STDs 3

Question 1

What can male condoms prevent?

Answer 1

-Pregnancy
-HIV
-STDs

Question 2

What are condoms good at preventing?

Answer 2

Fluid transmission (GC, CT, trich, HIV)

Question 3

What are condoms not great at preventing?

Answer 3

Skin-skin (HSV, HPV, syphilis, chancroid)

Question 4

What are female condoms useful as?

Answer 4

Effective mechanical barrier to viruses

Question 5

Spermicides do not prevent what?

Answer 5

CT
GC
HIV

Question 6

Should spermicides be used as microbicide or lubricant during anal intercourse?

Answer 6

No

Question 7

What 5 STDs cause sores

Answer 7

1. Syphilis
2. Genital herpes
3. Lymphogranuloma venereum
4. Chancroid
5. Granuloma inguinale

Question 8

What 5 STDs cause discharge?

Answer 8

1. Gonorrhea
2. Chlamydia
3. Nongonococcal urethritis / mucopurulent cervicitis
4. Trichomonas vaginitis / urethritis
5. Candidiasis

Question 9

What 2 STDs cause painful ulcers?

Answer 9

1. Chancroid
2. Genital herpes simplex

Question 10

What 3 STDs cause painless ulcers?

Answer 10

1. Syphilis
2. Lymphogranuloma venerueum
3. Granuloma inguinale

Question 11

What is the most common cause of genital ulcerations?

Answer 11

HSV

Question 12

What is the classic presentation of herpes?

Answer 12

Painful vesicles on an erythematous base

Question 13

Primary herpes lesions may be associated with ____ and ____

Answer 13

Fever and adenopathy (first time only)

Question 14

Herpes rash may have a prodrome _____ hours prior to the lesion

Answer 14

18-36

Question 15

What is the gold standard test for HSV?

Answer 15

Tzanc smear

Question 16

What is seen on a positive HSV Tzank smear?

Answer 16

Multinucleated giant cells

Question 17

How is the first clinical episode of genital herpes treated?

Answer 17

Acyclovir 400 mg tid
OR
Famciclovir 250 mg tid
OR
Valacyclovir 1000 mg bid

7-10 days

Question 18

How is episodic herpes treated?

Answer 18

Acyclovir, Famciclovir or Valacyclovir (durations and doses vary between 1 day and 5 days)

Question 19

What is used for HSV suppression therapy?

Answer 19

Acyclovir 400 mg bid
or
Famciclovir 250 mg bid
or
Valacyclovir 500-1000 mg QD

Question 20

How do you treat HSV in pregnancy?

Answer 20

Acyclovir can be used in first episode or recurrent disease

Question 21

Risk of transmission of HSV is ______ to neonate if acquired near delivery

Answer 21

30-50% (C-section if lesion is present)