Sexually Transmitted Infections Flashcards

(49 cards)

1
Q

describe Gonorrhoeae’s discharge

A

usually males

thick purulent

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2
Q

Pelvic Involvment from STIs cause?

A

Pelvic Inflammatory Disease

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3
Q

Gonorrhoea what kind of bacteria?

A

gram -ve diplococci

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4
Q

Gonorrhoea adhere to?

A

columnar epithelial cells

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5
Q

why younger women more likely to get Gonorrhoea?

A

their ectocervix has more columnar epithelial cells

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6
Q

Gonorrhoea asymptomatic how many % females vs. males?

A

females: 80%
males: 10%

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7
Q

Gonorrhoea antibiotic resistance how?

A

plasmid exchange with throat commensals during oral sex

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8
Q

get peri-hepatitis (fitz-hugh-curtis syndrome) with what infection?

A

disseminated Gonorrhoea (violin string adhesions)

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9
Q

2 big disseminated symptoms of Gonorrhoea?

A

maculopapular rash

peri-hepatitis

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10
Q

what happens in pelvic inflammatory disease?

A

get fever
tubal scarring
infertility

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11
Q

neonatal Gonorrhoea opthalmia happens when? describe presentation. if untreated?

A

day 2-5
gross purulent conjunctivitis
could cause perforation and blindness if untreated

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12
Q

neonatal Gonorrhoea opthalmia treatment?

A

systemic cefotaxime, not topical

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13
Q

what is thayer-martin agar for?

A

inhibits microbiota

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14
Q

Gonorrhoea urine collection how?

A

first void urine

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15
Q

Gonorrhoea 50% co-infection with?

A

chlamydia

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16
Q

prevention of Gonorrhoea?

A

barrier contraception

contact tracing

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17
Q

what is the infectious part of chlamydia trachomatis called?

A

elementary bodies

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18
Q

chlamydia trachomatis adheres to?

A

columnar epithelials

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19
Q

chlamydia trachomatis what kind of bug?

A

obligate intracellular parasite

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20
Q

chlamydia trachomatis serovars: what are A-C? D-K? L 1-3?

A

A-C: ocular (Trachoma)
D-K: genital infection
L 1-3: lymphogranuloma venereum

21
Q

two forms of chlamydia trachomatis in life cycle?

A

elementary bodies: infectious, non replicating, hardy

reticulate bodies: metabolically active, replicate

22
Q

what is most common STI?

A

chlamydia trachomatis

23
Q

chlamydia trachomatis asymptomatic or symptomatic? cause what in females/males?

A

usu asymptomatic

males: urethritis
females: cervicitis

24
Q

chlamydia trachomatis symptoms in males?

A

clear discharge
dysuria
testicular pain
prostatitis

25
lymphogranuloma venereum caused by?
chlamydia trachomatis
26
lymphogranuloma venereum presentation?
ulcerative genital lesion get suppurative inguinal lymphadenopathy with systemic sx
27
neonatal chlamydia trachomatis 2 main presentation:
conjunctivitis: 2-28 days, can be hemorrhagic Pneumonia: 2-8 weeks: stacatto cough
28
chlamydia trachomatis treatment?
1g Azithromycin or 100mg doxycycline bid 2/52
29
chlamydia trachomatis at end of treatment need?
test of cure
30
Trichomonas vaginalis what kind of bug?
flagellated protozoon
31
Trichomonas vaginalis presentation?
asymptomatic usually | frothy green-yellow itchy vaginal discharge
32
Trichomonas vaginalis does what to pH of vagina?
increases >5.0
33
Trichomonas vaginalis causes genital inflam which can predispose you to what?
HIV acquisition
34
Trichomonas vaginalis marker for?
high-risk sexual activity
35
when do you get strawberry cervix?
Trichomonas vaginalis
36
Trichomonas vaginalis testing? 3 things:
high vaginal swab urine-PCR pap smear
37
Trichomonas vaginalis treatment?
metronidazole | tinidazole
38
what is Treponema pallidum?
Syphilis
39
primary Treponema pallidum (syphilis) presentation?
1-2 cm painless chancre then heals
40
what is secondary Treponema pallidum (syphilis) presentation?
disseminated rash on palms, heels, face, scalp
41
describe the 2 latent stages of Treponema pallidum (syphilis)?
early latent: symptomatic, +++ infectious secretions | late latent: after 2 years, less infectious, harder to treat
42
what is tertiary Treponema pallidum (syphilis)?
10-30 years later you can get infection in aorta (dissections), joints, neurosyphilis
43
Treponema pallidum (syphilis) AKA?
The great mimicker.
44
Treponema pallidum (syphilis) dx via?
serology
45
Mycoplasma Genitalium genome? cell wall? characteristics?
smallest genome no cell wall hard to culture antibiotic resistant
46
Treponema pallidum (syphilis) what shape of bacteria?
spirochete
47
Mycoplasma Genitalium interaction in body?
attaches and taken into cell and protected from immune response
48
Mycoplasma Genitalium causes what in women? 4 things
cervicitis acute endometritis PID predispose to HIV
49
Mycoplasma Genitalium treatment?
Azithromycin