STI II Flashcards

Compare and contrast primary, secondary, and tertiary syphilis. Discuss the value and specificity of screening tests for syphilis. Diagnose vaginal infections with Candida. Diagnose vaginal infections with Trichinella. Identify common microbial agents in vaginosis.

1
Q

distinguishing charecteristics of treponema

A

outer envelope, slime layer

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2
Q

treponema palliadium causes

A

syphillis

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3
Q

main virulance factor of treponema palliadium

A

slime layer

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4
Q

protoplamic cylinder

A

body of treponema

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5
Q

stain for treponema

A

silver stain

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6
Q

cultivation medium for treponema

A

rabbit testes

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7
Q

source of treponema palliadium infection

A

skin lesion with bacteria in contact with abraded skin or mucous membrane

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8
Q

incubation period of treponema palliadium

A

10-60 days

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9
Q

visible painless crater-like ulcer

A

chancre

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10
Q

outcome of chancre

A

heals in 1-6 weeks, but leads to baceriemia

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11
Q

generalized skin rash and generalized lymphadenopathy with fever and headache

A

2ndary syphillis

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12
Q

location of secondary syphilys rash

A

hands and feet

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13
Q

internal secondary syphillis lesion locations

A

kidney and bone

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14
Q

most infectious syphllis lesion type

A

secondary

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15
Q

is pt infectious during latent syphillis?

A

no

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16
Q

manifestations (3) of tertiary syphillis

A

gummas
neurosyphillis
CV syphillis

17
Q

sx of neurosyphilis

A

blindness, sezieures and paralytic dementias

18
Q

manifestations of CV syphillis

A

aortic and pulmonary artery arteritis abt stenosis

19
Q

route of congenital syphillis infections

A

from placenta, 1st trimester

20
Q

signs of congenital syphillis

A

hepatosplenomegaly, jaundice, hemolytic anemia, pneumonia, and long bone involvement

21
Q

treatment for primary, secondary and early latent syphillis

A

penicillin

22
Q

treatment for tertiary syphillis w/o neuro involvement

A

penicillin

23
Q

tx for syphillis if penicillin allergic

A

doxy or tetra

24
Q

jarisch-herxheimer reaction

A

acture febrile response folloing early treatment of syphillis in response to sudden release of large amount of killed orginsms

25
Q

where NOT to test for spitochetes

A

mouth or lip

26
Q

test for syphilis

A

DFA-TP (fluorsencnt test)

27
Q

population that should be tested for syphillis as a matter of course

A

pregnant women

28
Q

vulvarirritation
labial erythema
dermatitis
“cottage cheese”

A

candidiasis

29
Q

how you get vaginal canditidis

A
pregnancy
antibiotics
diabetes
OCP
douches
femanine hygene spray
poor nutrition
fecal contamination
poor nutrition
30
Q

causes vaginal canditidis

A

candida ablicans

31
Q

fishy odor, milky white discharge, itch

A

bacterial vaginosis

32
Q

bad odor, gray yellow-green discharge,

A

trichomoniasis

33
Q

strawberry cervix

A

trichomoniasis

34
Q

foul fishy

A

bacterial vaginosis

35
Q

more acidic vagina

A

candiditis

36
Q

protozoa caused vaginosis

A

trichomoniasis

37
Q

inflammation and erythemea

A

candidiasis

38
Q

microbic agents in bacterial vaginosis

A

garnnerella, bacteroides, peptospetrococci

39
Q

KOH test is positive

A

bacterial vaginosis