Chapter 172- Chancroid

Question 1

Acute ulcerative disease localized at the anogenital area and associated with inguinal adenitis or bubo

Answer 1

Chancroid

Question 2

Chancroid manifests as painful soft ulcers with ragged undermined margins that develops ___ weeks after inoculation

Answer 2

1-2

Question 3

Diagnostic test for chancroid

Answer 3

Nucleic acid amplification test

Question 4

Reservoid in all reported outbreaks of chancroid

Answer 4

Low class prostitutes

Question 5

Reduces risk of chancroid transmission

Answer 5

Male circumcision

Question 6

Chancroid ulcer is an important risk factor for

Answer 6

Heterosexual spread of HIV

Question 7

Duration of infectivity is estimated to be ___ for women

Answer 7

45 days

Question 8

Transmission rate from males to females is __% and females to males is __%

Answer 8

70%/sexual act

?

Question 9

Incubation period of chancroid

Answer 9

3-7 days

Question 10

Vesicles are commonly seen in chancroid.

True or False

Answer 10

False, not seen

Question 11

Chancroid ulcers in males are found in (3)

Answer 11

Prepuce
Frenulum
Glans

Question 12

Meatus and shaft of penis and anus are involved more commonly in chancroid.
True or False

Answer 12

Less commonly

Question 13

Chancroid ulcers in females are found in (4)

Answer 13

Fourchette
Labia minora
Vestibule

Question 14

Painful inguinal adenitis (bubo) occurs in __% of patients within a few days to 2 weeks

Answer 14

50

Question 15

Buboes are bilateral and may rupture spontaneously.

True or False

Answer 15

False, unilateral

Question 16

In industrialized countries, isolated painful chancres are most likely caused by ___

Answer 16

Herpes simplex virus

Question 17

In a high percentage of ulcers, no pathogen can be isolated but coninfections with syphilis or herpes simplex are not uncommon

Answer 17

Ulcus mixtum

Question 18

Lesion that becomes confluent, spreading by extension and autoinoculation in the groin or thigh

Answer 18

Large serpiginous ulcer (ulcus molle serpiginosum)

Question 19

Rapid and profound destruction of tissue caused by superinfection with fusospirochetess

Answer 19

Phagedenic chancroid

Ulcus molle gangrenosum

Question 20

Small ulcer that resolves spontaneously in a few days ff by regional lymphadenopathy in 2-3 weeks

Answer 20

Transient chancroid
(Chancre mou volant)

Question 21

Multiple small ulcers in follicular distribution

Answer 21

Follicular chancroid

Question 22

Single lesion extends peripherally and shows extensive ulceration

Answer 22

Giant chancroid

Question 23

Granulomatous ulcerated papule that resemble dinivanosis or condyloma

Answer 23

Papular chancroid

Ulcus molle elevatum

Question 24

3 classic etiologic agents for ulceration

Answer 24

H. Ducreyi
T. Pallidum
Herpes simplex

Question 25

Low sensitivity and specificity hence not recommended for diagnosis

Answer 25

Chancroid

Question 26

Most frequent complaint of chancroid

Answer 26

Local pain

Question 27

Reinfections are impossible. | True or False

Answer 27

False, possible hence use condoms properly

Question 28

WHO/CDC recommendation for chancroid (4)

Answer 28

Azithromycin 1g PO in single dose Ceftriaxone 250mg IM in single dose Ciprofloxacin 500mg PO BID for 3 days Erythromycin 500mg PO QID for 7 days

Question 29

In pregnancy, treatment of choice is

Answer 29

Ceftriaxone 250mg IM in a single dose

Question 30

Risk factor for reinfection and Tx failure for chancroid (2)

Answer 30

HIV infection | Lack of circumcision

Question 31

If patient complains of one or more small blisters with history of recent blisters, treat for

Answer 31

Herpes

Question 32

If patient complains of isolated small ulcer and painful matted gland, treat for

Answer 32

LGV Chancroid Syphiliis

Question 33

If patient complains of ulcer, treat for

Answer 33

Syphilis | Chancroid

Question 34

Sexual contact of patients within __ days should be examined and treated regardless of whether symptoms of disease are present

Answer 34

10 days

Question 35

H. Ducreyi is considered as a cause of chronic limb ulcers in adults and in children. True or False

Answer 35

True

Question 36

Treatment for suppurative nodes

Answer 36

Punctured with a large syringe, emtered laterally, to prevent spontaneous rupture and sinus tract formation Not incised