Shared Flashcard Set

Details

Infectious Diseases: UTI, STD, HIV
Master the Boards 2CK
23
Medical
Graduate
02/09/2013

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Cards

Term
What is the BITest for Urethritis?

What is the MAT for the clap and Chlamydia?
Definition
urithral swab for gram stain

MAT: urethral culture, DNA probe, or neucleic acid amplification
Term
What drugs are given for Gonorrhea?

For Chlamydia?
Definition
Gono: Cefixime or Ceftriaxone

Chlamydia: Azithromycin or Doxycycline
Term
what is the most appropriate next step in managment for a pt that has symptoms of PID?

What is diagnostic tests for PID
Definition
Pregnancy test first

Cervical swab for culture, DNA probe, nucleic acid amplification
Term
What is the MATest for PID?

when should this be done?
Definition
Laparoscopy

needed only if dx is unclear, symptoms persist despite therapy, recurrent episodes for unclear resions

Undiagnosed, Persistant, or recurrent
Term
What is the Inpatient therapy for PID?

Out pt.
Definition
Cefoxitin or Cefotetan
with doxycycline.

ceftriaxone with doxy (possibly with metronidazole)
Term
What is the best initial Diagnostic test for genital Herpes simplex?

What is the MATest
Definition
Tzanck prep

Viral culture is MAT
Term
What is the Diagnostic test for Syphilis?
Definition
order syllogistic tests:

VDRL or RPR
and
FTA or MHA-TP

and

a dark field microspopy
Term
What is the Difference btw Condylomata lata and condylomata Acuminata
Definition
CL is a wart found in Secondary Syphilis other signs of Primary syphilis (genital ulcer) should be present.
CL- genital warts caused by secondary syphilis smoother, moist, and bulky

Condylomata A: Coliflowerlike, dry and bluky in HPV
Term
what is the difference btw a Chancre v Chancroid?
Definition
Chancre in Syphilis is painless

Chanceroid in H ducreyi is painful
Term
what is the treatment for Syphilis?

What if allergic?

What about Tertiary syphilis?
Definition
Single Intramuscular injection of Penicillin

if allergic oral doxy

Tertiary: IV pen

if allergic desensitize to penicillin
Term
what is it called when there is fever and worse symptoms after treatment of syphilis?

What should be done about it
Definition
Jarish-Herxheimer reaction

Give aspirin and antipyretics, it will pass
Term
What is the treatment for Scabies?
Definition
Permethrin

if widespread Ivermectin
Term
What is the BITest and results for people with confirmed cystitis?

MATest?
Definition
BIT is urinalysis with more than 10 WBCs

urine culture
Term
What is the treatment for cystitis?

if local resistance is low?
Definition
Nitrofurantoin is the big one

TMP/SMZ if resistance is low

Cipro reserved to avoid resistance

Cefixime
Term
what is dysureia?

What are the symptoms of Pylonephritis

What are the major diagnostic results?
Definition
frequency, urgency, burning found in almost all UTI's

Dysuria with flank pain, high fever, occasionally abd pain

Urinalysis, increased WBCs
CT or sono is done to determine anatomic abnormalities
Term
What is the treatment of pylonephritis?

What is the treatment of Acute prostitis?
Definition
Ceftriaxone, ertapenem
Amoxicillin and gentamicine until culture results are known

Cipro (oral for outpt)

Same for acute prostitis
Term
What is the treatment for Chronic prostatitis?

what is the the presentation for Perinephric abscess

What is the treatment?
Definition
TMP/SMZ for 6-8 weeks
pyelonephritis that does not resolve
persistant fever after 5-7 days perform a sono or CT. must be drained
Term
What is the BITest for HIV?
Confirmatory test?

What about in a child? ,6 mo
Definition
BITest: ELISA
confirmed with Western blot

Infants dx with

PCR(viral load) or Viral culture
Term
When is Viral load testing ( PCR-RNA level) used?

When is Viral resistance testing used (Genotyping)
Definition
Measure responce to therapy
Detect tx falure (rising levels are bad)

Diagnose HIV in Babies
----
before giving meds; decrease likelyhood of med that virus is resistant
Term
When should antiretrovirals be given in pregnancy?

What drug should be stayed away from?
Definition
if already on retrovirals

if doing good CD4 & Viral load: give and stop after prego

if doing bad: hi viral load & low CD4
give and then continue after prego

Efavirenz
Term
what is the best initial drug regimen for HIV?
Definition
emtricitabine
tenofovir
efavirenz

these are combined into one pill called Atripla

one a day pill
Term
At what CD4 and viral load should treatment of HIV be given?
Definition
CD4 below 500

Viral load higher than 100,ooo
Term
What is the CD4 count and Viral load that dictate cesarean delivery?

what drug is given during delivery and x6 mo after
Definition
CD4 <350
Viral Load >1,ooo

zidovudine
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