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Flashcards in UTI's and STD's Deck (23)
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1

Physical exam findings consistent with urinary tract infections

flank pain/CVA tenderness or abdominal tenderness in suprapubic area

2

Highly specific UA result for a UTI

presence of nitrites

3

Why should you consider imaging when working up patient with polycystic kidneys?

prone to abscess formation

4

What urinary tract complication are patients with tuberculosis prone to developing?

ureteral strictures

5

Inpatient abx classes for UTI

3rd gen cephalosporin or fluoroquinolones

6

Risk factors for urethritis

high risk sexual behavior and multiple partners

7

What testing should be done if patient has genital ulcers?

cultures for HSV and syphilis

8

How do you diagnose genital herpes besides physical exam?

viral culture by swab for one minute

9

Antiviral prescriptions for intitial outbreaks

Acyclovir (Zovirax) 400mg tid, Famciclovir (Famvir) 250mg po tid, or Valacyclovir (Valtrex) 1gm po bid all for 7-10 days

10

How do prescriptions for antivirals change for recurrent outbreaks?

only need to take for 5 days and doses decreased by half

11

How many herpes outbreaks are needed for consideration of suppression therapy?

6 in one yr

12

Topical treatments for HPV

Imiquimod (Aldara) or Conylox

13

Type of syphilis where pt develops one or more sores resembling large bug bites usually 10-90 days post exposure

primary

14

Presentation of secondary syphilis 1-3 months post-exposure

Rosy copper penny rash on hands and feet

15

Treatment for early primary, secondary, or latent <1yr syphilis

Benzathine Penicillin G 2.4 million U, IM single dose

16

Treatment for syphilis if PCN allergy

doxy or tetracycline for 14 days

17

Tropical disease that rarely occurs in US. Presentation is painless genital nodule

Granuloma Inguinale (Donovanosis)

18

Chlamydial dz that invades lymphatics. Presents with unilateral inguinal lymphadenopathy or painless red erosion on the genitals or rectum

Lymphogranuloma Venereum

19

Treatment for Lymphogranuloma Venereum

Doxycycline 100 mg bid for 21 days

20

Caused by gram-negative, anaerobic bacillus Haemophilus ducreyi. Begins as a small inflammatory papule that erodes to form an extremely painful deep ulceration plus inguinal adenopathy

chancroid

21

Recommended abx for chancroid

Azithromycin 1 g PO or 
Ceftriaxone 250 mg intramuscularly (IM)

22

Recommended abx for uncomplicated gonococcal infections

Ceftriaxone 250mg IM single dose or Cefixime 400 mg single oral dose

23

What is the treatment regimen if you suspect chlamydia or are unable to rule it out?

Azithromycin 1 g po single dose or doxy 100 mg bid 7 days