Women's Health- STI's Flashcards Preview

Clinical Medication: HEENT > Women's Health- STI's > Flashcards

Flashcards in Women's Health- STI's Deck (42):
1

Estradiol

• Estrone

• Estriol

Estradiol Predominent estrogen during reproductive years – Most potent 80x that of estriol
• Estrone Predominant during menopause
• Estriol Predominant during pregnancy

2

• Hypoactive sexual desire disorder

Deficient (or absent) sexual fantasies and desire for sexual activity

3

• Female sexual arousal disorder

Inability to attain or maintain until completion adequate lubrication-swelling response of sexual excitment

4

Female organismic disorder

Delay in or absence of orgasm following a normal sexual excitment

5

Vaginismus:

involuntary contraction of the penile muscle due to something going in

6

Untreated G and C lead to

Infertility.

7

Untreated Syphilis leads to

what if + during preg?

brain CV and organ damage

if + during perg baby will be + too

8

what are the 5 Ps of protection

Partmeners, Prevention of pregnancy, protection from STDs, Practices, Past hx of STDs

9

what STIs are infected from the urethra or vaginal sections

G, C, trich

10

what STIs are infected from the surface/ skin?

Herpes, Syphilis, chancroid, HPV

11

what is one of the most affective methods for preventing the transmission of STDs

pre exposure vaccinations.
HPV
HEP B- everyone
Hep A and B ( recommended for MSM and Injecion drug users)

12

There are 2 HPV vaccinations what are they and who are they recommended for?

Gardasil and cerviarix
Girls 13-26
Boys: 13-21

13

Male Condoms
Helpful in the privation of:
-
May be helpful in the prevention of:

Heterosexual

• Helpful in prevention
– Pregnancy, GC, HIV, hepatits, chlamydia and
trichomonas
• May be helpful in prevention of (data is limited)
– HSV, HPV and syphilis
• Heterosexual relationships
– HIV negative partners likely to become HIV infected compared to similar rela+onships without condom use

14

what type of lubricant can you use with condoms?>

only water based, not oil based.

15

Female Condoms

Effective : Viruses, HIV, Semen

may be better at preventing HPV skin transmission

16

Male circumcision reduces the risk of what?

HIV and STDs in heterosexulal men

17

is there a post exposure prophylaxis for HIV and STD?

Antivital therapy (ART)

18

what STIs are reportable to the state?

C&G, Syphilis, chancroid, HIV and AIDs

19

rates of what STDs are highest in adolescents?

Chlamydia, HPV and hERPES

20

What STI is common in WSW?

BV

21

what is pelvic inflammatory disease?

Ascending genital infection of the fallopian tubes.
C&C aerobic and anaerobic

22

what are some PE findings for PID?

Cervical Motion Tenderness (Chandelier sign)
Mucopurulent cercitis
Adenexal tenderness

23

what is the treatment for PID?

Out pt: Rocephin Ceftriazone and Doxycycline

In:
Clindamycin and gentamicin IV

CAUSES INFERTILITY!

24

All patients who have genital, anal or perianal ulcers should be evaluated with a serologic test for:

in the US what are the most common causes for genital ulcers?

Syphilis and Genital Herpes

Chancroid, herpes and syphilis

25

in the setting where chancroid is + a test for _________ should also be performed

Haemophilius ducreyi

26

For genital, anal and perianal warts when do you start treatment?

RIGHT away!

27

Chancroid

what does it look like?

Painful genital ulcer and tender suppurative ingulinal adenopathy

Vesiculo pustule that breaks down to form a painful, soft ulcer with necrotic base

28

how do you dx charncroid?

Tx:

Identification of H. Ducreyi

Azithromycin, F/U in 3-7d should see improvement in 3 days

29

Herpes Simplex II ( Genital herps)

cause:

presentation

transmission

dx:

Tx:

Herpes simplex virus

Multiple vesicular lesions in anogenital region, wil assoicated puritis, dysuria, vulvitis

sexual contact

clinical findings, confirm via viral culture of unroofed vesicle, tzank smear
Blood: HSV II antibody

Tx: Acyclovir

30

HSV-II
highest rates in:
More common among:

Young white teenager

females than males

31

Syphilis
Causative agent

Presentation

Primary
Secondary
Tertiary

dx

- Treonema pallidum

- Papular lessons that ulcerate to painless genital oral or anal lesions.

Primary: Chancre (PAINLESS)
Secondary: Rash (Copper Pennies) malase, mucocutaneous lessions and lympadenopathy
tertiary: Neurologic, cardiac, opthalmic and auditory Neurosyphilis

Dx: VDRL, if + then confirm with FTA-ABS of lesion

32

If you suspect neurosyphilis you must perform what?

a LP with VDRL

33

Gonorrhea:
Highest among who
causative agent:

presentaion:
F:
M

Dx

tX:

Complications
M
F

MSM
Neisseria gonorrhoeae

F: Vaginal D/c lower ab pain, cervical motion tenderness and fever

Males: Experience dysuria and yellowish white penile D/C

DX: swab

Tx: Rocephin

PID
Epidiymitis

34

Chlamydia:
Most common

dx

tx
-
-Preg:

Reported Infectious disaese in the US ( 9th -12 th grade most common)

NAAT

Tx: Azithtomycin
Preg: Amox or azithro

35

Asherman syndrom:
define:
symptoms:
Tx:

Scaring of the uterus, most after D &C
Symptoms: Amenorhhea, repeated miscarriage

Tx: Sxr

36

HPV
most of the time

The system fights off HVP within 2 years- if not treated causes most cancers of the anus vagina and penis and about 1/3 of ca in the oral pharynx

37

Genital warts
Causative agent:

Clinical presentation
Visible:
Strong link to cervical ca: 1

HPV

Soft fleshy growths on genital area

Visible: types 6 and 11
Strong link to cervical ca: 16, 18, 31, 33, 35

38

Genital warts Dx:
Tx
Provider applied:
Patient applied:

Stain with Acetic acid and PAP smear

Provider applies:
Trichloroacetic acid or Podophylline resin or Cryo

Patient applied:
Condylox or aldara

39

what is Sub clinical gentital HPV without exophytic warts?

+ for HPV with no warts

40

Trichamonas:
causative agent:
Presentation
Dx
T

Tichomonas Vagnialis

Frothy yellow/ green malodorous discharge with strawberry cervix

Microscopic exam and wet mount

Metronidalzole

41

BV
Causative agent:
presentation
dx
Tx

Gardnerella vainalis

Fishy odor grey dc
DX: Clue cells and wiff test
tx: Metronidazole

42

Molluscum Contagiosum

Cantharidlin solution .