STD's Flashcards Preview

ADT Module 5-8 > STD's > Flashcards

Flashcards in STD's Deck (73)
1

gonorrhea, chlamydia, vaginitis, syphilis, HIV/AIDS, genital herpes, genital warts, chancroid, granuloma inguinale, molloscum contagiosum, and pubic lice are all ___.

STD's

2

STI screening for chlamydia and gonorrhea:
trichomonas:
HSV, syphilis:
HIV, hepatitis:

cervical culture
vaginal swab
lesion swab
serologic

3

Chlamydia is an obligate intracellular bacteria w/a gram-___ cell wall. ___ are highest risk group.

negative, adolescents

4

Consider ___ ___ if STD's found in young children.

sexual abuse

5

The pathogens C. pneumoniae, C. psittaci, and C. trachomatis can all cause ___.

pneumonia

6

Usual agents that cause cervicitis include ___ and ___.

chlamydia, gonococcus

7

There is testicular inflammation and scrotal pain in ___.

epididymitis

8

A torsion requires emergency ___.

surgery

9

First-line tx for chlamydia is:

Azithromycin - single dose OR doxycycline 100mg BID x 7 days

10

Lymphogranuloma venereum is a ___ infection that presents with multiple, enlarged, matted, tender ___ lymph nodes and may produce a ___. DOC is ___.

chlamydia, inguinal, doxycycline

11

Chlamydia conjunctivitis shows up ___-___ days after birth. Gonococcal conjunctivitis shows up ___-___ days after birth. HSV conjunctivitis shows up in first ___ days after birth.

7-14, 2-4, 14

12

Chlamydia conjunctivitis is tx'ed w/:

Erythromycin topical AND erythromycin oral

13

Chlamydia education after being dx'ed: no intercourse for ___ days after completion of azithromycin, no intercourse until ___ has been tx'ed, repeat testing ___ wks after Rx for pregnant women, all women should have repeat testing ___-___ months post-infection.

7, partner, 3, 3-4

14

Presentation of gonorrhea in men:
in women:

urethritis (symptomatic), epididymitis
cervicitis (asymptomatic), urethritis, PID, perihepatitis, accessory gland inf

15

Presentation of chlamydia in men:
in women:

urethritis, epididymitis, Reiter's syndrome
cervicitis, urethritis, PID, perhepatitis

16

Pregnant women w/STD's should not be tx'ed w/___ or ___.

quinolones, tetracyclines

17

Gonorrhea education includes: no sex until ___ is completed and symptoms have ___, treat the pt's ___, follow up for repeat testing in ___ months.

therapy/antibx, resolved, partner, 3

18

___ usually presents w/discharge, irritation, and odor. It is NOT an ___. ___ ___ is the most common cause of vaginitis.

Vaginitis, STD, bacterial vaginosis

19

With vaginitis, a speculum exam is important to r/o ___ as the source of discharge.

cervicitis

20

DOC for bacterial vaginosis is: ___. Alternative is ___.

metronidazole, clindamycin

21

___ in women has risk for premature rupture of membranes, preterm delivery, and low birthwt. Can cause ___ in women.

Trichomonas, vaginitis

22

DOC for trichomonas is ___. ___ should be avoided d/t antabuse.

metronidazole 2 gms single dose or 500mg BID x 7 days, alcohol

23

Trichomonas should be tested for other ___. It is almost always ___ transmitted. It is associated w/increased susceptibility to ___. ___ should be tested as well.

STD's, sexually, HIV, partners

24

Candidiasis is not considered to be an ___. Typically caused by ___. Appears as thick, white, and clumpy like ___-___.

STD, antibx, cottage-cheese

25

Candidiasis DOC is: ___. Contraindicated in ___ women. Maintain vaginal flora and avoid ___ b/c it can alter vaginal flora and makes it more prone for infection.

fluconazole, pregnant, douching

26

Differential btwn BV, candidiasis, and trichomoniasis is based on ___.

microscopy

27

Normal pH is ___-___. In BV and trichonomoniasis, it is ___ 4.5, and in candidiasis, it is ___ 4.5

3.8-4.2, >, <

28

___ ___ has been associated w/pregnancy complications, HIV, and PID.

Bacterial vaginosis

29

You need 3 of the 4 diagnostic criteria for Dx of BV: ___ homogenous discharge, pH > ___, + ___ test, > 20% clue cells on ___.

gray, 4.5, whiff, microscopy

30

___ partners of pt's w/BV do not need to be tx'ed, but ___ partners should.

male, female

31

S/E of metronidazole include: severe ___ if consume ___ while taking it (aka ___), sharp ___ taste, ___ urine.

vomiting, alcohol, antabuse, metallic, dark

32

Meds that can cause candida/yeast infections:

antibx, corticosteroids, pregnancy, diabetes, HIV disease

33

Dx for candida is not by ___, but by visualization through ___.

culture, microscopy

34

___ should not be used during pregnancy or lactation d/t it being a category ___.

Metronidazole, C

35

The 3 etiologies for vaginitis include:

bacterial vaginosis, vulvovaginal candidiasis, trichomoniasis

36

Partners should be tx'ed for ___.

trichomoniasis

37

___ syphilis present w/ulcer or chancre that is usually ___ and heals w/in ___.

primary, painless, wks

38

Chancroid is an ulcer that is ___ and has tender ___. Tx is w/___.

painful, lymphadenopathy, azithromycin

39

___ syphilis presents w/HA, fever, malaise, ___ on palms and soles, and involves the ___ and ___ organs.

secondary, rash, kidney, liver

40

___ syphilis presents w/___-like lesions. Involves ___ and ___ systems. Can show up ___ later.

tertiary, rubbery, neuro, cardio, decades

41

DOC for primary, secondary, and early latent syphilis is ___. If allergic to PCN, then ___ or ___.

Benzathine PCN G, doxycycline, tetracycline

42

If syphilis is tx'ed w/PCN, a common reaction is ___. Occurs when a large amt of ___ die and release their cell walls in the ___. Tx for it is ___.

Jarisch-Herxheimer, bacteria, bloodstream, antipyretics

43

Want to evaluate pt's w/syphilis for ___. Return for follow-up serology at ___ and ___ months or every ___ months if HIV +.

HIV, 6, 12, 3

44

HSV-1:
HSV-2:
HSV-3:
HSV-4:
HSV-5:
HSV-6:
HSV-7:
HSV-8:

stomatitis/herpes labialis
genital herpes
varicella-zoster
Epstein-Barr (EBV)
cytomegalovirus (CMV)
exanthem subitum ("roseola")
works in tandem w/HHV-6
Kaposi'e sarcoma

45

HSV-1 and HSV-2 can cause ___ ___ ___. The predominant one is ___.

genital herpes simplex, HSV-2

46

Herpes simplex virus (aka ___ ___) appears ___-___ days after exposure and resolves over ___-___ wks. Dx is w/ ___ of lesion. Tx is w/ ___, as well as ___ for pain.

genital herpes, 3-7, 1-2, culture, acyclovir, analgesics

47

When collecting a culture, can only collect from ___ lesions, not ___ lesions.

open/erupted, crusted-over

48

True or False: tx recurrent episodes the same as primary/initial episodes.

true

49

The 3 medications for tx of HSV/genital herpes include:

acyclovir, valacyclovir, famciclovir

50

___ therapy reduces the frequency of genital herpes by 70-80% and is taken ___ to prevent breakouts.

Suppressive, daily

51

Women w/out S/S of genital herpes can give birth ___. Women w/recurrent breakouts must have ___ birth.

vaginally, abdominal

52

HSV can be transmitted to a partner during ___ periods b/c viral shedding can still occur.

asymptomatic

53

___ is arguably the most common STD. Majority of sexually active adults acquire ___ at some point in their lives.

HPV, HPV

54

Tx for condyloma acuminata (aka ___ ___) include:

genital warts, cryotherapy, laser, sharp excision, topical cream (imiquimod, trichcloroacetic acid, podphyllum)

55

Genital warts Dx is usually made by ___.

visualization

56

Pt-applied topical Rx for genital warts/HPV include:

podofilox (Condylox), imiquimod (Aldara)

57

Cryotherapy is ___ administered.

provider

58

Follow up for ___ is not mandatory and is not ___.

HPV, reportable

59

Vaccines for HPV include: ___ and ___. Cervarix only tx's ___ ___, whereas gardasil tx's both ___ ___ and ___ CA. Recommended for females ages ___-___ and males ages ___-___.

Cervarix and Gardasil, cervical cancer, genital warts, cervical, 13-26, 9-26

60

Higher risk for cervical cancer is HPV types ___ and ___. Lower risk for cervical cancer and genital warts is present in HPV types ___ and ___.

16, 18, 6, 11

61

___ includes gonorrhea and chlamydia.

Cervicitis

62

Chancre refers to ___. Chancroid refers to etiology of ___

syphilis, H. ducreyi

63

___ presents w/friable, red, inflamed cervix and ___ discharge.

Cervicitis, mucoid

64

Obligated to perform ___ exam if pt having discharge.

pelvic

65

___ is DOC for uncomplicated gonorrhea tx. Unless ___ infection is r/o, CDC recommends co-tx for both since one usually accompanies the other.

Ceftriaxone, chlamydial

66

___ ___ has a "fish" odor. This and ___ have odorous discharge.

Bacterial vaginosis, trichomonias

67

___ ___ is an anaerobic bacterial overgrowth and is the most common cause of vaginitis. Not considered an ___.

Bacterial vaginosis, STD

68

Intravaginal metronidazole is ineffective in the tx of ___.

trichomonas

69

Nontreponemal and treponemal are serology tests used to dx ___. Look at ___ and ___.

syphilis, VDRL, RPR

70

Reactivation of genital herpes simplex could include:

trauma, fever, ultra-violet light, stress

71

___ is the first-line tx for condyloma acuminata (aka ___ ___)

trichcloroacetic acid (TCA)

72

With tx of imiquimod, wash w/soap and water ___-___ hrs after application.

6-10

73

The quadrivalent HPV vaccine (___) is used in males aged 9-26

Gardasil