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Flashcards in GENI Infection Deck (43):
1

transition in the micro anatomy for vagina and cervical lining for childbearing age

vagina- 25 layers of squamous epithelial
cervical lining- columnar epithelial cells

2

normal flora of the urethra

if any will have CoNS, micrococci, coryne, viridans

3

transition in the micro anatomy for vagina and cervical lining for pre-pubes and post-men females

thin epithelial cells

4

normal flora of the vagina for pre-pube females

diphtheria's and CoNS

5

normal flora of the vagina for post-men females

fewer lactobacilli, more staph and coliform, lack yeast and mycoplasma

6

normal flora of the vagina for child-bearing female

Lacto, cornee, Gardnerella, Mobiluncus, CoNS, staph, Group B, Enteroccous, E. coli, yeast, Mycoplasmas, anaerobes

7

causes Bacterial vaginosis

Gardnerella vaginalis

8

causative agents of vaginitis

Candida albicans, Trichomonas vaginalis, or bacterial

9

treatment of BV and vaginitis caused by bacteria

metronizadole or clindamycin

10

best time during the pregancy, site and method of screening pregnant women for carriage of GBS

35-37th week, vaginal/rectal swab. BAP and LIM

11

role of Group B Streptococcus spp. in invasive disease of the newborn

neonatal meningitis

12

obligate intracellular parasite. 85% females and 40% males asymptomatic, 45% transmission rate

Chlamydia trachomati

13

what are the ineffective forms and effective forms of chlamydia

EB elementary bodies is ineffective, reticulate bodies is replicative

14

what are seen as Reticulate bodies under microscope

inclusion bodies

15

clinical symptoms of chlamydia

nongonoccal urethritis, cervici, trachoma (eye), Reiter's syndrome

16

treatment for chlamydia

azithromycin PO single does or doxycycline PO for 7 days

17

specimen collection of chlamydia for males and females

males- small thin wire swab from urethra
females- swab or endocervical brush

18

which STI causing bacteria is stained with iodine

chlamydia

19

2-7 day incubation period, binds to columnar cells of cervix and urethra

Neisseria gonnorhoeae

20

clinical symptoms of gonorrhoea in males

urethra primary, epididymitis also, rectum, oropharynx and conjunctiva

21

clinical symptoms of gonorrhoea in females

endocervix infection, rectum, conjunctiva, and ducts of Batholin glands

22

% of females experience symptoms of gonorrhoea vs none

20% exp. 70% have vague symptoms like painful sex irregular bleeding

23

first line treatment of gonnorhea

ceftraxone 250mg IM + axithromycin 1g PO. or cefixime 400 mg PO + azithromycin

24

T or F all patients treated with gonnorhea also tracked for chlymadia

true. aizthromycin

25

why do we not refrigerate gonorrhoea sample?

Gc is fragile and may not be viable.

26

diagnostic smear og gndc is diagnostic of what?

gonorrhoea in males only

27

culture for GC

ML or TM, z pattern swab, incubate in 5% CO2 for up to 72 hours

28

sexually transmitted flagellate protozoa, pear shaped

trichomoniasis

29

clinical symptoms of trichomonas in males and females

females- vaginitis, green frothy discharge
males-asymptomatic

30

treatment for trichomonas

Flagyll (metronizadole disrupts DNA)

31

for which org?
female- collect sob from vaginal exudate
males- voided urine

Trichomonas

32

what do we look for in Direct exam of trichomonas

motility by flagella and undulating membrane, best at 35

33

cultures for trichomonas

STS and Diamonds medium

34

MHO or public health will contact all sexual paratners

reportable disease/infection

35

causative agent of syphllis

treponema pallidum, a spirochete

36

lesion heal in 3-6 weeks

primary syphilis

37

organism enters bloodstream, fever, lymphadenopathy, myalgia, papular lesions overtrunk, feet, hands (infective but sub-clinical, lasts 2-24 weeks

secondary syphilis

38

T or F treponema palladium has never been cultured artificially

True

39

treatment for treponema

pen G

40

associated with painless hard chancre forms

treponema

41

STI caused by Haemophlus ducreyi

"soft" chancroid aka ulcers mole are painful

42

common causative agents of PID

GC and chlamydia

43

common causative agents of epididymitis

younger men: GC and chlamydia. older: enteric and CoNS