STI and PAP Testing

Question 1

Symptoms of trichomoniasis

Answer 1

Thin or frothy bad-smelling discharge that can be yellow or brown. Like alkaline environment (4.5+)

Question 2

Diagnosis of trichomoniasis

Answer 2

Take sample & look under microscope

Question 3

Treatment of trichomoniasis

Answer 3

Flagyl or Tindamax in oral dose. All sexual partners should be treated.

Question 4

Considerations with flagyl

Answer 4

Flagyl + alcohol can make you very sick!!!

Question 5

What is bacterial vaginosis associated with?

Answer 5

Douching - removes normal flora of vagina

Question 6

S&S of bacterial vaginosis

Answer 6

Thin, gray, white discharge that smells fishy

Question 7

Treatment of bacterial vaginosis

Answer 7

Flagyl or clindamycin

Question 8

What does the microscope show with bacterial vaginosis?

Answer 8

Epithelial cells with bacteria sticking around edges

Question 9

S&S of chlamydia

Answer 9

Often asymptomatic, but can cause yellowish/brownish vaginal discharge and painful urination in women

Question 10

Treatment of chlamydia

Answer 10

Azithromycin, doxycycline, or levofloxacin, treat ALL partners

Question 11

What can chlamydia cause?

Answer 11

PID, infertility and ectopic pregnancy, as when untreated infection can ascend from cervix into upper genital tract, resulting in scarring of fallopian tubes

Question 12

S&S of gonorrhea

Answer 12

Vaginal discharge, painful urination, painful intercourse, often asymptomatic

Question 13

Treatment of gonorrhea

Answer 13

In addition to treatment for chlamydia- give Ceftriaxone IM. Treat ALL sexual partners.

Question 14

Primary stage of syphilis

Answer 14

Painless chancre on genitalia, anus, or oral mucosa. Get biopsy. Serum tests usually negative.

Question 15

Secondary stage of syphilis

Answer 15

2 months in. Organ enlargement, HAs, anorexia, rash, warts, serum tests usually positive.

Question 16

Tertiary stage of syphilis

Answer 16

Last several years, involves heart, vasculature, CNS, paralysis & psychosis can happen

Question 17

Treatment for syphilis

Answer 17

Penicillin G

Question 18

What is HSV 1 associated with?

Answer 18

Oro-pharyngeal infections

Question 19

What is HSV 2 associated with?

Answer 19

Genital lesions

Question 20

S&S of herpes

Answer 20

blisters (vesicles) to vulva, perineum or perianal area within 2-12 days of primary infection

Question 21

What does the herpes virus do?

Answer 21

Can remain dormant and flare. Recurrent episodes are not as painful but just as dangerous. Can transmit days before lesions pop up.

Question 22

Treatment of herpes

Answer 22

None - can reduce transmission with antivirals

Question 23

S&S of HPV

Answer 23

Dry, wart-like growths on vagina, labia, cervix and perineal area

Question 24

Diagnosis of HPV?

Answer 24

Pap test w/ reflex, colposcopy

Question 25

Treatment of HPV?

Answer 25

Removal of warts, if present, topically or with cryotherapy.

Question 26

What is the vaccination for HPV?

Answer 26

Gardasil (types 6, 11, 16, 18, causing 90% of genital warts and 70% of cervical cancer); not as effective w/previous exposure; ages 9-26.

Question 27

What is AIDS caused by?

Answer 27

HIV

Question 28

MOT with AIDS?

Answer 28

Bodily secretions, blood or blood products

Question 29

Treatment of AIDS?

Answer 29

NO cure - slow disease progress with antiretroviral therapy

Question 30

What is pelvic inflammatory disease?

Answer 30

Bacteria ascend into upper genital tract resulting in inflammation of endometrium, fallopian tubes and pelvis - typically from gonorrhea & chlamydia

Question 31

S&S of PID?

Answer 31

Sometimes none, or pelvic pain, discharge, vaginal bleeding, abd tenderness, cervical motion tenderness

Question 32

Lab results for PID?

Answer 32

Leukocytosis, decreased sed rate, UA needed to r/o UTI

Question 33

What is the purpose of a pap test?

Answer 33

Detect precancerous and cancerous changes to cervix, test for HPV

Question 34

When does a woman start getting paps?

Answer 34

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