis of syphilis

Answer 14

serologic testing.
Nontreponremal (RPR) are nonspecific therefore not definitive
and Treponemal (FTA-ABS) most expesive so usually used to confirm.

Question 15

treatment for syphillis

Answer 15

Penicillin G

Question 16

What is the most comon protozoan STI

Answer 16

Trichomoniasis

Question 17

What is the presentation of trichomonas in females

Answer 17

HPI: purulent, malodorous discharge, burning, pruritis, dysuria, dyspareunia.

“strawberry cervix”

green yellow malodorous frothy discharge on PE.

Question 18

Gold standard for trichomonas lab diagnosis

Answer 18

NAAT

Question 19

Treatment for trichamonis

Answer 19

Metronidazole (flagyl)

Question 20

What is the presentation of HSV

Answer 20

severe, painful genital ulcers
dysuria
fever
lymphadenopathy

Question 21

acute treatment for primary HSV infection

Answer 21

acyclovir
valacyclovir
famciclovir

Question 22

other name for condyloma acuminata

Answer 22

HPV

Question 23

What is the most common viral STI wordwide

Answer 23

HPV

Question 24

treatments for HPV

Answer 24

topical therapies, cryotherapy, and surgical excision

Question 25

how is HPV infection preventable

Answer 25

Gardasil vaccination

Question 26

who should get the Gardasil vaccination

Answer 26

all females and males 11-26 years of age

Question 27

What is the acute phase of HIV infection called?

Answer 27

Acute Retrovirla Syndrome

Question 28

What is required for initation of PrEP

Answer 28

negative 4th gen HIV test w/in 7 days and infection is NOT suspected

or

Negative 4th gen HIV test and negative NAAT within 7 days, if infection IS suspected.