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Infectious Disease > EXAM #2: STIs > Flashcards

EXAM #2: STIs Flashcards

(47 cards)

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1
Q

How is syphilis diagnosed?

A

1) Serology
2) Darkfield microscopy
3) VDRL, RPR
4) Flourescent antibody

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2
Q

How is chancroid diagnosed?

A

Culture

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3
Q

What increases the risk for chancroid?

A

1) Developing countries

2) Commerical sex workers

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4
Q

What is the relationship between chancroid and HIV? What are the implications?

A
  • H. duceryi is a cofactor for HIV

- Test for HIV at time of chancroid diagnosis

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5
Q

What is the treatment for chancroid?

A

Azithromycin or Ceftriaxone

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6
Q

What is the most common STI in women?

A

HSV

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7
Q

How is HSV diagnosed?

A

1) Culture
2) PCR
3) Serology

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8
Q

If a patient is positive for HSV on serology (without genital ulcers) can you diagnose them with HSV-1 or HSV-2?

A

NO

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9
Q

What is primary HSV? How does this relate to pregnancy?

A

1) Culture positive HSV
2) Antibody negative

*Highest transmission rate in pregnancy

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10
Q

What is nonprimary first episode HSV?

A

1) Culture positive

2) HSV antibody to opposite serotype

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11
Q

What is recurrent HSV?

A

Reactivation of HSV with complimentary antibody

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12
Q

What should a woman do that is HSV negative but has a partner that is positive?

A

Avoid sex in 3rd trimester

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13
Q

What should you do if a patient has prodromal sx. of HSV at time of delivery?

A

C-section

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14
Q

What is the clinical indication of primary syphilis?

A

Painless ulcer at site

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15
Q

What are the clinical manifestations of secondary syphilis?

A
  • Rash
  • Mucocutaneous
  • LAN
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16
Q

What are the clinical manifestations of tertiary syphilis?

A

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17
Q

How is syphilis treated?

A

PCN

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18
Q

What should you do if a patient is pregnant and allergic to PCN with syphilis?

A

Desensitize

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19
Q

How are pregnant women with syphilis monitored?

Study These Flashcards
A

Follow titers

20
Q

What is the most frequently reported STI in the US?

Study These Flashcards
A

Chlamydia

*Mostly asymptomatic; screen those under 25

21
Q

What are the sequelae of Chlamydia?

Study These Flashcards
A

1) PID
2) Ectopic pregnancy
3) Infertility

22
Q

What is the treatment for Chlamydia?

Study These Flashcards
A

One time dose of azithromycin

23
Q

How long should a patient abstain from sex if positive for Chlamydia?

24
Q

What are children born to a mother with Chlamyida at risk for?

Study These Flashcards
A

1) Conjuncitivitis

2) Pneumonia

25
What is the treatment for gonorrhea?
1) Cefriaxone AND | 2) Azithromycin
26
What is a common cause of septic arthritis in a sexually active young adult?
Gonorrhea
27
What are the sequelae of neonatal gonorrhea?
Ophthalmia neonatorum
28
How is PID diagnosed?
1) Pelvic lower abdominal pain with no alt. cause | 2) CMT or uterine/adnexal tenderness
29
What is the definitive diagnosis for PID?
1) Endometrial biopsy 2) TVUS or MRI 3) Laproscopy
30
What did the PEACH trial show for PID?
No difference in outcomes for inpatient for outpatient
31
Who requires inpatient care for PID?
1) Unable to exclude surgical diagnosis 2) Pregnant 3) Non-complaint 4) Unable to tolerate PO meds 5) Tubo-ovarian abscess
32
If you manage a PID patient as an outpatient, what do you need to do?
See the patient back in 72 hours
33
What causes Granuloma inguinale or Donovanosis?
Klebsiella granulomatis
34
What type of lesion is seen in Donovanosis?
Painless without lymphadenopathy
35
How is Donovanosis diagnosed?
Dark-staining Donovan bodies
36
How is Donovanosis treated?
Doxycycline
37
What serotypes of HPV cause condyloma?
6 and 11
38
What serotypes of HPV are associated with cervical dysplasia?
16, 18, 31, 33, and 35
39
When should you biopsy suspected HPV?
1) Uncertain diagnosis 2) Unresponsive to treatment 3) Immunocompromise
40
What is the concern of HPV in pregnancy?
Recurrent respiratory papillomatosis
41
What is the classic presentation of Trichomonas?
Diffuse, malodorus, yellow-green discharge with "strawberry" cervix
42
How is Trichomonas diagnosed?
Wet mount
43
How is Tichomonas treated?
Metronidazole
44
How is Scabies treated?
Permethrin
45
What causes Molluscum contagiosum?
Poxvirus
46
What organism most commonly causes cystitis?
E. coli | Proteus mirabilis is 2nd
47
What UA findings are indicative of cystitis?
1) Leukocyte esterase | 2) Nitrite

Infectious Disease (21 decks)

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