Flashcard Set Preview
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| 1 |
Which STDs are reportable?
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Syphilis, chancroid, HIV, Gonorrhea, Chlamydia
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| 2 |
Which tests should you do for an aymptomatic pt who wants screening for STD?
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HIV immunoassay (repeat at 3 and 6 months), western blot is confirmatory, Hep B (Ant-Hbc, HbsAg,...
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| 3 |
Which strains of Chlamydia cause various diseases?
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L1-3 - lymphogranuloma venereum. D-K cause urethritis, epididymo-orchitis, cervicitis,...
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| 4 |
What is definitive dx test for chlamydia?
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Culture. Can also do enzyme immunoassays, direct fluorescent ab, nucleic acid amplified...
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| 5 |
How do you obtain chlamydia specimen?
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Urethral swab > 1 hour after voiding. Or first 10-30 cc of voided urine 1 hour after...
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| 6 |
Chlamydia and gonorrhea are most common cause of what in men < 35 yo?
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Epididymitis and orchitis. Can also cause PID and cervicitis in females.
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| 7 |
Chlamydia is associated with what disorder?
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Reiter's (urethritis, arthritis, conjunctivitis) - HLA-B27.
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| 8 |
What is gonorrhea (on gram's stain); will it resolve spontaneously?
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Gram negative diplococcus (often inside WBCs). Typically resolves spontaneously in 2-3...
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| 9 |
What is definitive test for gonorrhea?
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Culture (Thayer-Martin / chocolate agar).
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| 10 |
What is preferred gonorrhea test?
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Nucleic acid amplification test or culture (can do NAAT on urine, urethral swabs, or cervical...
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| 11 |
How do you obtain gonorrhea specimen?
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First 10-30 cc of urine > 1 hour after last void. Or take discharge if present. ...
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| 12 |
What are gonorrhea manifestations in females?
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Cervicitis, urethritis, PID (cervical motion tenderness). Can cause infertility, ectopic...
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| 13 |
What is Fitz-Hugh-Curtis syndrome
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Peri-hepatic spread of adnexal gonorrhea (RUQ pain). Resolves w/ abx, but adhesions may...
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| 14 |
Who is symptomatic w/ gonorrhea, males or females?
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Males typically. Females are usually asymptomatic
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| 15 |
What are non-GU manifestations of gonorrhea?
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Pharyngitis, proctitis, dissemintated (endocarditis, meningitis, hepatitis - migratory asymmetric...
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| 16 |
How long should partners avoid sex until treatment complete?
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7 days or until treatment complete.
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| 17 |
What should you use in non-pregnant adults to treat Gonorrhea?
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Ceftriaxone or Cefixime and Doxy or Azithro.
2nd line - Cephalosporin (GC) and erythromycin...
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| 18 |
What f/u is required after treatment of uncomplicated gonorrhea infx?
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None; In pregnant women, should test for chlamydia 3 weeks after treatment. If cont'd...
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| 19 |
When should you treat partners for GC or chlamydia?
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All partners who had sex within 60 days of onset of sxs. Otherwise treat last sex partner. ...
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| 20 |
What type of virus (DNA, RNA) is herpes, and can it occur w/o lesions present?
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Double-stranded DNA. And can transmit w/o cutaneous lesions / symptoms.
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| 21 |
What is definitive test for Herpes?
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Viral cx. Can also do tzanck smear (multinucleated giant cells / Cowdry inclusion bodies)...
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| 22 |
How long are IgM and IgG available for HSV tests?
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IgM within 1 week, gone within 3-6 months. IgG appears within 1-3 months
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| 23 |
What is characteristic physical exam finding with HSV?
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Painful ulcers on erythematous base that follows a neural distribution. May have tender...
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| 24 |
How can you prevent transmission of HSV?
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Can do Valacyclovir (risk decreased) or condom.
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| 25 |
How do you treat HSV?
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Can't cure. If < 6 recurrence / yr, acyclovir, famcyclovir, or valacyclovir. ...
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| 26 |
What causes lymphogranuloma venerum?
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Chlamydia L1-3 (Chlams watching LG TV)
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| 27 |
How do you dx LGV?
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Culture purulent material from rectum or lymph nodes. Can also do IF, NAAT (nucleic acid...
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| 28 |
What is physical exam finding w/ LGV?
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Tender inguinal LAD (most commonly in absence of primary lesion (other STDs occur simultaneously...
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| 29 |
What is tx for LGV?
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Doxy x 21 days. Alternative is erythromycin (for pregnant rec'd). Treat all sex...
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| 30 |
What causes Granuloma Inguinale?
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AKA Donovanosis. Caused by Klebsiella granulomatis (gram negative, intracellular). ...
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| 31 |
What is definitive test for granuloma inguinale?
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Donovan bodies (Donovan was a GI; army (weights, beefy)). Look like safety pins or dumbbells.
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| 32 |
What are physical exam findings for Granuloma inguinale?
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Beefy red, painless ulceration . Bleed easily. Can grow large if untreated. ...
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| 33 |
What is tx for granuloma inguinale?
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3 weeks Doxy. Alternative azithro, cipro, erythromycin, Bactrim. Pregnant, do erythromycin. ...
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