STDs Flashcards

(52 cards)

1
Q

transmission of std’s is primarily through

A

sexual transmission

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2
Q

blood born pathogens such as HIV, hep B, & syphilis may also be spread through

A

-blood transfusions
-shared needles
-contact w another persons blood

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3
Q

risk factors

A

-multiple sex partners
-oral contraceptive use
-no use of barrier contraceptives
-cervical bleeding

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4
Q

prevention

A

-mutual, monogamous relationship in which both partners have no STD
-sexual abstinence
-barrier contraceptive
-universal precautions

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5
Q

bacterial STDS

A

-gonorrhea
-syphilis
-chlamydia

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6
Q

viral STDS

A

-hsv2
-hpv or genital warts
-hiv

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7
Q

required reportable to local, state, or public health authorities

A

-gonorrhea
-syphilis
-chlamydia

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8
Q

gonorrhea

A

caused by gram negative neisseria gonorrhoeae

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9
Q

what organs are effected by gonorrhea

A

-male urethra
-female cervix
-rectum
-oropharynx

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10
Q

incubation period of gonorrhea

A

4-7 days

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11
Q

s/s of gonorrhea in males

A

-urethritis
-dysuria
-purulent discharge

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12
Q

s/s of gonorrhea in females

A

-may have dysuria or no s/s
-urinary frequency
-redness/swelling @ site of contact
-purulent vaginal drainage

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13
Q

diag of gonorrhea

A

sterile swab into os, roll onto culture plate, & incubate

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14
Q

tx of gonorrhea

A

-single dose IM rocephin
-cipro
-suprax
-levaquin
-abstain from alcohol & intercourse during tx
-use of condoms or monogamy

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15
Q

male complications of untx gonorrhea

A

-prostatitis
-urethral strictures
-sterility

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16
Q

female complications of untx gonorrhea

A

-PID
-bartholin abscess
-infertility
-in pregnancy; spontaneous abortion, preterm labor/delivery, endometrious postpartum

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17
Q

gonorrhea in a newborn

A

-eye infection leading to blindness
-given antibiotic eye ointment; erythromycin

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18
Q

syphilis is caused by

A

treponema pallidum, a spirochete

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19
Q

syphilis enters the body through

A

small breaks in skin

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20
Q

syphilis incubation period

A

10-90 days, avg is 21 days

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21
Q

primary stage of syphilis

A

-painless chancre on penis, vulva, lips, &/or mouth
-lasting ab 4 weeks

22
Q

secondary stage of syphilis

A

-systemic infection w cutaneous eruptions
-alopecia
-generalized adenopathy
-eruptions are highly infectious
-fever
-weightloss
-malaise
-cutaneous rashes

23
Q

latent syphilis

A

-no clinical signs of disease
-70% never develop late syphilis

24
Q

late or tertiary syphilis

A

-3-20 years after infection
-high morbidity & morality
-gummas
-neurosyphilis

25
diag of syphilis
-h&p -VDRL -serum treponemal test
26
tx of syphilis
-benzathene penicilin G IM -aqueous crystalline PCN G IV for 10-14 days
27
syphilis complications in pregnancy
-preterm labor/delivery -intrauterine fetal demise -congenital anomies
28
chlamydia
-caused by gram negative bacterium c. trachcmatis -most common reported STI -people at risk should be tested annually
29
chlamydia can be spread through
-vaginal, anal, oral sexual contact -mother can spread infection to newborn during childbirth
30
chlamydia incubation period
1-3 weeks
31
s/s of chlamydia in males
-epididymitis -unilateral scrotal edema/tenderness -fever -proctitis -dysuria
32
s/s of chlamydia in females
-yellow/green mucopurulent endocervical exudate -asymptomatic -urethritis/pain on urination -PID -perihepatitis -hypertrophic ectopy
33
diag of chlamydia
-sterile swap into OS -urine sample
34
tx of chlamydia
doxycycline oral x7 days -tx both partners -retest after 3 months
35
complications of untx chlamydia in males
-epididymitis -infertility -reactive arthritis
36
complications of untx chlamydia in females
-PID -infertility
37
genital herpes
-caused by HSV-1 (cold sores), or HSV-2 which is most common -spread primarily through asymptomatic shedding in anogenital area -chronic
38
genital herpes incubation period
1-45 days, avg is 6 days
39
s/s of genital herpes
-burning/tingling @ site of inoculation -pain -itching -dysuria -fever -ulcerative lesions that are recurrent -may have regional lymphadenopathy -lesions may cluster, rupture, & crust over
40
diag of genital herpes
-inspection of lesion -virologic testing
41
tx of genital herpes
-no cute -anti-viral meds inhibit replication -acyclovir, valtrex, famvir decreases severity of outbreak
42
complications of untx genital herpes in males
-prostatitis -urethral strictures -sterility
43
complications of untx genital herpes in females
-PID -bartholin abscess -infertility
44
complications of untx genital herpes in pregnancy
-spontaneous abortion -preterm labor/delivery -endometrium post partum
45
genital herpes in a newborn
pregnant woman should not deliver vaginally w active infection to avoid spreading to neonate
46
condylomas acuminata (warts)
-caused by HPV -highly contagious -infected epithelial cells transform, proliferative, & form warty growth
47
condylomas acuminata incubation period
3-4 months
48
s/s of condylomas acuminata
-painless growth -most have no symptoms
49
diag of condylomas acuminata
-inspection of lesion -cancer screening such as PAD -HPV is so common that almost every sexually active person will get HPV @ some point if they dont get vaccinated
50
tx of condylomas acuminata
-prevention; barrier method birth control, vaccination, routine cancer screening -cervical precancer tx
50
if condylomas acuminata is left untx
may cause cancer
51
condylomas acuminata in the newborn
pregnant woman should not deliver vaginally w active infection to avoid spreading to neonate