week 12

Question 1

UTi symtoms in the neonates

Answer 1

fever, poor feeding, vomiting, irritability, jaundice, failure to thrive

Question 2

UTI symtoms- when do foul smelling urine appear

Answer 2

2 months -2 years

Question 3

mid-stream, clean catch specimin can be obtained from who?

Answer 3

child who are toilet trained

Question 4

obtaining an infant/small child specimin urine culture

Answer 4

suprapubic tap or urethral cath

Question 5

false postives for UTI come from what?

Answer 5

bag

Question 6

Dx UTI 2-24mo

Answer 6

50,000 colony forming units from a properly collected specimen

Question 7

Dx UTI 0-2 mo

Answer 7

10,000- 50,000 colony forming units

Question 8

when should you do an ultrasound?

why?

Answer 8

routine ultrasound of the urinary tract after a first febrile UTI in children aged 2-24

want to make sure there is nothing structurally wrong with the child.

Question 9

length of time for abx for UTI

Answer 9

7-10 days even if uncomplicated

Question 10

most common bug casuing UTI

Answer 10

e coli - 50% is resistant to amox and amp

Question 11

UTI abx choices

Answer 11

cephalosporins
- cephalexin
- cefixime

Question 12

enuresis defined

Answer 12

involuntary passing of urine for greater than 1 month in a child older than 5 years old

Question 13

primary enuresis vs secondary- which is more common?

Answer 13

primary- has NEVER had a period of dryness

Secondary- after a child has been dry for greater than 6 months

MOST is primary and nocturnal

Question 14

when to start treatment for enuresis

Answer 14

6-7 years

Question 15

clamidia test

Answer 15

NAAD swab or urine sample

Question 16

1st line of chlamidia

Answer 16

doxycycline

Question 17

re-test for chalmidia

Answer 17

3 months after tx

Question 18

treat any chamlidia positive partners from the past how many days

Answer 18

60

Question 19

gonorrea test

Answer 19

NAAT

Question 20

first line tx for gonorrhea

Answer 20

500 mg ceftriaxone IM

Question 21

retest gonorrhea

Answer 21

3 months

Question 22

trichomoniasis what is it and how to dx

Answer 22

parasite, NAAT

Question 23

first line tx of trichomoniasis

Answer 23

flagyl (metrinodazole)

Question 24

syphilis dx and presentation

Answer 24

RPR- painess ucler or chancre

Question 25

phases of sychilis

Answer 25

primary: painless ulcer secondary: skin rash, lymphadenopathy latent: no clinical manifestations tertiary: psych symtoms

Question 26

syphilis first line tx

Answer 26

penicillin

Question 27

HSV 1 and 2

Answer 27

1- oral 2- sexual

Question 28

dx of HSV

Answer 28

swab of vesicle- PCR

Question 29

tx of HSV

Answer 29

acyclovir or valacyclovir

Question 30

HIV dx

Answer 30

serologic antigen

Question 31

Mgen dx

Answer 31

NAAT test

Question 32

what is balanitis

Answer 32

inflammation of the penis glands

Question 34

causes of balanitis

Answer 34

poor hygeine, uncircumcised, drug allergies (tetracyclines), chemical irritiants, morbidly obese

Question 35

PE of balentitis

Answer 35

erythema and edema of glands and foreskin with canida: erythemitus papules

Question 36

labs for balenitis

Answer 36

glucose - if thoughts of being diabetes STI workup if applicable potassium hydroxide test for candida

Question 37

test for candida

Answer 37

potassium hydroxide test also known as a KOH

Question 38

tx for balanitis

Answer 38

- gentle retraction of foreskin - bacitracin application not neo - candida- ZOLE cream - cellulitis- 1st generation ceph