EXAM #2: STIs Flashcards Preview

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Flashcards in EXAM #2: STIs Deck (47)
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1

How is syphilis diagnosed?

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

2

How is chancroid diagnosed?

Culture

3

What increases the risk for chancroid?

1) Developing countries
2) Commerical sex workers

4

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

- H. duceryi is a cofactor for HIV
- Test for HIV at time of chancroid diagnosis

5

What is the treatment for chancroid?

Azithromycin or Ceftriaxone

6

What is the most common STI in women?

HSV

7

How is HSV diagnosed?

1) Culture
2) PCR
3) Serology

8

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

NO

9

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

1) Culture positive HSV
2) Antibody negative

*Highest transmission rate in pregnancy

10

What is nonprimary first episode HSV?

1) Culture positive
2) HSV antibody to opposite serotype

11

What is recurrent HSV?

Reactivation of HSV with complimentary antibody

12

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

Avoid sex in 3rd trimester

13

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

C-section

14

What is the clinical indication of primary syphilis?

Painless ulcer at site

15

What are the clinical manifestations of secondary syphilis?

- Rash
- Mucocutaneous
- LAN

16

What are the clinical manifestations of tertiary syphilis?

asdf

17

How is syphilis treated?

PCN

18

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

Desensitize

19

How are pregnant women with syphilis monitored?

Follow titers

20

What is the most frequently reported STI in the US?

Chlamydia

*Mostly asymptomatic; screen those under 25

21

What are the sequelae of Chlamydia?

1) PID
2) Ectopic pregnancy
3) Infertility

22

What is the treatment for Chlamydia?

One time dose of azithromycin

23

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

7 days

24

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

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