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S3 1538 > S3 M1 Sexuality > Flashcards

S3 M1 Sexuality Flashcards

(171 cards)

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1
Q

Having 1 STI increases the risk of having

A

Another STI

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2
Q

When a person has more than one STI or other medical problem, these sicknesses are labeled as

A

Concurrent

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3
Q

All STIs have a latent or subclinical phase which is -

A

having and being able to transmit the disease without symptoms

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4
Q

Viral STIs

A

Herpes
HPV
Hep B
HIV

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5
Q

Bacterial STIs

A

Chlamydia
Gonorrhea
Syphilis

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6
Q

Viral STIs are treated with

A

Vaccines
NO cure

treat symptoms
suppress virus

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7
Q

Bacterial STIs are treated with

A

Anti infectives

NO vaccines

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8
Q

Chain of infection

A 
Pool/reservoir of infection
Portal of exit
Mode of transmission
Portal of entry
Susceptible host
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9
Q

Gonorrhea 101

A

Neisseira gonorrheae

Vag Anal Oral sex childbirth

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10
Q

Gonorrhea symptoms

Women

Men

A

Arthritis

Women
minor/overlooked symptoms

Endocervicitis (redness)
Dyspareunia (pain with sex)
purulent exudate
dysuria
frequency 
Men
Urethritis
Dysuria (pain)
Profuse purulent drainage
Ball bag pain
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11
Q

Syphilis 101

phases

A

Treponema pallidum
Spirochete

vaginal anal oral childbirth

Primary - highly infectious
Secondary - infectious
Latent - noninfectious after 4 years
Late - noninfectious

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12
Q

Chlamydia 101

A

Chlamydia trachomatis
MOST COMMON STI

Vaginal anal oral or child birth transfer

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13
Q

Chlamydia symptoms

A

PID pelvic inflammatory disease most serious

painful urination
dysuria

infertility/sterility

Discharge
Burning
Dyspareunia
Vaginal bleeding 
Lower ab and back pain

Anal sex - anal pain
Oral sex - sore throat

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14
Q

HPV 101

A

Human papillomavirus

Vaginal anal oral childbirth
Genital Warts
Vaccine available

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15
Q

Most common HPV types

Most carcinogenic HPV types

A

common - 6 and 11

carcinogenic - 16 and 18

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16
Q

Herpes HSV 101

A

Herpes simples
CAN be spread to infant at child birth

T1 - above waist, Cold sores
T2 - below waist

This isn’t always true

Virus enters nerve endings

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17
Q

Herpes HSV PRIMARY symptoms

A

Burning, Itching, Tingling

Lesions - rupture, crust, heal
last 17-20 days

Vesicles - infections

Pain fever headache malaise myalgia

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18
Q

Herpes HSV Recurrent episode symptoms

A

triggers - stress, fatigue, sunburn, illness, immunosuppression, menses

tingling burning itching before lesions

lesions last 8 to 12 days

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19
Q

Herpes none medical treatment

A

Hygiene
Cotton undies
Clean/dry lesions

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20
Q

Start STI treatment of antibiotics __ culture

A

before

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21
Q

STI Treatment teaching

A

Finish antibiotics
Let partners know
Abstain during treatment
Follow up examination and culture

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22
Q

Primary STI prevention

A

Safe sexual contacts
No IV drug use
Be vaccinated
Use a condom

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23
Q

Secondary STI prevention

A

Seek care immediately
Follow treatment regiment
Disclose partners/contacts

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24
Q

Tertiary STI prevention

A

Prevent reinfection

If virus - maintain healthiest condition possible
diet, sleep, education, drug therapy etc.

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25
Organic ED
``` Related to Diabetes HTN Decreased hormone production Med side effects ```
26
Functional ED
Stress Performance anxiety ID personal issues like anger anxiety depression
27
Differentiate between Organic and Functional ED by Assessment for ED
Onset Organic gradual Functional acute International Index of Erectile Function
28
If ejaculation of tactile sensation is absent before treatment
it can not be restored
29
ED treatment
PDES inhibitors | NOT with nitrates = severe hypotension
30
Invasive ED treatment
Intraurethrals - gels injections or pellets to go in Vaso constrictive device - dick pump with ring Implant - Can result in mechanical failure, infection, erosion
31
Gender dysphoria
Cross-gender identification Persistent desire to be of other sex Persistent discomfort in own sex
32
Gender identity is based on
Sexual identity AND Internal experience If those don't match then the person is transgender (differently gendered)
33
Transsexual
ID with opposite gender
34
Preop transsexual
Altered physical appearance
35
Intersexed
Born with ambiguous sexual organs
36
Cross-dresser/transvestite
Wears clothing of the opposite gender
37
Gender dysphoria criteria
Difference in gender identity lasting longer than 6 months
38
For gender dysphoria to be diagnosed in kids the desire must be
Present AND verbalized
39
Dyspareunia
Pain before during and after intercourse burning stinging sharpness extreme tenderness sensation
40
Dyspareunia causes
``` Physiological pelvic disorder sti endometriosis menopause ``` Psychological abuse stress depression
41
Treatment for altered libido
Medication Counseling Hormones Lifestyle remedies
42
Causes of altered libido
Physical Hormonal Psychological Relationship issues
43
Dyspareunia (Menopause) | Treatment
Hormone therapy Calcium Vit D SERMs
44
Managing Dyspareunia pain with sex
Vagifem tabs Premarin cream Moisturizers Lubricants
45
Candidiasis treatment
Miconazole Clotrimazole Terconazole Fluconazole
46
Treatment for Chlamydia
Doxycycline 100mg bid x7days Azithromycin 1g x1 Erythromycin 500mg qid x7days Abstain from sex for 7 days post 1st pill retest in 3 months
47
Gonorrhea treatment
Azithromycin 1G x1 AND Ceftriaxone 250mg IM x1 abstinence for 7 days test 3 months
48
P LI SS IT
P permission - allow to talk LI limited information - give all the info SS specific suggestions - advise lifestyle changes IT intensive therapy - referral for more involved treatment prn
49
Herpes treatment
1st episode - antivirals Acyclovir 400 tid 7-10 days Acyclovir 200 fiveID 7-10 days Famciclovir 250 tid 7-10 days Valacyclovir 1G bid 7-10 days if unresolved extend past 10 days
50
Diagnosing HSV
Viral culture | NEVER papsmear
51
Syphilis treatment
Benzathine Penicillin G 2.4million units IM Primary and secondary Benzathine penicillin G 2.4million units IM Q week for 3 weeks Late stage use doxy tetra or arithro if allergic to PCN
52
1st stage of syphilis symptoms
painless chancre at sight of infection | lasts 1 to 6 weeks
53
2nd stage of syphilis symptoms
appears 2 to 6 months after 1st flulike symptoms rash on soles palms and trunk alopecia lasts 2 years
54
3rd stage of syphilis
lasts 20 years | Destroys heart brain skin and CNS
55
Tests for syphilis
VDRL venereal disease research lab RPR rapid plasma reagin FTA-ABS fluorescent treponemal antibody absorbed TP-PA T pallidum particle agglutination
56
Best position for PID
Semifowlers
57
HPV diagnosing
Visual inspection Pap smear + HPV test
58
HPV treatment
Imiquimod cream Podophillin solution Trichloracetic acid Freeze Burn Laser Surgical excision 2 vaccines for ages 11 to 15 3 vaccines for older folk
59
CD4 T normal | CD4 T with aids
450-1200 bellow 200
60
HIV screening test
Nucleic Acid Test NAT Antigen/antibody test Antibody test
61
HIV treatment
ART Antiretroviral therapy
62
HIV Prophylaxes med
PrEP
63
Diagnosing infertility
Diagnosed after 1 year of trying
64
Secondary infertility
Inability to conceive after a previous pregnancy
65
Infertility is now considered a _ | as opposed to _
Disease Disorder of inconvenience
66
Uterine fibroids
Benign tumors that prevent pregnancy
67
At what female age is it difficult to conceive
27
68
Endometriosis
Uterus lining grows outside of uterus More severe pain during cycle Causes infertilities
69
Normal sperm
Greater than 20 million per ml | 50% are motile
70
If sperm count normal go see a
Urologist
71
Assessment of female pregnancy potential
Ovulation predictor kit LH level Pap smear to visualize Ultrasound Hysterosalpingography Laparoscopy
72
Management of infertility for women
Clomid - oral Pergonal - injection IVF in vitro fertilization GIFT gamete intrafallopian transfer Surgery Surrogate
73
With infertility nurses should know the drugs
benefits and side effects
74
Some fertility drugs may result in
Multiple births
75
Provide medical-legal surrogacy information regarding
true ownership
76
Biggest cause of infertility in women
Endometriosis
77
Behavioral contraception types
Abstinence Fertile awareness (skip ovulation days) Withdrawal (pullout) Lactation amenorrhea (no ovulation)
78
Spinnbarkit Mucous
slippery clear mucous that facilitates passage of the sperm through it
79
Barrier contraception
Condom Diaphragm Cervical cap Sponge
80
Store condoms in a buy condoms with
Cool dry environment Spermicide
81
_ based products can brake condoms
Oil
82
Female condom can be inserted for up to how to insert
8 H before intercourse inner ring against cervix outer rink outside of vagina
83
Diaphragm contraception
NO OIL Can be placed up to 6h before MUST remain for AT LEAST 6h after If you lose are gain 10lb you need a new measurement, or after 2 years Never leave it in for more than 24h
84
Cervical cap contraception
Put spermicide in the cap NOT on edges Need to place at LEAST 30 min before Leave in for 6H after Can be left in place for 48H replace after 2 years
85
Leaving a diaphragm cervical cap or sponge in for more than the recommended time can cause
Toxic shock syndrome
86
Contraceptive sponge NO prescription needed
Wet it and place in will release spermicide for 24H leave in for 6h after intercourse can be used multiple times Don't leave in for more than 30h toxic shock syndrome
87
Toxic shock syndrome
Overgrowth of Staph Aureus and its toxins Sudden, Potentially fatal, SHARP drop in BP, Shock, Organ failure due to lack of flow.
88
Contraceptioin
Family planning Birth control intentional prevention of pregnancy
89
lifespan of ovum _ ovum is released... lifespan of sperm in utero _ So fertility period is...
24h 14 days before next cycle 5 days 6 days 3 before and 3 after ovulation
90
Cervical mucus ovulation method
When mucus becomes spinnbarkeit slippery, smooth, clear, abundant
91
BBT | Basal body temp
Progesterone elevates temp 2 days after ovulation
92
Standard days method
Avoid sex between day 8 and 19 Only if cycle is between 26 and 32 days long
93
Depo Provera | PROGESTERONE only
12 week intramuscular injectable contraceptive by reducing FSH and LH production Cycle may not be restored for up to 9 months Loss of bone marrow density, acne weight gain, depression
94
Transdermal patch
1 a week except bleeding week risk of thrombosis and embolism Patch will burn during MRI Rotate patch area
95
Vaginal ring | NuvaRing
insert for 3 weeks | take out for bleeding week
96
LARCs Long-acting reversible contraceptives Implant Nexplanon
subdermal, good for 3 years headaches, weight gain, acne, appetite increase, breast tenderness, depression
97
IUC Intrauterine Contraceptive
endometrium becomes hostile to fertilized ovum lightens periods
98
Sterilization
surgical procedure rendering person infertile Laparoscopy for females Vasectomy for men
99
Tubal ligation
Laparoscopy or minilaparotomie Fallopian tubes are cauterized clipped cut or tied
100
Essure
Tiny coil is placed in fallopian tubes coil promotes tissue growth blocking off the canals COMPLETELY irreversible BAD not on market any more
101
Vasectomy
Cutting of the vas deferens from under scrotum.
102
Religions problematic with fam planning and abortion
Roman Catholic anti Islam only for serious reasons Judaism only first trimester
103
Nursing interventions with contraception
``` Encourage educated choice Obtain written consent Discuss contraindications Consider religion and culture Address myths ```
104
Abortion
expulsion of embryo or fetus before it is viable
105
Medical abortion
Mifepristone or Misoprostol Empties uterus via cramping and bleeding
106
Surgical abortion
Vacuum or dilation and evacuation D&C
107
Before giving semen sample, abstain for deliver it to the lab within
2 to 5 days 1h
108
Azoospermia Oligospermia Asthenospermia
Absence Decrease Poor motility
109
DOR
Diminished ovarian reserve higher rate of miscarriage
110
Assisted reproductive technology ART
``` IVF in vitro fertilization daily FSH and LH injections removal of oocytes incubation with sperm for 5 days injection via cath into female ```
111
Monophase Biphase Triphase birthcontrols
Same level of estrogen and progesterone 2 different levels 3 different levels
112
Mini pills vs regular birth control pills vs extended pills
Mini pills have to be taken same time every day Regular birth control more forgiving have a cycle 4 times to once a year
113
Benefits of birth control
``` acne hirsutism endometriosis pms dysmenorrhea decreases bleeding ```
114
disadvantages of birth control
``` MI stroke hypertension Venous thrombosis Pulmonary emboli Boob cancer ```
115
No combination pills for women over
35 take mini pill
116
Antibiotics + birthcontrol =
decreased effect of birth control Use back up method for AT LEAST 2 weeks
117
ACHES of OC oral contraceptives
``` A - abdominal pain, liver/gallbladder C - chest pain, SOB P/embolism H - headaches, HTN, stroke E - eye problems, HTN S - Severe leg pain, thromboembolism ```
118
Embolisms with OC oral contraceptives are caused by which hormone
Estrogen
119
Depo provera Biggest side effects use over 2 years is associated with
Menstrual cycle disturbances bone loss increase calcium and vit D
120
Transderm patches are not for women over
198lb
121
Mirena and Skyla
intrauterine contraceptives progesterone only Mirena good for 5 years Skyla good for 3 years ParaGard does NOT have hormone copper only
122
IUD complications | PAINS
``` P - period late, pregnancy, spotting A - abdominal pain, with intercourse I - infection, vaginal discharge N - not feeling well, fever, chills S - string length, shorter/longer/missing ```
123
Abortion pills can be used up too _ days after last menstrual period
70 days | 9 weeks
124
Abortion pills need a _ to be given
prescription
125
Next choice vs plan b
Next choice 2 pills 12h apart plan b 1 pill take within 72h
126
IUD can be used as an what emergency contraceptive can be take for up to 5 days
emergency contraceptive for up to 7 days Ella
127
Highest side effects of emergency contraceptives
Nausea and Vomiting Breast tenderness dizziness, fatigue, headaches
128
Worst case emergency contraceptives can lead to
Egtopic pregnancy fetus in felopean tube
129
Chlamydia diagnosing
Culture NAAT nucleic acid amplification and testing Conjunctival secretions in neonates
130
Chlamydia and gonorrhea has to be reported to
CDC health department
131
Chlamydia in neonates
Conjunctivitis Pneumonia low weight preterm birth
132
Gonorrhea diagnostics
culture | NAAT
133
Chlamydia and gonorrhea should be tested for
ever year for patients under 25 per CDC
134
Gonorrhea in newborns
Gonococcal ophthalmia arthritis urethritis miscarriage
135
Herpes diagnostics
Visual culture swab Polymerase chain Serologic test
136
Candyloma lata syphilis rash does not
sign of syphilis itch
137
Can you reverse Tertiary late stage syphilis
NO
138
Birth with syphilis
``` deformed bones anemia liver spleen issues jaundice meningitis ```
139
Number 1 cause of cervical cancer
HPV
140
Trichomoniasis 101
Trichomonas vaginalis
141
Trichomoniasis diagnosing
NAAT | Microscopic evaluation
142
Trichomoniasis treatment
Metronidazole 2G PO x1 Tinidazole 2G PO x1 Metronidazole 500mg PO bid 7 days
143
Trichomoniasis symptoms
``` Dysuria Frequency Frothy discharge Dyspareunia Itching ``` Strawberry cervix
144
Menopause
Decrease in estrogen dryness vaginal atrophy pH increase
145
If menopause patient still has uterus, MUST give
Progesterone with estrogen supplement or increased risk of hyperplasia and endometriosis
146
Menopause treatment
Give LOWEST dose possible for SHORTEST amount of time possible E-string Estrogen vag tabs Premarin cream Testosterone patches
147
Sex with menopause
Communicate with partner Foreplay Intimacy w/o penetration Sex counseling
148
A decline in sexual activity _ _ mean decline in desire
DOES NOT
149
Decrease in sexual desire for men and women
Men - decrease in T, poor health, meds leading to ED Women - decrease in estrogen, loss of partner Both - take longer to arouse, longer to complete and longer to occur again
150
more than half of men between 40 and 70 have
ED
151
how erections work
Smooth muscle RELAXATION | Blood fills
152
ED diagnostics
physical assessment Nocturnal penile tumescence test 3-5 erections lasting 10-15 min each is normal Arterial blood flow doppler probe nerve conduction test psych eval
153
Dick pill side effects
``` headache flushing dyspepsia diarrhea nasal congestion ```
154
dyspepsia
stomach pain
155
Dick pills are contraindicated in folk who take or have only use
Nitrates (isordil, nitroglycerin) hypotension bad bp, live, kidneys, heart once a day
156
Alprastadil inj
once a day Smooth muscle relaxant injection for erections, 20 min before intercourse pain, plaque, priapism
157
Alprastadil supp
Can be used up to twice a day injected into urethra massage dick to dissolve 10 min before intercourse
158
Dick pump bands can not be left for more than
1 hour
159
Only use dick vacuum pump that has a
limiter
160
Semirigid rod Inflatable devise
Inserted into corpus cavernosum of dick will not be able to do cystoscopic surgery to view bladder may cause infection erosion of prostate
161
Inflatable dick implant
Pump reservour in abdomen to directed water to dick and back
162
Gender nonconformity is _ the same as gender dysphoria
NOT
163
Most common complaint of gender dysphoria
social isolation
164
Hormones used during transitioning
Androgens Antiandrogens Estrogen Testosterone
165
4 categories of birth control
Behavioral Hormonal Barrier Permanent
166
Danger signs of hormonal contraceptives
ACHES
167
Which IUD does not use hormones
Copper great for folks who smoke, cant take hormones, etc.
168
Once syphilis is cured will the patient still test positive
YES
169
Latent phase of syphilis
170
Syphilis S/S
Rash on palms and soles Vaginal discharge Painless blister-CHANCHER SORE
171
Classic symptom of chlamydia for both men and women
Dysuria | painful urination

S3 1538 (15 decks)

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