ACS: STDs

Question 1

DDX for Chlamydia (x4)

Answer 1

Chlamydia
Lymphogranuloma venereum
PID
Reiter’s disease

Question 2

DDX for Asymptomatic Female (x3)

Answer 2

Chlamydia
Gonorrhea (arthritis knee)
Human Papilloma Virus

Question 3

DDX for Asymptomatic Male (x2)

Answer 3

Trichomonas

Candida Albicans

Question 4

DDX for Discharge (x6)

Answer 4

Gonorrhea (copious and clear)
Trichomonas (frothy, foul and itchy)
Chronic vaginitis (foul and itchy)
Candidiasis (curdy and itchy)
Herpes (watery)
Chlamydia (yellow, odorless)

Question 5

Yellow , odorless discharge
Painful, soft lesions
Reiter's (feet)
Leads to non-gonococcal genitourinary tract infection
Females- Asymptomatic

Answer 5

Chlamydia

Question 6

Gram negative
Copious clear discharge from urethra (skene’s & bartholins)
Arthritis (knee)

Answer 6

Gonorrhea

Question 7

Red Painful vesicles with yellow oozing center
Watery discharge
Latency period where virus is inactive in DRG
Prodrome of itching

Answer 7

Herpes

Question 8

Protozoa
Females- greenish/yellow severely itchy, foul discharge
Males- asymptomatic

Answer 8

Trichomonas

Trichomonas vaginalis

Question 9

Soft chancre
Lesions rapidly ulcerated and bleed
Haemophilus ducrey

Answer 9

Chancroid

Question 10

Gram positive
Female- white cheese material covers vaginal walls
Males- asymptomatic
Thrush, yeast, fungus, moniliasis

Answer 10

Candidiasis

Candida Albicans

Question 11

3 stages
Spirochete
Treponema pallidum

Answer 11

Syphilis

Question 12

4-8 weeks
Painless lesion
Hard, infuriated, singular

Answer 12

Primary syphilis

Question 13

>12 weeks
Rash (persists for months)
Lymphadenopathy
Condylomata late
Alopecia

Answer 13

Secondary Syphilis

Question 14

1/3 develop if left untreated
Gemma
General paresis (dementia), Argyll Robinson pupil (accommodate not react to light)
Tabes dorsal is - Rombergs test - Charcot’s joints (post. Columns)
Specific test?

Answer 14

Tertiary syphilis

Specific test- FTA

Question 15

Causes Hutchinson’s Triad- saddle nose, interstitial keratosis, peg teeth

Answer 15

Congenital syphilis

Question 16

Enlarged regional inguinal lymph nodes that may lead to elephantiasis and rectal strictures & abscesses

Answer 16

Lymphogranuloma venereum

Chlamydia in lymph system

Question 17

Painless, velvety, bright beefy lesions

Dx: Donovan bodies

Answer 17

Granuloma inguinale

Donovania granulomatous

Question 18

Condylomata acumulata
Usually small, itchy, cluster (cauliflower)
Cervical dysplasia leads to cervical CA
Screen? Specific Test?

Answer 18

Genital warts (HPV 16 & 18 malignant)
Screen: Speculum
Specific: PAP

Question 19

Multiple skin tags that exfoliate, waxy papules

Answer 19

Molluscum contagiousum

Question 20

Autoimmune
Most common bulla lesion
Lethal
Middle aged, South Americans
IgG

Answer 20

Pemphigoid

Question 21

Bulla
Vesicles, papules
IgA
Itchy, peeling, blistering, gluten sensitive, hereditary (black, Asians)

Answer 21

Dermatitis Herpetiformis

Question 22

DDX for Chancre

Answer 22

Chlamydia (painful, soft, weepy)
Chancroid (painful, soft, bloody-h. Ducrey)
Syphilis (painless, hard, primary, t. Pallidum)