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Acute PNP > STI > Flashcards

STI Flashcards

(49 cards)

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1
Q

Viral transmission through genital contact; “common wart”

Asymptomatic genital warts; recurrent respiratory papillomatosis with warts in the throat

A

Human Papilloma Virus

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2
Q

Topical Immunotherapies (podofilox/imiquimoid)
Cryotherapy/surgical resection
Laser
Intra-lesion interferon

A

Human Papilloma Virus treatment

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3
Q

Vesicular lesions, ulcers, leucorrhea, dysuria, inguinal adenopathy

A

Herpes Simplex Virus

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4
Q

How do you diagnosis HSV?

A

Viral culture
PCR (higher sensitivity)
HSV Assay

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5
Q

Acyclovir
Famciclovir
Valacyclovir

A

HSV treatment

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6
Q

2nd most common STI in US

A

Gonorrhea

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7
Q

Urinary frequency, urgency, and burning with urination
Inflammation of Batholian and Skene glands, cervical mucoid discharge (yellow-green), can be asymptomatic until complications occur; penile discharge

A

Gonorrhea

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8
Q

NAATs

A

Gonorrhea diagnosis

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9
Q

Cervicitis, urethritis, PID, ectopic pregnancy, infertility, pharyngitis, conjunctivitis

A

Gonorrhea complications

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10
Q

Ceftriaxone + Azithromycin/Doxycycline

A

Gonorrhea

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11
Q

Most common STI in US

A

Chlamydia

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12
Q

Vaginitis, cervicitis, endometriosis, salpingitis, pelvic inflammatory disorder, vaginal discharge or dysuria; urethritis

A

Chlamydia

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13
Q

NAATs are test of choice

A

Chlamydia

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14
Q

Azithromycin x1

Doxycycline BID x7d

A

Chlamydia treatment

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15
Q

What is the leading cause of PID–infertility and chronic pelvic pain?

A

Chlamydia

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16
Q

Caused by Spirochete Treponema pallidum

A

Syphilis

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17
Q

Develops 10-90 days after exposure

Single painless chancre at site of inoculation accompanied by regional adenopathy

A

Primary Syphilis

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18
Q

Develops 4 to 10 weeks after primary infection

Systemic illness with disseminated rash involving palms and soles, fever, malaise, and pharyngitis, hepatitis, mucous patches, condyloma lata, alopecia

A

Secondary Syphilis

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19
Q

Develops 2 to 19 years after primary infection in untreated individuals

Cardiovascular system or gummatous disease (granulomatous disease of skin and subcutaneous tissues, bones, or viscera)

A

Tertiary Syphilis

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20
Q

DFA detection in lesion exudate or tissue

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A

Primary diagnosis of syphilis

21
Q 
Dual serological testing
Venereal Disease Research Laboratory
rapid plasma reagin tests
Fluorescent treponemal antibody absorption tests
EIA
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A

Latent, secondary, and tertiary syphilis

22
Q

Penicillin G benzathine IM once

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A

Primary syphilis treatment

23
Q

Penicillin G benzathine IM once weekly for 2 weeks

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A

Late syphilis treatment

24
Q

Replacement of normal Lactobacillus species in the vagina with anaerobic bacteria (prevotella species and mobiluncusspecies), Gardnerella vaginalis, and mycoplasma hominis

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A

Bacterial vaginosis

25
Vaginal discharge with cottage cheese-like appearance, intense vaginal irritation or pruritus, vulvar and vaginal inflammation
Vulvovaginal candidiasis
26
Vulvar irritation, dysuria, urinary frequency, vaginal odor, green/yellow vaginal discharge
Trichomonas vaginalis
27
Vaginal discharge or malodor; may be asymptomatic
Bacterial vaginosis
28
Asmel's Diagnostic Criteria (3 out of 4)
Homogenous thin, white discharge that smoothly coats vaginal wall Presence of clue cells on microscopic examination Vaginal fluid pH >4.5 "Fishy" odor of vaginal discharge or after addition of 10% potassium hydroxide ("whiff test")
29
Oral fluconazole or OTC intravaginal anti fungal creams or suppositories
Vuvlovaginal candidiasis treatment
30
Oral metronidazole
Trichomonas vaginalis treatment
31
Oral metronidazole or intravaginal metronidazole or clindamycin
Bacterial vaginalis treatment
32
Polymicrobial infection of upper female genital tract with any combination of endometriosis, salpingitis, tubo-ovarian abscess, and pelvic peritonitis Most common STIs--gonorrhea, chlamydia, mycoplasma genitalium
Pelvic Inflammatory Disease
33
fever with pelvic/abdominal pain, dyspareunia mucopurulent cervical or vaginal discharge, abdominal vaginal bleeding cervical motion tenderness, uterine tenderness, adnexal tenderness
Pelvic Inflammatory Disease
34
Diagnosis: - oral temp >101F - abnormal cervical or vaginal mucopurulent discharge or cervical friability - abundant numbers of WBCs vaginal secretions - gonorrhea and/or chlamydial infection - elevated CRP/ESR - MRI/transvaginal US/Doppler US
Pelvic Inflammatory Disease
35
Influenza-like symptoms from 2-4 weeks Asymptomatic infection for months to 15 years Newborn examinations usually normal Lymphadenopathy, hepatomegaly occur first FTT, diarrhea, pneumonia, recurrent infections Opportunistic diseases occur More recurrent bacterial infections, parotid gland swelling, lymphoid interstitial pneumonitis
Human Immunodeficiency Virus
36
Antigen/antibody immunoassay HIV viral load test Repeat if negative but high index of suspicion
Human Immunodeficiency Virus
37
Average age of coitus in US
16 years
38
___ of all STIs occur in adolescents (15-24 years)
1/2
39
Variety of clinical syndromes caused by pathogens that can be acquired and transmitted through sexual activity
STIs
40
Prevention Education Counseling Referral of Partner Trust
Keys to Management for STIs
41
9-valent vaccination recommended for age ____
11 years and older for both male and female
42
Diagnosis of HPV
Physical exam | HPV testing on swab
43
Viral culture PCR HSV assay
Diagnosis of HSV
44
Urine, endocervical, vaginal, urethral (men), rectal, and oropharyngeal swabs
Diagnosis of Chlamydia
45
Microscopic evaluation--hyphae, pseudohyphae or budding yeast, vaginal discharge culture
Diagnosis of vulvovaginal candidiasis
46
Females--microscopic evaluation of vaginal discharge Males--culture testing of urethral swab, urine, or seme
Diagnosis of trichomonas
47
Gram staining or Asmel's Diagnostic Criteria
Diagnosis of bacterial vaginosis
48
What is the acute care role for HIV?
Vigilance for infections/complications
49
Number of sexual partners Risky behavior associations Vertical transmission (mother to infant)
Risk Factors for HIV

Acute PNP (8 decks)

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