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REPRO II Exam 2 > Sexually Transmitted Infections - Unrein > Flashcards

Sexually Transmitted Infections - Unrein Flashcards

1
Q

macular rash, hair loss, lymphadenopathy

  • flat grey white lesion perianal area
  • unprotected sex 2 months ago
A

secondary syphilis

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2
Q

incubation for syphilis

A

3 weeks primary
4-8 weeks secondary
1-30 years latent

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3
Q

2-6 days

A

neisseria gonorrhea

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4
Q

7-21 days

A

chlamydia

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5
Q

2-20 months

A

variable HPV incubation

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6
Q

RPR

A

rapid plasma reagin

  • screening test for syphilis
  • false positives - SLE, mono, malaria, leprosy, hep A, HIV, pregnancy
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7
Q

culture high CO2

A

gonorrhea

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8
Q

urethral DNA probe

A

neisseria

chlamydia

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9
Q

gram negative coffee bean shaped diplococci

A

neisseria

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10
Q

dark field microscopy

A

syphilis

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11
Q

flat white lesions

A

secondary syphilis

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12
Q

condyloma acuminatum

A

raise and cauliflower

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13
Q

maculopapular rash

A

secondary syphilis

  • disseminated rash
  • palms and soles
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14
Q

primary syphilis

A

chancre

-painless**

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15
Q

chancroid

A

Haemophilus ducreyi

painful sore

third world disease

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16
Q

tx syphilis

A

IM PCN-bicillin

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17
Q

RLQ tenderness with rebound, low grade fever, normal bowel sounds

  • tender cervical
  • WBC 15,000 - elevated
A

chlamydia trachomatis

often asymptomatic

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18
Q

treponema pallidum

A

syphilis

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19
Q

HPV

A

condyloma acuminata

20
Q

HIV

A

nonspecific viral - fever, sore throat, swollen nodes, transient rash

21
Q

fitz hugh curtis

A

inflammation of liver capsule - advanced PID

22
Q

evaluation for chlamydia

A

consider gonorrhea - thought to travel together

23
Q

tx chlamydia

A

macrolides and tetracyclines

is obligate intracellular pathogen

24
Q

tx gonorrhea

A

ceftriaxone

25
Q

grav vaginal discharge, 4 sex partners, nontender cervix, no odor
-wet mount - leukocytes and motile organisms

A

trichomonas vaginalis

26
Q

multiflagellated organism - mobile

A

trichomonas

wet mount

27
Q

candida

A

yeast infection

-with loss of normal flora

28
Q

odor

A

gardnerella vaginalis

29
Q

mucopurulent cervicitis without odor, little complaints

A

chlamydia

30
Q

cervix bleeds with intercourse

A

gonorrhea

31
Q

tx trichomonas

A

metrondiazole

32
Q

multiple painful vesicles on glans of penis

  • one week ago unprotected sex
  • b/l swollen lymph nodes in groin
A

herpes simplex 2

33
Q

painless elevated granulomatous lesions

A

klebsiella granulomatosis

granuloma inguinale

can lead to autoamputation

34
Q

lymphogranuloma venereum

A

chlamydia

35
Q

diagnosis of haemophilis ducreyi

A

culture

chocolate agar plate

36
Q

tx haem ducreyi

A

ceftriaxone
azithromycin
-either as single dose

37
Q

klebsiella granulomatis diagnosis

A

tissue biopsy

38
Q

klebsiella granulomatis tx

A

erythromycin or tetraacycline 3 weeks

ampicillin 12 weeks

39
Q

tx for herpes simplex-2

A

acyclovir

40
Q

sore throat, aches, fever, anorexia, truck and abdomen rash, multiple partners unprotected, last sex 4 weeks ago

A

HIV

41
Q

hep B

A

blood, body fluid, tissue transfer

icterus, jaundice RUQ pain, dark urine, light stool

42
Q

herpes simplex 1

A

oral lesions

15-20% genital herpes

43
Q

rash, fever, joint pain, began right knee - to right ankle and hip

rash, scattered, painful hands and feet

A

neisseria gonorrhea

disseminated**

weeks after primary infection

44
Q

painless papule on lip and cervical lymphadenopathy

unprotected sex 1 month ago

A

syphilis - treponema pallidum

45
Q

painless lesion and lymphadenopathy

A

syphilis

46
Q

ulcer

A

syphilis
herpes simplex
chancroid
lymphogranuloma venereum

REPRO II Exam 2 (21 decks)

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