GENI Infection

Question 1

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

Answer 1

vagina- 25 layers of squamous epithelial

cervical lining- columnar epithelial cells

Question 2

normal flora of the urethra

Answer 2

if any will have CoNS, micrococci, coryne, viridans

Question 3

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

Answer 3

thin epithelial cells

Question 4

normal flora of the vagina for pre-pube females

Answer 4

diphtheria’s and CoNS

Question 5

normal flora of the vagina for post-men females

Answer 5

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

Question 6

normal flora of the vagina for child-bearing female

Answer 6

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

Question 7

causes Bacterial vaginosis

Answer 7

Gardnerella vaginalis

Question 8

causative agents of vaginitis

Answer 8

Candida albicans, Trichomonas vaginalis, or bacterial

Question 9

treatment of BV and vaginitis caused by bacteria

Answer 9

metronizadole or clindamycin

Question 10

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

Answer 10

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

Question 11

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

Answer 11

neonatal meningitis

Question 12

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

Answer 12

Chlamydia trachomati

Question 13

what are the ineffective forms and effective forms of chlamydia

Answer 13

EB elementary bodies is ineffective, reticulate bodies is replicative

Question 14

what are seen as Reticulate bodies under microscope

Answer 14

inclusion bodies

Question 15

clinical symptoms of chlamydia

Answer 15

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

Question 16

treatment for chlamydia

Answer 16

azithromycin PO single does or doxycycline PO for 7 days

Question 17

specimen collection of chlamydia for males and females

Answer 17

males- small thin wire swab from urethra

females- swab or endocervical brush

Question 18

which STI causing bacteria is stained with iodine

Answer 18

chlamydia

Question 19

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

Answer 19

Neisseria gonnorhoeae

Question 20

clinical symptoms of gonorrhoea in males

Answer 20

urethra primary, epididymitis also, rectum, oropharynx and conjunctiva

Question 21

clinical symptoms of gonorrhoea in females

Answer 21

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

Question 22

% of females experience symptoms of gonorrhoea vs none

Answer 22

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

Question 23

first line treatment of gonnorhea

Answer 23

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

Question 24

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

Answer 24

true. aizthromycin

Question 25

why do we not refrigerate gonorrhoea sample?

Answer 25

Gc is fragile and may not be viable.

Question 26

diagnostic smear og gndc is diagnostic of what?

Answer 26

gonorrhoea in males only

Question 27

culture for GC

Answer 27

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

Question 28

sexually transmitted flagellate protozoa, pear shaped

Answer 28

trichomoniasis

Question 29

clinical symptoms of trichomonas in males and females

Answer 29

females- vaginitis, green frothy discharge | males-asymptomatic

Question 30

treatment for trichomonas

Answer 30

Flagyll (metronizadole disrupts DNA)

Question 31

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

Answer 31

Trichomonas

Question 32

what do we look for in Direct exam of trichomonas

Answer 32

motility by flagella and undulating membrane, best at 35

Question 33

cultures for trichomonas

Answer 33

STS and Diamonds medium

Question 34

MHO or public health will contact all sexual paratners

Answer 34

reportable disease/infection

Question 35

causative agent of syphllis

Answer 35

treponema pallidum, a spirochete

Question 36

lesion heal in 3-6 weeks

Answer 36

primary syphilis

Question 37

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

Answer 37

secondary syphilis

Question 38

T or F treponema palladium has never been cultured artificially

Answer 38

True

Question 39

treatment for treponema

Answer 39

pen G

Question 40

associated with painless hard chancre forms

Answer 40

treponema

Question 41

STI caused by Haemophlus ducreyi

Answer 41

"soft" chancroid aka ulcers mole are painful

Question 42

common causative agents of PID

Answer 42

GC and chlamydia

Question 43

common causative agents of epididymitis

Answer 43

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