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GYN Textbook Chapter 5,6,7,17,21 > STI I, Expedited Partner Therapy , PreP HIV > Flashcards

STI I, Expedited Partner Therapy , PreP HIV Flashcards

1
Q

Sexually active screened

A

STI regularly

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2
Q

STI Reporting

CCGHHS

A

Chancroid
Chlamydia
Gonorrhea
Hepatitis
HIV
Syphillis

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3
Q

Chlamydia and Gonorrhea Test

A

Wet mount/endocervical
Vaginal swab
First void urine NAAT

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4
Q

Syphillis

A

Venereal Disease Research Lab (VDRL)
Rapid plasma Regain (RPR)

HIV Hep B, Hep C,
CBC, UA, UC

Beta HCG

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5
Q

HPV + Genital Warts

A

Genital warts
Cervical, penile, vulvar, vaginal, anal, oropharyngeal

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6
Q

What types cause high risk cervical cancers

A

Type 16 and 18

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7
Q

Vaccination Gardasil 9

A

9 protect 6,11,16,18,31,35,45,52,58

Age 27-45. Don’t give during pregnancy

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8
Q

Genital warts in females

A

Vaginal Introitus
- painless and aysmtomatic
chronic vaginal discharge, pruritic, dyspareunia

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9
Q

Wart

A

Flesh colored , flat pedunculated

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10
Q

If you remove warts , can HPV go away

A

No

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11
Q

Wart treatment

A

Cryotherapy
Podofilox
Intralesional interferon
Photodynamic therapy
Topical Cidofovir
Podophyllin compound

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12
Q

HPV/Warts tx

A

Oatmeal bath , cotton underwear

condom use if lesions are present

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13
Q

HSV 1

A

Non sexually, oral/genital contact

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14
Q

HSV 2

A

Sexually
higher rate of viral shedding

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15
Q

HSV 2 s/s

A

Tingle, shooting pain in lower extremities and buttocks

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16
Q

Genital herpes

A

more frequent in females

transmit male to female

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17
Q

If you get pregnant and contract herpes what delivery

A

c-section

18
Q

Is genital herpes curable

s/s

A

No, incurable

s/s: painful vesicular eruptions of skin and mucosa of genitals

19
Q

Where does the virus shed

A

in the genital tract and lifelong with HSV2

20
Q

Primary genital herpes last how long?

A

3 weeks

Flu like symptoms: fever malaise myalgias

lesion –> blister vesicles –> ulcerated lesions

21
Q

Tender inguinal lymphadenopathy, vulvular edema, watery purulent discharge severe dysuria

A

Genital herpes s/s

22
Q

Cervicitis - red friable ulcerated/necrotic lesion

A

Genital herpes s/s

23
Q

dx of genital herpes

A

HSV lesion cell culture

NAAT

24
Q

when should you get the culture for hsv lesion

A

Vesicular stage

25
Q

Recurrent outbreak genital herpes test

A

Serologic testing when lesions are healing

IgG antibodies

26
Q

Genital herpes mgmt

A

Avoid arginine, avoid citrus, cortisone

give vitamin b/c,zinc

27
Q

Genital herpes medication

FIRST EPISODE

AFV***

A

1) Acyclovir 400 mg 3/day 7-10 days

2)Famciclovir 250 mg 3/day 7-10 days

3) Valacyclovir 1 gm 2/day 7-10 days

28
Q

Episodic Genital Herpes med

A

start therapy within 1 day or prodrome

1) Acyclovir 800 mg 3/day for 2 days
Acyclovir 800 mg 2/day for 5 days

2)Famciclovir 1 gm 2/day for 1 day
Famciclovir 500 mg 2/day for 3 day
Famciclovir 125 mg 2/day for 5 days

3) Valacyclovir 1 gm daily for 5 days
Valacyclovir 500 mg 2/day for 3 days

29
Q

Suppressive therapy

A

1) Acyclovir 400 mg 2/day

2) Famciclovir 250 mg 2/day

3) Valacyclovir 500 mg daily

30
Q
A
31
Q

Chancroid

transmission

s/s

A

transmit sex contact/trauma
genital ulcer: hiv transmission

ask travel history

s/s: genital macule, painful , inguinal lymph node

32
Q

what should you also test for with chancroid and when should you repeat

A

HIV/Syphillis and repeat in 3 mo

33
Q

Chancroid DX

A

Painful genital ulcer, negative for syphillis and hsv

34
Q

How many days of sexual contact should partner be treated with chancroid

A

10 days

34
Q

Chancroid Meds
(ACCE)

A

Azihromycin 1 gm po single
Ceftriaxone IM 250 mg

Ciprofloxacin 500 mg PO 3x/day for 7 days

Erythromycin 500 mg 3x/day for 7 days

35
Q

Trichomoniasis s/s

A

Clear, green, yellow froth fish malodorous discharge
Strawberry spots on speculum exam

discharge worse during menstruation

5-28 days incubation

pruriris dysuria postcoital bleeding

36
Q

Trichomoniasis dx

A

One celled flagellate trichomonis

inc WBC strong amine odor

37
Q

Trichomoniasis Tx Women + Men + Alt

When to return to test

What to avoid when taking med

A

Women: Metrodinazole 500 mg 2/day 7 days

Men: Metrodinazole 2 gm oral single dose

Alt:
Tinadozole 2 gm oral single dose

38
Q

Chlamydia most serious complication

When should preggos be tested

A

PID

all preggos 255 t/o or younger + 4 weeks after tx then 3 months after

39
Q

Chlamydia assessment

A

Adnexal fullness, uterine tenderness, cervical motion tenderness, abdominal guarding

40
Q

Chlamydia DX

A

NAAT**, Cell culture

41
Q

Chlamydia tx

A

Doxy 100 mg 2/day 7 days

Azithro 1 gm single dose

Levofloxacin 500 mg once / 7 days

GYN Textbook Chapter 5,6,7,17,21 (7 decks)

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