1
Q
BV
- present
- microbe
- dx
- tx
A
- PRESENT: thin, milky discharge; fishy odor
- MICROBE: decr lactobacilli, polymicrobial
- DX: wet mount (clue cells) + pH DNA probe (high pH)
- TX: metronidazole or clindamycin (po or vaginal)
2
Q
Candida
- PRESENT
- MICROBE
- DX
- TX
A
- PRESENT: itch/burn/thick white discharge
- MICROBE: Candida albicans
- DX: wet mount (hyphae, buds) + pH (<4.5), DNA probe
- TX: fluconazole, vaginal -azoles
3
Q
Trichomonas
- PRESENT
- MICROBE
- DX
- TX
A
- PRESENT: itch/irritation/gray discharge
- MICROBE: Trichomonas vaginalis
- DX: wet mount (motile protozoa)+ pH (>4.5), DNA probe
- TX: Metronidazole
4
Q
Chlamydia
- PRESENT
- MICROBE
- DX
- TX
A
- PRESENT: none/discharge, dysuria
- MICROBE: Chamydia trachomatis
- DX: NAAT from swab or urine
- TX: Azithromycin
5
Q
Gonorrhea
- PRESENT
- MICROBE
- DX
- TX
A
- PRESENT: none/discharge, dysuria, various
- MICROBE: Neisseria gonorrhea
- DX: NAAT from swab or urine
- TX: IM Ceftriaxone + Azithromycin OR doxycline
6
Q
HSV
- PRESENT
- MICROBE
- DX
- TX
A
- PRESENT: painful, shallow ulcers (multiple)
- MICROBE: HSV 1 or 2
- DX: PCR or viral culture; serum Abs
- TX: Antivirals; symptomatic tx
7
Q
Syphilis
- PRESENT
- MICROBE
- DX
- TX
A
- PRESENT: painless, rimmed ulcer (single)
- MICROBE: Treponema pallidum
- DX: PCR, viral culture, serum Abs
- TX: benzathine penicillin
8
Q
LGV
- PRESENT
- MICROBE
- DX
- TX
A
- PRESENT: herpes-like ulcers at first; then grooved inguinal mass
- MICROBE: Chlamydia L 1,2,3
- DX: NAT (to CDC or DPH)
- TX: doxycycline
abc123 song
9
Q
Chancroid
- PRESENT
- MICROBE
- DX
- TX
A
- PRESENT: tender papules, then serpiginous, friable ulcers
- MICROBE: Hemophilus ducrei
- DX: exclusion, gram stain
- TX: Azithromycin
10
Q
Granuloma inguinale
- PRESENT
- MICROBE
- DX
- TX
A
- PRESENT: painless papules at first, then painless, beefy ulcerative mass
- MICROBE: calymmatobacterium granulomatis
- DX: clinical, biopsy/culture
- TX: Azithromycin
11
Q
primary syphilis
A
painless ulcer w raise edge (single)
12
Q
secondary syphilis
A
- maculopapular rashon palms
- condyloma latum
- systemic sx
13
Q
latent syphilis
A
NO presentation
14
Q
tertiary syphilis
A
- skin and bone
- gumma CV
- aortic aneurysm
- aortic insufficiency
- Neuro: tabes dorsalis, Argyl-Roberton Pupil, blindness
15
Q
out patient tx for PID
A
Ceftriaxone IM
Cefoxitin IM/Probenecid po
+ Doxycycline
16
Q
in-patient tx for PID
A
“cefoxy-doxy”
cefotetan + doxycycline
17
Q
tabes dorsalis
A
sign of neurosyphilis
- demyelination of dorsal columns
- loss of proprioception, vibration, fine touch
18
Q
Argyll Robertson pupil
A
sign of neurosyphilis
light-near dissociation
-accommodates but does not react
-can be seen in dorsal midbrain
19
Q
Molluscom contagiosum
- PRESENT
- MICROBE
- DX
- TX
A
- PRESENT: non-painful, non-pruritic, scattered papules w/ central umbilication, CHILDREN
- MICROBE: DNA pox virus
- TX: nothing, ablative therapies
20
Q
Condyloma accuminatum
- PRESENT
- MICROBE
- DX
- TX
A
- PRESENT: non-painful, non-pruritic verrucous papules and plaques
- MICROBE: low-risk HPV
- TX: nothing, ablative, topical immune-modulators
21
Q
scabies
- PRESENT
- MICROBE
- DX
- TX
A
- PRESENT: interdigitary and genital itching
- MICROBE: sarcoptes scabiei
- DX: clinical (burrow, petechiae), skin scraping (eggs, feces)
- TX: permethrin cream/shampoo
22
Q
pubic louse
- PRESENT
- MICROBE
- DX
- TX
A
- PRESENT: intense pruritus, fever/malaise
- MICROBE: pediculosis pubis
- DX: inspection (see louse, nits)
- TX: permethhrin shampoo
