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Flashcards in STDs Deck (70)
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1

AIDS is defined as an absolute CD4 count of

less than 200

2

s/s of AIDS

oral candidiasis, fever, weight loss, diarrhea, SOB

3

infection that causes the most deaths in patients with HIV

Pneumocystis jirovecii

4

An acute and brief illness that occurs in those within a few weeks after initial exposure to HIV

acute retroviral syndrome

5

s/s of acute retroviral syndrome

mimic mono (fatigue, fever, lymphadenopathy)

6

diagnosis tests for acute retroviral syndrome

HIV will be negative; if strongly suspected then order HIV PCR

7

s/s of disseminated gonococcal disease

petchial/pustular lesions on hands and soles; one swollen, red, tender joint; pharyngitis with green purulent exudate

8

recommended screening for gonorrhea chlamydia

screen annually in all sexually active females aged 25 and younger

9

repeat testing in 3 months is needed for this infection d/t high rate of recurrence

gonorrhea

10

cervical ectropion

immature cervix that has red bumps out of the cervical os (columnar cells).

11

Why young girls are at higher risk of STDs

their cervix hasn't matured yet; columnar cells are easier to infect than squamous (mature cells)

12

Difference between cervical ectropion and cervicitis

ectropion has clear mucus, cervicitis has purulent mucus.

13

risk factors for chlamydia

age younger than 25

14

complication of chlamydia in males

Reiter's syndrome

15

most sensitive test for gonorrhea and chlamydia

NAAT- can be collected from urine, cervix, urethra, oral, or rectal site.

16

GenProbe for gonorrhea and chlamydia

used to swab only the cervix or urethra

17

treatment for chlamydia

azithromycin 1 g PO x1 or doxycycline 100 mg PO bid x 7 days

18

side effects of doxycyline

GI upset, can cause tooth staining, photosensitivity

19

treatment for sexual partners of those with chlamydia

azithromycin 1 g PO x 1

20

treatment for pregnant women with chlamydia

azithromycin 1 g PO x 1 or amoxicillin 500 mg PO tid x 7 days

21

trx for PID

ceftriaxone 250 mg IM x 1 + doxycycline 100 mg PO bid with or without metronidazole bid x 14 days

22

difference between chlamydia and gonorrhea

gonorrhea can become systemic or disseminated if left untreated

23

Neisseria gonorrhoeae is a

gram negative bacterium

24

Chlamydia trachomatis is a

atypical bacteria

25

s/s of gonorrhea in female

green purulent vaginal discharge; cervix has purulent drainage

26

s/s of gonorrhea in male

purulent penile discharge and dysuria

27

Bartholin gland abscess

can be caused by gonorrhea

28

trx for gonorrhea

ceftriaxone 250 mg IM x1 + azithromycin 1 gm PO x 1 or doxycycline 100 mg BID x 7 days.

29

test of cure for gonorrhea/chlamydia

not needed

30

education about trx for gonorrhea/chlamydia

trx partners within 60 days, avoid sex until therapy completed.