Sexuality- STI's

Question 1

True or false.

Some STI’s can cross the placenta causing teratogenic affects on the fetus.

Answer 1

True

Question 2

What is caused by HSV-1 and HSV-2?

Answer 2

Herpes Simplex Virus

Question 3

What is HSV-1?

Answer 3

Cold sores in mouth that can be transmitted through oral sex

Question 4

What is HSV-2?

Answer 4

Sores/lesions in genital areas transmitted sexually or through child birth

Question 5

If a pregnant mother has active sores/lesions what kind of delivery do they have?

Answer 5

C-Section

Question 6

How is HSV transmitted?

Answer 6

Direct contact w/ infected lesions

Question 7

Transmission is greatest if?

Answer 7

Lesions are active

Question 8

HSV can be asymptomatic bc they’re dormant from what?

Answer 8

Neurotropic- grows in neurons

Question 9

How long can ulcers last from HSV if they pop and spread from the highly contagious virus from the liquid/pus?

Answer 9

Up to 6wks

Question 10

The 1st occurrence of HSV is known as what?

Answer 10

1st outbreak

Question 11

How long can the 1st outbreak last for?

Answer 11

Up to 12 days

Question 12

Any other reoccurring outbreaks after the 1st one is called what?

Answer 12

Prodromal symptoms

Question 13

How long can prodromal symptoms last for?

Answer 13

Up to 4-5 days and is less severe

Question 14

What is the periods before or b/t episodes that are still infectious, but are asymptomatic?

Answer 14

Latency phase

Question 15

What are s/s of HSV?

Answer 15

Painful red papules w/ small blisters of clear liquid

Question 16

What are prodromal symptoms?

Answer 16

Itching burning, tingling, throbbing @ lesion site (legs, groin, butt)

Question 17

What can happen to the fetus if a child bearing mother has HSV?

Answer 17

Miscarriage, PTL, IUGR

Question 18

What 3 medications are used to treat HSV, not to cure it but to prevent a breakout of herpes sores or blisters?

Answer 18

Aciclovir, famciclovir, valaciclovir (Valtrex)

Question 19

What HSV med has N/V as a side effect?

Answer 19

Aciclovir

Question 20

What HSV med is given during pregnancy to keep the pt. in latency phase of HSV?

Answer 20

Valaciclovir (Valtrex)

Question 21

What is caused by spirochete treponema pallidum that can infect any tissue body organ?

Answer 21

Syphilis

Question 22

What is spirochete treponema pallidum highly susceptible to, but can survive in what for days?

Answer 22

Heat dry surfaces, fluids

Question 23

How is syphilis transmitted?

Answer 23

Any break in skin and lymphatic system and through blood from sex

Question 24

How long is the incubation period of syphilis?

Answer 24

10-90days (average 21 days)

Question 25

How is congenital syphilis transferred to the fetus?

Answer 25

Through placental circulation (blood stream)

Question 26

What stage of syphilis has little to no pain but is HIGHLY CONTAGIOUS/INFECTIOUS?

Answer 26

Primary stage

Question 27

In primary stage of syphilis what are the s/s?

Answer 27

Chancre (Warning sign) and regional enlargement of lymph nodes

Question 28

Where do the sores/lesions of syphilis appear at?

Answer 28

Genitals, rectum, mouth, and breast (@ site where contacted)

Question 29

What are the s/s of early primary stage?

Answer 29

Macule/papule erode

Question 30

What are the s/s of late primary stage?

Answer 30

Clean based, painless, indurated ulcer w/ smooth firm borders

Question 31

When do s/s of primary stage syphilis usually resolve?

Answer 31

4-6wks

Question 32

When does secondary stage of syphilis occur?

Answer 32

Usually any time after primary ends, 2wks-6mon after chancre disappears

Question 33

What are s/s of secondary syphilis?

Answer 33

Whole body skin rash (especially palms/soles), mucous patches (highly contagious when broken), sore throat, generalized lymphadenopathy (Condylomata lata) HIGHLY INFECTIOUS

Question 34

When do s/s of secondary stage syphilis resolve?

Answer 34

2-6wks

Question 35

What stage of syphilis may not occur but if it does occur it's usually 2+ years after initial infection and can last up to 50yrs?

Answer 35

Latent/Tertiary stage

Question 36

Latent/Tertiary stage is not transmitted through what, but instead is transmitted through what?

Answer 36

Sex; Blood

Question 37

In presence of HIV how is the progression of syphilis?

Answer 37

More rapid

Question 38

Other than measuring antibody production what 2 blood lab tests are done in every pregnant woman to diagnose syphilis?

Answer 38

Venereal Disease Research Laboratory (VDRL) and Rapid Plasma Reagin (RPR)

Question 39

What is the treatment for syphilis?

Answer 39

Penicillin G, single dose IM, and doxycycline, or tetracycline

Question 40

What is caused by chlamydia trachomatis?

Answer 40

Chlamydia

Question 41

Chlamydia trachomatis only reproduces w/in what?

Answer 41

The host cell

Question 42

How is chlamydia spread?

Answer 42

Sexual contact or baby birth canal if vaginal

Question 43

If chlamydia is not asymptomatic what are the s/s?

Answer 43

White, watery vaginal discharge and may/may not itch

Question 44

What does chlamydia affect?

Answer 44

Mom and baby's reproductive system

Question 45

If chlamydia is not treated where does it go?

Answer 45

Upper reproductive tract causing complications of Pelvic Inflam. Disease (PID)

Question 46

What can PID cause?

Answer 46

Endometritis

Question 47

How is chlamydia diagnosed?

Answer 47

Gram stain discharge from endocervix or urethra and direct fluorescent antibody (DFA)

Question 48

How is chlamydia treated?

Answer 48

Single dose of Azithromycin (Zithromax), PO meds for 7days like doxycycline for 7-14days BID

Question 49

What is caused by the gram negative diplococcus Neisseria Gonorrhoeae?

Answer 49

Gonorrhea, the "clap"

Question 50

What type of bacteria is Neisseria Gonhorrhoeae that can cause purulent exudate?

Answer 50

Pyogenic pus forming bacteria

Question 51

How is gonorrhea transmitted?

Answer 51

hetero/homosexual intercourse or vaginal delivery

Question 52

What are the s/s in men for gonorrhea?

Answer 52

Dysuria and serous, milky, purulent discharge

Question 53

What are the s/s in women for gonorrhea?

Answer 53

Dysuria, urinary frequency, and abnormal menses

Question 54

What can gonorrhea cause in men?

Answer 54

Epididymitis

Question 55

What is epididymitis?

Answer 55

Painful testicles from inflam of tube at back of testicle

Question 56

What can gonorrhea cause in women?

Answer 56

Infetility

Question 57

What is the treatment for gonorrhea?

Answer 57

Antibiotics after swab of drip like cefttriaxone PO or PO erythromycin

Question 58

What is caused by the human papillomavirus?

Answer 58

Genital warts

Question 59

Why are women at greater risk for genital warts?

Answer 59

Bc have bigger mucous area

Question 60

How is genital warts transmitted?

Answer 60

Vaginal, anal, or oral-genital contact

Question 61

How long is the incubation period for genital warts?

Answer 61

6wks-8mon

Question 62

True or false. | Genital warts are chronic, asymptomatic and incurable.

Answer 62

True

Question 63

What type of genital wart have cauliflower shaped lesions?

Answer 63

Condylomata acuminata

Question 64

What type of genital warts have thick hard lesions?

Answer 64

Keratotic warts

Question 65

What type of genital warts have smooth lesions?

Answer 65

Papular warts

Question 66

What type of genital warts have slightly raised lesions that are invisible to the naked eye?

Answer 66

Flat warts

Question 67

How is genital warts diagnoses?

Answer 67

HPV DNA test and clinical appearance

Question 68

How is genital warts treated?

Answer 68

Removal of warts, relief of s/s, health teaching to prevent reoccurrence

Question 69

What type of meds are used for genital warts?

Answer 69

Topical agents: Podofilox, Imiquimod, Podophyllin, and trichloroacetic acid

Question 70

What topical agent is contraindicated during pregnancy bc it can cause N/V, diarrhea and coma?

Answer 70

Podophyllin

Question 71

What vaccine is given to prevent genital warts/HPV infection?

Answer 71

Gardasil

Question 72

What procedures are done to remove the warts?

Answer 72

Cryotherapy, electrocautery, laser, surgical excision

Question 73

What bacterial infection is often carried in the intestines and lower genital tract?

Answer 73

Streptococcus B-Hemolytic (Group B Strep-GBS)

Question 74

How can Streptococcus B-Hemolytic be passed on to the infant?

Answer 74

During labor causing serious complications

Question 75

How is streptococcus B-hemolytic diagnosed?

Answer 75

Vaginal and rectal swab ay 36-37wks gestation

Question 76

If GBS is positive what is done?

Answer 76

Penicillin given 4hrs prior to delivery for less transmission to baby