Test 2 studying

Question 1

How are genital herpes and HPV transmitted

Answer 1

through intimate skin to skin contact

Question 2

How are Hep B and HIV transmitted?

Answer 2

Through blood

Question 3

What were sexually transmitted diseases first known as?

Answer 3

Venereal Disease

Question 4

In the 1970’s, Venereal Disease was replaced with what term?

Answer 4

Sexually transmitted disease

Question 5

In 2006, what term was deemed more appropriate then Sexually Transmitted Diseases

Answer 5

Sexually transmitted infection

Question 6

Current Public Health Policy include the screening for which STI’s at a prenatal visit? (there are 5)

Answer 6

HIV, syphilis, chlamydia, gonorrhoea and Hep B

Question 7

What STI’s does Public Health Surveillance

Answer 7

HIV, Aids, Gonorrhoea, Hep B+ C and Syphilia

Question 8

What does the Blood Safety Contribution Program (BSCP) do?

Answer 8

Supports/develops/enhances systems to monitor errors and adverse events with blood transfusions

Question 9

What does the Canadian Blood Services do?

Answer 9

mandated to provide Canada with safe, secure and affordable blood components system (since 1998)

Question 10

What are the 3 different categories of STBBI’s

Answer 10

bacterial, viral or ectoparasitic

Question 11

What are the most common bacterial STIBBs?

Answer 11

Chlamydia, gonorrhoea and syphilis

Question 12

How are chlamydia and gonorrhoea primarily transmitted through

Answer 12

unprotected vaginal and anal sex

Question 13

What bacteria causes chlamydia

Answer 13

chlamydia trachoma’s

Question 14

When do symptoms for chlamydia tend to occur

Answer 14

1-3 weeks

Question 15

Where may women contract chlamydia

Answer 15

cervix, rectum and throat

Question 16

Where does chlamydia contract in men

Answer 16

urethra, rectum and throat

Question 17

Who is most at risk statistically for chlamydia

Answer 17

women, sexually active youth/ young adults (15-24 y/o)

Question 18

In canada, where are the highest rates

Answer 18

Northwestern Territories

Question 19

What 4 diseases could Chlamydia lead to

Answer 19

Pelvice inflammatory disease, tubal infertility, ectopic pregnancy, chronic pelvic pain

Question 20

In pregnancy what can chlamydia cause?

Answer 20

Premature birth, eye infection, pneumonia for the baby

Question 21

PID includes symptoms like”

Answer 21

abdo pain, fever, internal abscesses, long term pelvic pain, scarring of the Fallopian tubes

Question 22

What problems can chlamydia cause in men?

Answer 22

Lymphogranuloma venereum (C.trachomatis), proctits (inflammation of the lining of the rectum

Question 23

What are chlamydia symptoms in men

Answer 23

urethritis (discharge from the penis- mucoid or watery), dysuria (pain with urination), epididymitis (unilateral testicular pain, tenderness and swelling)

Question 24

What are the rectal chlamydia symptoms

Answer 24

rectal pain, bleeding, discharge, mucous with stools, painful bowel movement

Question 25

When do eye symptoms of chlamydia appear?

Answer 25

2-6 weeks

Question 26

For LGV (Caused by C.trachomatis) strains, what is recommended treatment

Answer 26

Doxyxycline 100mg PO BID x 21 days

Question 27

For non LGV strains what are the 7 recommended treatments

Answer 27

Docycycline 100 mg BID 7 days OR 1 dream Azithromycin single dose

Question 28

What bacteria causes Gonorrhea

Answer 28

neisseria gonorrhoea

Question 29

What is gonorrhoea commonly referred to as

Answer 29

the clap or the drip

Question 30

how is neisseria gonorrhoea carried from person to person

Answer 30

semen and vaginal fluid

Question 31

When do gonorrhoea symptoms tend to develop

Answer 31

2 weeks

Question 32

what is the best way to prevent gonorrhoea

Answer 32

condoms and dental dams

Question 33

Who make up the majority of gonorrhoea cases, men or women?

Answer 33

men

Question 34

What are the symptoms of gonorrhea in women?

Answer 34

vaginal discharge (thin, watery and green/yellow), dysuria, pain/tenderness in lower abdominal area, bleeding between periods and heavier periods

Question 35

What are the symptoms for men who have gonorrhea

Answer 35

whit/yellow/green drainage from the penis, dysuria, inflammation of the foreskin, pain/tenderness of the testicles

Question 36

What happens in infected semen or vaginal fluid comes in contact with eyes (for gonorrhea)

Answer 36

conjunctivitis- pain, photophobia, purulent drainage

Question 37

What can a gonorrhea infection in the anus cause

Answer 37

discomfort, pain, itching, discharge, spots of bright red blood on toilet tissue

Question 38

What dose of doxycycline is recommended for gonorrhea?

Answer 38

100 mg PO BID x 7 days

Question 39

If a patient is receiving ceftriaxone and azithromycin, what dose and frequency will they receive?

Answer 39

Ceftriaxone: 250mg IM x1 Azithromycin 1 gram PO x 1

Question 40

What medications are recommended for gonorrhea

Answer 40

Ceftriaxone + azithromycin and doxycycline

Question 41

What bacteria causes Syphilis

Answer 41

treponema palladium

Question 42

When is the average onset of syphilis symptoms

Answer 42

21 days

Question 43

Out of men and women who make up most of the syphilis cases

Answer 43

men

Question 44

Out of the primary, secondary and tertiary stages of syphilis, in which stage is the patient most infectious

Answer 44

primary

Question 45

A patient has small, round, firm, painless sores on their lips and vagina, they say it has been around for about 4 weeks. The patient said they first thought the bumps were just an ingrown hair. But when they saw more appear they decided to come in for a check up. What stage of syphilis would they be in?

Answer 45

Primary -Small bumps are chancres -The bumps appear around where the bacteria would have entered from -the chancres usually last 3-6 weeks

Question 46

A patient comes in who has a skin rash as well as mucous membrane lesions. Upon a physical inspection you note the rash is rough, red and on the hands, soles of the feet and extremities. They also have a fever, swollen lymph nodes and fatigue. They have also reported hair loss and weight loss. What stage of syphilis would they most likely be in?

Answer 46

Secondary -Flu like symptoms -Unitchy rash over hands, palms, soles of feet, torso extremities - weight loss/ hair loss is common

Question 47

What symptoms are common in late stages of syphilis

Answer 47

tumors, blindness, paralysis, damage to the nervous system and brain, may result in death

Question 48

What do you use to treat primary and secondary syphilis

Answer 48

Penecillin G benzathine 2.4 million units IM x1

Question 49

If a pregnant women has syphilis what is the only medication she should be treated with

Answer 49

penicillin

Question 50

What are 2 types of viral STI's

Answer 50

genital herpes simples virus (HSV) and Human papilloma virus

Question 51

Are HSV and HPV reportable

Answer 51

NO THEY ARE NOT

Question 52

if HPV or HSV is transmitted to the baby what may happen to the baby

Answer 52

abnormal development or death

Question 53

How does hepes type 1 and 2 commonly appear?

Answer 53

one or a group of painful, itchy, fluid filled blisters in or around the genitals, buttocks, and/or thighs

Question 54

what are some symptoms of HSV 1 or 2

Answer 54

burning while voiding, fever, flu like symptoms and swollen glands

Question 55

What test is used to test for Herpes?

Answer 55

Nucleic Acid Amplification test (NAAT) or a viral culture

Question 56

What medication is used for Herpes Simplex Virus

Answer 56

acyclovir, famciclovie, valacyclovir, within the first 3-4 days

Question 57

What 2 things may Human Papilloma Virus lead to

Answer 57

cancer or skin lesions

Question 58

What is the most common STI?

Answer 58

HPV

Question 59

Is there a cure for HPV?