STIs

Question 1

bacterial STIs

Answer 1

chlamydia
gonorrhea
syphillis

Question 2

viral STI

Answer 2

herpes
HIB
hep B and C
HPV
molluscum

Question 3

parastic virus

Answer 3

trichomoniasis

Question 4

high risk popualtions for STIS

Answer 4

-Youth and young adults (age less than 25)
- Ethnicity (Asians, Native American Indian/Alaskan Native, Native Hawaiian/Other Pacific Islanders)
-Men who have sex with men (MSM)
-Persons in correctional facilities
-Transgender women
-Victims of sexual assault
-Women

Question 5

STIs characterized by discharge, cervicitis, or urethritis

Answer 5

chlamydia
gonoccal infections
trichomoniasis

Question 6

chlamydia

Answer 6

gram negative bacterial infection

Question 7

chlamydia Pt education

Answer 7

-All sexual contacts within 60 days should be evaluated and treated
-Abstain from sex for 7 days after treatment or until all partners have been treated an abstained for 7 days
- expedited aprtner therapy to prevent ping pong effect

Question 8

chlamydia manifestations

Answer 8

M: clear discharge, dysuria, mild burning
W: yellow discharge, dysuria

Question 9

chlamydia Dx test

Answer 9

NAAT

Question 10

chlamydia treatment

Answer 10

azithromycin or doxycycline

Question 11

gonorrhea manifestations

Answer 11

M: PURULENT penile discharge
W: dysuria, increased vaginal discharge

Question 12

gonorrhea DX test

Answer 12

NAAT, culture

Question 13

gonorrhea treatment

Answer 13

1st line treatment: high dose (500 mg) IM ceftriaxone

Question 14

trichomoniasis

Answer 14

protozoan aprasite

Question 15

trichomoniasis Sx

Answer 15

W: purulent frothy yellow or born discharge, itching, strawberry cervix
M: urethritis

Question 16

trichomoniasis Dx test

Answer 16

wet mount prep showing organism

Question 17

trichomoniasis treatment

Answer 17

W: METRONIDAZOLE 500 mg PO BID x 7 days

M: METRONIDAZOLE 2g PO 1x dose

alternative: tinidazole 2g PO single dose (both sexes)

Question 18

trichomoniasis special considerations

Answer 18

NO alcohol during treatment and for 24 hours after metrodazole or 72 hours after tinidazole

Question 19

genital herpes (HSV 1 or HSV 2)

Answer 19

chronic lifelong viral infection; most common cause of genital ulcerations

Question 20

herpes stages

Answer 20

-vesicular: few to multiple, vesicles appear in large quantities

-ulcerative: lesions rupture, form ulcerations

-final stage: spontaneous crusting

Question 21

genital herpes (HSV 1 or HSV 2) Sx

Answer 21

painful blisters/cold sores

Question 22

genital herpes (HSV 1 or HSV 2) Dx test

Answer 22

serologic testing

Question 23

genital herpes (HSV 1 or HSV 2) treatment

Answer 23

acyclovir, 400mg
valacyclovir, 500 mg

Question 24

genital herpes recurrent episodes triggers

Answer 24

Stress, fatigue, sunburn, general illness, menses, immunosuppression, or local trauma at the site of infection

Question 25

genital warts - HPV

Answer 25

most common symptomatic viral STI in US

Question 26

genital warts - HPV Sx

Answer 26

visible warts

Question 27

genital warts - HPV Dx test

Answer 27

visual inspection, pap smear for cervical changes

Question 28

genital warts - HPV treatment

Answer 28

no cure, main treatment goal to remove symptomatic warts - topical agents - HPV vaccine good prevention, get between ages 11-26

Question 29

syphilis stages

Answer 29

primary secondary latent tertiary

Question 30

primary syphilis

Answer 30

painless chancre at infection site, ~3 weeks after infection

Question 31

secondary syphilis

Answer 31

-maculopapular rash anywhere on body, most commonly hands/soles of feet -condylomata lata (wart like lesions on vulva)

Question 32

latent syphilis

Answer 32

asymptomatic period lasting 1-20 years

Question 33

tertiary syphilis

Answer 33

-large sores (gummas) inside body or on skin - cardiovascular, ocular, or neurosyphilis

Question 34

syphilis Dx test

Answer 34

2 step serologic testing 1. nontreponemal and treponemal test

Question 35

syphilis treatment

Answer 35

penicillin

Question 36

syphilis and pregnancy

Answer 36

-Treatment before the 10th week of gestation will eliminate in utero transmission to the fetus: Penicillin G benzathine IM x 1 dose

Question 37

nucleic acid amplification test (NAAT)

Answer 37

most sensitive and cost effective test for detecting chlamydia and gonorrhea

Question 38

when NOT to use NAAT

Answer 38

rectal infections any site on male children conjuctival or oropharyngeal infections