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Details

STIs
Test 4 Sem 2
29
Medical
Graduate
02/28/2011

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Cards

Term
Which STIs are reportable in the US? (4)
Definition
1) gonorrhea
2) Syphilis
3) Chancroid
4) Chlamydia
Term
What should you check for in a pregnant women? (4)
Definition
1) chlamydia
2) gonorrhea
3) Hepatitis B
4) Syphilis
Term
What infection is found in 30-40% of non-gonorrhea urethritis (NGU) patients?
Definition
chlamydia
Term
What is diagnostic on a gram stain for urethritis? (2)
Definition
1) presence of 5 or more neutrophils (1000x field)
2) Positive urine leukocyte esterase test
Term
What causes vulvitis? urethritis?
Definition
vulvitis: candida, genital herpes
urethritis: Chlamydia, gonorrhea
Term
What are the most common cause of vulvovaginitis/vaginal discharge? (3)
Definition
1) bacterial vaginosis
2) vulvovaginal candidiasis
3) trichomonal vaginitis
Term
What is the most common cause of vaginal discharge in women of reproductive age?
Definition
bacterial vaginosis
Term
3 of 4 what symptoms are needed for diagnosis of bacterial vaginosis?
Definition
1) white, adherent vaginal discharge
2) pH >4.5
3) Clue cells on cytology
4) amine (fishy) odor
Term
What disease is associated with a frothy yellow vaginal discharge?
Definition
trichomoniasis
Term
Treatment of choice for trichomoniasis?
Definition
oral metronidazole
Term
What is the discharge description with vulvovaginitis (yeast infections)?
Definition
cottage-cheese-like discharge
Term
What is mucopurulent cervicitis often associated with?
Definition
N. gonorrhea, C. trachomatis
Term
What is the cardinal symptom for PID?
Definition
pelvic/abdominal pain
Term
When should you treat PID?
Definition
if suspected
Term
What are the major causes of genital ulcer disease? (3)
Definition
1) Herpes
2) Syphilis
3) Chancroid
Term
What is the mainstay treatment for syphilis?
Definition
Penicillin G
Term
rectal pain, tenesmus, constipation, and mucopurulent rectal discharge are seen in what?
Definition
Proctitis
Term
diarrhea/constipation with proctitis/protocolitis?
Definition
Proctitis-constipation
protocolitis-diarrhea
Term
Epidemiology for syphilis?
Definition
More common in...
1) SE USA
2) minority populations
3) Men
Term
What is the primary disease course for syphilis?
Definition
chancre and inguinal lymphadenopathy
Term
What is the most common clinical manifestation of secondary syphilis?
Definition
rash-maculopapular hyperpigmented lesions on palms and soles
Term
Which murmurs are heard with cardiovascular syphilis?
Definition
endarteritis-aneurysms, aortic regurgitation
Term
What is the standard means of diagnosis for syphilis?
Definition
serological tests
Term
What is a complication of syphilis that occurs hours after treatment?
Definition
Jarisch-herxheimer reaction from pyrogenic endotoxins
Term
What are the 4 confirmatory tests for chlamydia?
Definition
1) direct microscopy exam of swabs/tissue
2) Cell culture
*3) cylamydial antigen/gene in specimens
*4) Serologic testing for antibodies

*most common
Term
What is the most common cause of bacterial cause of STIs in the US?
Definition
chlamidia
Term
What is the most common urogenital infection in men?
Definition
nongonococcal urethritis
Term
What is the treatment for epididymitis?
Definition
ofloxacin
Term
What is a major cause of blindness?
Definition
trachoma
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