STDs/PID/PATH

Question 1

What type of test would you commonly use to test for Trichomonas?

Answer 1

An NAAT!

Question 2

At what age is chlamydia most common?

Answer 2

15-24

Question 3

At what age is gonorrhea most common?

Answer 3

Young adults, 20-24

Question 4

What type of test would you usually use to test for syphilis?

Answer 4

A serologic test (RPR and specific treponemal antibodies)

Question 5

Does chlamydia have a high chance of being transmitted when one person is infected? What about Hep c?

Answer 5

Chlamydia has a very high chance of being transmitted. Chance of transmission of Hep C is low.

Question 6

What are the most common and recommended platforms for detecting common STIs?

Answer 6

Nucleic Acid Amplification Tests (NAATs)

Question 7

What sort of growth media do you need to grow Chlamydia?

What about gonorrhoeae?

Answer 7

Chlamydia - no idea

Gonorrhoeae - a complex thayer-martin or chocolate agar media, humid atmosphere supplemented with CO2.

Question 8

What is the minimal criteria for pelvic inflammatory disease?

Answer 8

Lower abdominal pain

Question 9

For which STI is the following statement true:

Women have 50% acquisition after single exposure to infected men. Men have 20% acquisition after single exposure to infected women. Risk increases with number of encounters.

Answer 9

Gonorrhea

Question 10

What STIs can you detect with NAATs?

Answer 10

Chlamydia, Gonorrhea, Herpes, Trichomonas, HPV

Question 11

What do you commonly use serologic (antibody/anigen) tests for?

Answer 11

Syphilis (RPR and specific treponemal antibodies), Hep B (surface antigen), Hep C (antibody)

Question 12

What type of bacteria is Gonorrhea?

Answer 12

Gram-negative diplococci

Question 13

Is gonorrhea always symptomatic in men? What about in women?

Answer 13

Gonorrhea in men is always symptomatic. In women, it can be asymptomatic. (Or they might notice increased vaginal discharge).

Question 14

What STI causes neonatal conjunctivitis in 30-50% of exposed babies?

Answer 14

Chlamydia

Question 15

Can animals get Gonorrhea?

Answer 15

No - it is a strictly human disease.

Question 16

Is Gonorrhea more common in women or in men?

Answer 16

Women - women have 50% acquisition after single exposure to infected men. Men have 20% acquisition after single exposure to infected women. Risk increases with number of encounters.

Question 17

True or false: Gonorrhea dies rapidly if allowed to dry.

Answer 17

True

Question 18

Oophoritis

Answer 18

Infection of the ovary

Question 19

Is gonorrhea intracellular?

Answer 19

No

Question 20

Is chlamydia intracellular?

Answer 20

Yes

Question 21

Salpingitis

Answer 21

Infection of the fallopian tube

Question 22

Is gonorrhea or chlamydia more likly to cause host-immune responses? Which causes more subtle, less painful damage? Are women with chlamydia or gonorrhea going to be sick more quickly?

Answer 22

Chlamydia.

Question 23

What is the most common STD in the US?

Answer 23

Chlamydia

Question 24

What is the most predominant vaginal organism? How does this contribute to vaginal pH?

Answer 24

Lactobacilli - this forms peroxide leading to acidic pH

Question 25

What is vaginal pH?

Answer 25

Acidic

Question 26

Infection of the ovary

Answer 26

Oophoritis

Question 27

Answer 27

Question 28

What is cervical mucus made of?

Answer 28

Complex glycoprotein with variable water content

Question 29

Endometritis

Answer 29

Infection of the endometrium

Question 30

Why do you need a more broad spectrum antibiotic approach when treating an upper tract gonorrhea and chlamydia infection (as opposed to a lower tract infection)?

Answer 30

You develop secondary infection in which organisms that normally colonize the vagina invade!

Question 31

Adnexa

Answer 31

Segment of the tube adjacent to the uterus

Question 32

Cervical motion tenderness

Answer 32

When the cervix is very tender during a pelvic exam; this is generally a finding in PID

Question 33

Answer 33

Question 34

When the cervix is very tender during a pelvic exam it is called

Answer 34

Cervical motion tenderness

Question 35

Answer 35

Question 36

Minimal criteria for diagnosis of PID

Answer 36

1. Lower abdominal pain 2. Adnexal tenderness 3. Cervical motion tenderness (but people who have these things do not necessarily have pelvic inflammatory disease)

Question 37

Answer 37

Question 38

What are three possible courses in progression from acute to chronic salpingitis?

Answer 38

1. Fimbrial end remains patent 2. Spread to ovary 3. Occlusion of the fimbriated end

Question 39

Answer 39

Question 40

Answer 40

Question 41

Answer 41

Question 42

Answer 42