E4: STI

Question 1

Gonorrhea organism

Answer 1

Neisseria gonorrhoea gonococcus (GC)

Question 2

risk factor for gonorrhea

Answer 2

intercourse with an infected partner (oral, anal, vaginal)

Question 3

clinical mani for gonorrhea for females

Answer 3

1. often none
2. green/yellow vaginal discharge
3. dysuria
4. urinary frequency
5. macerated vulvar skin
6. rectal discharge

Question 4

clinical mani for gonorrhea for men

Answer 4

1. urethritis
2. purulent urethral/rectal discharge
3. meatitis
4. perhaps none

Question 5

syphilis organism

Answer 5

Treponema palladium

Question 6

primary clinical mani for syph

Answer 6

chancre at site of inoculation (appears 10 days - 3 months)

-lip, anus, vagina

Question 7

seondary clinical mani for syph

Answer 7

• occurs 6 months later if not treated;

- generalized red, flat/raised rash, palms & soles of feet

Question 8

latent clinical mani for syph

Answer 8

no symptoms - 2-30 years

Question 9

tertiary clinical mani for syph

Answer 9

organism invades central nervous system, dementia

Question 10

chlamydia

Answer 10

most common STD, often occurs with gonnorhea

Question 11

chlamydia organism

Answer 11

Chlamydia trachomatis - potent scar former

Question 12

risk factors for chlamydia

Answer 12

1. sex with an infected partner
2. multiple partners
3. age 15-24 – most common age to have
4. nonbarrier contraceptives
5. low socioeconomic status - tend to have high number sexual partners and poor health care

Question 13

female clinical mani for chlamydia

Answer 13

1. perhaps none
2. cervicitis
3. urethritis
4. vaginal discharge/gray-white
5. dysuria
6. urinary frequency
7. vaginal bleeding
8. pelvic inflammatory disease (PID)

Question 14

male clinical mani for chlamydia

Answer 14

rare symptoms

1. urethritis
2. dysuria

Question 15

genital herpes organism

Answer 15

HSVII - herpes simplex virus II - 80% of time

Question 16

risk factors for genital herpes

Answer 16

1. intercourse with infected partner (even if no active lesions)
2. sexual partner with HSVI - oral sex with partner with herpes simplex virus I - “cold sores”

Question 17

clinical mani for genital herpes

Answer 17

• herpetic lesion - fluid in vesicles
• very contagious
• dormant for long periods- (but still contagious)
• stress, sunlight, menstral cycle facilitates outbreak

Question 18

Condyloma Acuminata (Genital Warts) organism

Answer 18

HPV (Human Papilloma Virus) - increases risk of developing cervical cancer

Question 19

risk factors for genital warts

Answer 19

• Intercourse with infected partner

* Grow rapidly during pregnancy and regress after delivery

Question 20

clinical mani for genital warts

Answer 20

• fimbriated warty lesions - under foreskin or shaft of penis
• maybe vaginal discharge
• pseudo’ phimosis
• no cure
• removal of warts
• HPV vaccine for prevention of cervical cancer

Question 21

trichomonas organism

Answer 21

Trichomonas vaginalis

Question 22

risk factors for trichomonas

Answer 22

1. intercourse with infected partner

Question 23

clinical mani for trichomonas

Answer 23

–intense vulvar pruritus

–green foamy vaginal discharge