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Year2 Repro exam II > STIs > Flashcards

Flashcards in STIs Deck (34):
1

19 M with macular rash and patchy hair loss. general lymphadenopathy and flat grey white lesion in perianal area
unprotected sex 2 mo ago
what lab to order?

RPR
rapid plasam reagin

2

19 M with macular rash and patchy hair loss. general lymphadenopathy and flat grey white lesion in perianal area
unprotected sex 2 mo ago
Dx?

secondary syphilis

3

incubation tiem syphilis

3 weeks for primary
4-8 weeks for secondary
1-30 years for tertiary

4

incubation time N gonorrhea

2-6 days

5

incubation time chlamydia trachomatis

7-21 days

6

culture in high CO2 environment

Neisseria gonorrhoeae

7

Urethral DNA probe used to identify what

N gonorrhea
Chlamydia trachomatis

8

condyloma lata

syphilis

9

treatment for syphilis

penicillin (bicillin) IM

10

26 F RLQ tenderness for rebound, low grade fever, normal bowel sounds
exudative and tender cervical examination
elevated WBC
suspect what organism

chlamydia trachomatis

11

initial presentation HIV

viral syndrome
sore throat, fever, swollen lymph nodes
transient maculopapular rash

12

Tx for chlamydia tachomatis

macrolides and tetracylines

13

antibiotics to Tx chlamydia need to do what

disrupt cell wall synthesis

14

Tx for gonorrhea

ceftriaxone

15

35 F thin gray vaginal discharge and vulvovaginal discomgort
4 current partners
normal cervix non tender
no unusual odor, large number leukocytes and motile organisms

trichomonas vaginalis

16

Dx gardnerella

KOH- whiff test

17

Tx trichomonas

metronidazole

18

interaction of metronidazole

alcohol

19

22 M painful vesicles on glans of penis
unprotected sex one week ago
no discharge, b/l lymph node enlargement of groin
suspect?

HSV-2

20

ulcers with irregular border and gray necrotic exudate at base, unilateral lymphadenopathy

haemophilus ducreyi

21

granuloma inguinal, elevated granulomatous lesions
can lead to autoamputation

klebsiella granulomatis

22

how to confirm Dx haemophilus ducreyi

culture
chocolate agar plate

23

Tx haemophilus ducreyi

ceftriaxone
azithromycin
either one as single dose

24

how to confirm Dx klebsiella granulomatis

tissue Bx

25

Tx klebsiella

erythromycin or tetracycline for 3 weeks
or
ampicillin for 12 weeks

26

confirm HSV 2

viral cultures and serology PCR
tzanck smear

27

Tx HSV2

acyclovir

28

24 M 8 day Hx sore throat, generalized aches fever anorexia
trunk and abdominal rash
multiple male and female partners
suspect?

HIV

29

Sx Hep B

icterus, jaundice, RUQ tenderness, dark urine, light stools

30

20 F EM with rash, fever, joint pain
started in right knee and moved to ankle and hip
rash is scattered painful lesion on hands and feet
suspect?

N gonorrhea

31

disseminated gonorrhea

septic arthritis
necrotic pustules

32

19 F with painless papule on lip and cervical lymphadenopathy
unprotected sex 1 mo ago
suspect?

treponema pallidum

33

genital ulcer agents

syphilis
HSV
chancroid
lymphogranuloma venereum

34

STIs that cause urethritis and cervicitis

N gonorrhea
chlamydia trachomatis
complicaitons like PID