Walden

Question 1

Painless chancre heals in 6-9 weeks, clean base well demarcated in indurated margins, white papules look like warts (condyloma Lata), maculopapular rash on palms and soles not pruritic, neurosyphilis gumma (soft tissue tumors) aneurysms, valvular damaged

Answer 1

Syphilis

Question 2

RPR or VDRL screening tests if positive, confirm with FAT-ABS test

Answer 2

Syphilis Dx

Question 3

benthazine-penicillin IM 1 dose, for late treatment- benthazine-penicillin once per week x 3 weeks, or doxycycline

Answer 3

Syphilis Tx

Bx1

Question 4

Green colored, pelvic pain, vaginal discharge, penile discharge, dysuria, purulent mildly odorous, urethritis, cervicitis, proctitis, pharyngitis, endometritis, salpingitis, epididymitis,

• Dx NAAT testing,
• Tx ceftriaxone IM and Azithro, annual screenings, co treat with syphilis

Answer 4

Gonorrhea urethritis

C-Az

Question 5

• Tx ceftriaxone, azithro

Answer 5

Sexual assault

C-Az

Question 6

• Tx ceftriaxone, azithro

Answer 6

Chancroid

C-Az

Question 7

• Tx ceftriaxone, doxy, flagyl

Answer 7

Epididymitis

C-D-F

Question 8

• Tx ceftriaxone, azithro, doxy

Answer 8

Cervicitis

C-Az-D

Question 9

Atypical bacterium, treponema pallidum, internal infection not on labia.

Answer 9

Chlamydia

Question 10

Asymptomatic, mucopurulent, vaginal discharge, bleeding

Answer 10

Fitz-Hugh syndrome

Question 11

• Dx gold standard, nucleic acid amplification test NAAT, gen probe, antigen detection (swab), urinalysis, wet prep >20 WBC

Answer 11

Fitz-Hugh syndrome

Question 12

• Tx Azithro 1 dose or doxycycline for 7 days annual screenings

Answer 12

Fitz-Hugh syndrome

Az-D

Question 13

Chlamydial/gonorrhea infection of liver capsule extensive scarring scars look like violin strings complication of PID

Answer 13

Fitz Hugh-Curtis syndrome

Question 14

• Tx azithro, doxy

Answer 14

Nongonococcal Urethritis

Az-D

Question 15

• Dx Thayer- Martin

- Tx ceftriaxone, azithro, doxy

Answer 15

Pharyngitis

C-Az-D

Question 16

Risk factors history of PID, age 25 or younger, adnexal tenderness, cervical motion,
uterine tenderness, lastly temp >101.f,
- Dx NAAT
- Tx ceftriaxone, doxy, flagyl

Answer 16

PID

C-D-F

Question 17

Yellow-greenish discharge with dyspareunia, pelvic exam reveals
strawberry patches on cervix,
- Dx is wet mount/prep, flagella, partner needs treated too
- Tx flagyl PO for 7 days

Answer 17

Trichomoniasis

Fx7

Question 18

Asymptomatic, grayish white milky, watery discharge, unpleasant fish odor,

Answer 18

BV

Question 19

• Dx wet mount clue cells (mature squamous epithelial cells with numerous bacteria on cell
  borders, surfaces edges are coated with bacteria), gram stain,

Answer 19

BV

Question 20

• Tx flagyl PO for 7 days

Answer 20

BV

Fx7

Question 21

• Dx herpes viral culture or RPR assay (more
  sensitive)
• Tx acyclovir 7- 10 days, famciclovir 5 days

Answer 21

Herpes
HSV1 is oral
HSV2 is genital

Ac7-F5

Question 22

Used as adjunct for evaluation herpetic infections, positive smear will show large abnormal nuclei squamous epithelial cells, (Giant cells)not commonly used

Answer 22

Tzanck smear

Question 23

HPV strain 16/18 are carcinogenic, soft painless flesh colored warts,
- Tx podophyllum resin, trichloroacetic acid- causes acetowhite changes, cryotherapy, Imiquimod, laser CONTRAINDICATED IN PREGNANT WOMEN OR MECHANICAL METHODS

Answer 23

Human papilloma virus

Question 24

• Tx permethrin

Answer 24

Scabies lice

Question 25

Thick white curdy discharge - Dx wet mount, - TX clotrimazole, miconazole

Answer 25

Candidiasis CM

Question 26

- Tx clotrimazole, nystatin, miconazole

Answer 26

Yeast | CNM

Question 27

Cervical cells that appear slightly abnormal but not | precancerous

Answer 27

Low grad Intraepithelial lesions

Question 28

Precancerous cells not cancer HPV | testing and refer to colposcopy

Answer 28

High grade squamous intraepithelial lesions

Question 29

Identified CD4 t lymphocyte count <200,

Answer 29

AIDS

Question 30

S/S oral candidiasis, fever wt. loss diarrhea, | SOB, purple to bluish red bumps on skin (Kaposi sarcoma). Pneumocystis jirovecii

Answer 30

AIDS

Question 31

- Tx Bactrim is infection that causes most deaths with HIV

Answer 31

AIDS

Question 32

- Dx HIV1/HIV2 antibodies test and P24 antigen, step 2 HIV1/HIV2 antibodies differentiation immunoassay if indeterminate HIV RNA Prophylaxis is Bactrim

Answer 32

HIV

Question 33

- Tx Antiretroviral therapy ART, HIV women take AZT (zidovudine) Goal- prevent therapy for PCP, pneumocytis pneumonia jiurevisitis

Answer 33

HIV

Question 34

Flu like or mono like infection, symptoms in persons infected within 2-4 weeks, HIV antibodies detected 3 months after exposure - Dx HIV RNA, PCR test

Answer 34

Acute HIV

Question 35

Can detect HIV infection in 7-28 days

Answer 35

NAAT

Question 36

Detects HIV antibodies

Answer 36

Elisa/Western blot

Question 37

Petechial or pustular lesions on hands sole, swollen, red, tender joints, asymmetrical joints, signs of STD Urethritis, cervicitis, pharyngitis with green purulent sputum

Answer 37

Disseminated Gonococcal disease

Question 38

- Tx Bactrim or Macrobid, spermicide increase risk

Answer 38

UTI | BM

Question 39

Scotch tape, early morning

Answer 39

Enterobiasis (pinworms)

Question 40

(balanitis xerotica) whitish patches on genitals, lesions chronic affect vulva/anal in elderly patients, risk for cancer

Answer 40

Lichen sclerosus