STI

Question 1

Screening test - ELISA
Confirmatory - western blot
Involuntary wt. loss, etiology can agent is VIRUS
Prophylaxis from pneumocystis carninii: CD4

Answer 1

HIV

Question 2

Use DNA probe, produces dc penis- green yellow discharge vag and penis
Hurts when I pee!!!
Males symptomatic 
Women often Asymptomatic.
Txt: 
Ceftriaxone (Rocephin) 250mg IM
 PLUS 
Azithromycin 1g once
 ***OR
Doxycycline 100 mg BID x7 days (for txt of chlamydia w/this)

Answer 2

Gonorrhea

Question 3

DNA probe, discharge thick), often asymptomatic. Dyspareunia!! HURTS when I pee!!!! (Like gonorrhea)

EIA test for lab or culture

Associated with PID, infertility, ectopic

Doxycycline 100mg BID x7 days
***OR
Azithromycin 1 g. once

Rescreen in three months after treatment due to high rates of reinfection.

Answer 3

Chlamydia

Most common STD

Question 4

STD, vag discharge Frothy/yellow-green, vag irritation, dysuria, cervical petechiae, (strawberry cervix), Use wet prep

Metronidazole (flagyl) 2g single dose OR tinidazole 2 g single dose

Answer 4

Trichomoniasis

Question 5

Can produce rash on palms of hands and soles of feet

RPR - screening test,

FTA-ABS, MHA-TP diagnostic tests

Early txt: PCN 2.4 million units IM
Late txt: PCN 2.4 million units IM, 3 doses given at weekly intervals

Answer 5

Syphilis

Question 6

Positive whiff-test, clue cells on wet mount, produces a discharge, and metronidazole treated twice a day for seven days. No alcohol with this drug. pH vag fluid > 4.5

Txt: oral metronidazole, gel metronidazole, cream clindamycin

Answer 6

BV

Question 7

Co factor of HIV transmission

Men- superficial PAINFUL ulcers (herpes is only other painful STD)

Involves genitals and unilateral bubo (inguinals)

Answer 7

Chancroid

Question 8

Painless!!

Keratolytic agents: TCA, pododerm, bichloacetic acid, cryo, laser,

Gardasil vaccine!!!! Female and males 9-26 yoa, 3 injections

Answer 8

Genital warts (HPV)