Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
74 Cards in this Set
- Front
- Back
What are the risk factors of Sexually Transmitted Infections?(7) |
1) Sexually Active 2) New sexual partner in last 2 months 3) Partner has/had STIs 4) Anal sex 5) Age <25 yrs 6) >2 partners in previous years 7) No contraception or non-barrier methods |
|
What are the common signs of STIs in Females? |
1) Cervicitis 2) Vaginitis 3) Dysuria 4) Vaginal Bleeding 5) Lower Abdominal Pain 6) Dyspareunia [pain during intercourse] 7) Vaginal Discharge 8) Dysuria |
|
What are the common signs of STIs in Males? |
1) Urethral Discharge 2) Urethritis 3) Dysuria 4) Epididymial pain 5) Urethral Itch 6) Testicular Pain/Swelling |
|
What are the common signs of STIs in Neonates? |
1) Conjunctivitis 2) Sepsis |
|
What are the common signs of Cervicitis/Urethritis? |
1) Inflammation of cervix/urethra with or without urethral discharge 2) Discharge is mucoid, mucopurulent or purulent 3) Dysuria 4) Pruritis 5) Erythema |
|
What are the most common organisms of Cervicitis/Urethritis? |
Chlamydia trachomatis and Neisseria gonorrhea |
|
"For all the women with Cervicitis test with NAAT" True or False? |
TRUE |
|
"There is no need to treat recent (60 days) contacts if they are asymptomatic" True or False? |
FALSE |
|
"Patients with Cervicitis should abstain from intercourse during treatment and for 7 days after therapy" True or False? |
TRUE |
|
What is the causative organism of Pelvic Inflammatory Disease? |
Mostly Chlamydia and Gonorrhea. Anaerobes and Aerobic gram -ves |
|
What is the causative organism of Lymphoma Venerum? |
Chamydia L1, L2, L3 serovants |
|
What is the causative organism of Syphilis? |
Treponema pallidum |
|
What is the causative organisms of Genital Herpes? |
HSV 1 (mouth) and HSV-2 (genital) |
|
What is the causative organisms of Chancroid? |
Haemophilus ducreyl GNR |
|
What is the causative organims of Trichomoniasis? |
Trichomonias Vaginalis |
|
"PID can ONLY be spread via sexual transmission" True or False? |
False, can go from IUDs |
|
What is the incubation period of Gonoccal Infections? |
2-7 days |
|
What is the incubation period of Chlamydial infections? |
2-6 weeks |
|
What is the incubation period of Syphilis? |
10-90 days (3 weeks) |
|
What is the incubation period of Chancroid? |
5-14 days |
|
Which is the most common STI? |
Chlamydial Infection |
|
What is the diagnosis methods of Syphilis? |
1) Darkfield Examination 2) Ab test for primary/secondary syphilis 3) Fluroscent Abs |
|
What are the symptoms of Pelvic Inflammatory Disease? |
Inflammation of upper female genital tract 1) Mucopurulent vaginitis/cervicitis 2) Inter-menstrual or postcoital bleeding 3) Dyspareunia 4) Lower abdominal pain 5) Pelvic adnexal tenderness 6) Cervical motion tenderness 7) Pritoneal Inflammation |
|
What are the symptoms of primary Syphilus infection? |
Ulcer lesions on penis [rarely fever] |
|
What are the symptoms of secondary Syphilus infection? |
1) Macular Rash 2) General flu symptoms |
|
What are the symptoms of tertiary Syphilus infection? |
Lesions on Skin + Bones --> Neuroshyphilus |
|
What are the symptoms of primary Genital Herpes? |
1) Painful sores (blisters) 2) Painful Inguinal Lymphadenopathy 3) Systemic symptoms: fever&myalgia [wet ulcers -> dry crusts] |
|
What are the symptom of secondary Genital Herpes? |
Less severe version of primary almost no systemic symptoms |
|
What are the symptoms of Trichomoniasis infections? |
1) Painful vagina 2) Itchiness 3) Dysuria 4) Dyspareunia 5) Erythema 6) Foul smelling 7) Vaginal Discharge |
|
"Unprotected oral sex is NOT a safer sex activity for prevention of GUD" True or False? |
TRUE |
|
What are some of the complications of Pelvic Inflammatory Disease? |
1) Chronic Pelvic Pain 2) Ectopic Pregnancy 3) Infertility |
|
What are the first line empiric therapies for Gonococcal Infection? |
1) Ceftriaxone 250mg IM x1dose + Azithromycin 1g PO x 1dose
2) Cefixime 800mg PO x 1dose + Azithromycin 1g PO x 1dose |
|
What are the second line empiric therapies for Gonococcal Infections? |
1) Spectinomycin 2g IM x1dose + Azithromycin 1g PO x 1dose
2) Azithromycin 2g PO x 1dose |
|
What are the resistance issues with Gonococcal Infections? |
1) Tetracyclines 2) FluroQuinolones 3) Quionolines |
|
What are the first line empiric therapies for Pelvic Inflammatory Disease (mild-moderate)? |
1) Ceftriaxone 250mg IM x1dose + Doxycycline 100mg PO BID x 14days
2) Cefoxitin 2g IM x1dose + Probenecid 1g PO concurently x 1dose + Doxycycline 100mg PO BID x 14days |
|
What are the second line empiric therapies for Pelvic Inflammatory Disease (mild-moderate)? |
1) Ofloxacin 400mg PO BID x14days
2)Levofloxacin 500mg PO daily x14days |
|
When would you add metronidazole/clindamycin to the regimens for PID (mild-moderate)? |
1) Abscess 2) Peritonitis 3) HIV 4) IUDs 5) History of PID 6) Suspected Bacterial Vaginits |
|
What are the first line empiric therapies for Pelvic Inflammatory Disease (mod-severe)? |
1) Cefoxitin 2g IV q6hrs + Doxycyline 100mg PO BID x 14days [iv therapy my be d/c after 24hrs if patient shows clinical improvement] |
|
What are the second line empiric therapies for Pelvic Inflammatory Disease (mod-severe)? |
1) Clindamycin 900mg IV q8hr + Gentamicin 5-7mg/kg IV q24hr + Doxycyline 100mg BID x 14days/ Clindamycin 450mg PO QID x 14days |
|
What are the first line empiric therapies for Chlamydial Infection? |
1) Azithromycin 1g PO x 1dose
2) Doxycyline 100mg PO BID x 7days |
|
What are the second line empiric therapies for Chlamydial Infections? |
1) Ofloxacin 300mg PO BID x 7days
2) Erythromycin base 500mg PO QID x 7days
3) Erythromycin base 1g/day (in divided doses) x 14days |
|
What is the recommended drug therapies for Pregnant Chalmydial infections? |
1) Erythromycin base (NOT ESTOLATE)
2) Azithromycin 500mg TID x 7days
3) Amoxicillin 500mg TID x7days |
|
What are the first line empiric therapies for Syphilis (Early Latent)? |
1) Benzathine Penicillin G 2.4MU IM x1dose |
|
What are the second line empiric therapies for Syphilis (Early Latent)? |
1) Doxycyline 100mg BID PO x 14days |
|
What is one notable side effect with Benzathine Penicillin G? |
Jarish Herxhemer (flu-like)[fever, chills, malasie, mylagia] response which can start within 4hrs of tretment and lasts for 12-24 hrs and give false impression of allergic reaction |
|
What are the first line empiric therapies for Syphilis (Late Latent)? |
1) Benzathine Penicillin G 2.4MU IM weekly x 3weeks |
|
What are the second line empiric therapies for Syphilis (Late Latent)? |
1) Doxycycline 100mg PO BID x 28days |
|
What are the first line empiric therapies for Neurosyphilis? |
1) Penicillin G 3-4MU IV q4h x10-14 days |
|
What are the second line empiric therapies for Neurosyphilis? |
Desensitization for the penicillin |
|
What are the first line empiric therapies for Primary Genital Herpes? |
1) Acyclovir 200-400mg TID - 5x/day x5-10days |
|
What are the second line empiric therapies for Primary Genital Herpes? |
1) Famciclovir 250mg TID - 5x/day x 5-10days
2) Valacyclovir 1g BID x 5-10days |
|
What are the recommended empiric therapies for Pregnant Primary Genital Herpes? |
Valacyclovir and Acyclovir are both safe for Pregant patients |
|
What are the recommended empiric therapies for Severe Cases of Genital Herpes? |
1) Acyclovir 5mg/kg IV q8h x5-10days |
|
What are the first line empiric therapies for Secondary Genital Herpes? |
1) Acyclovir 200-400mg TID - 5x/day x3-5days (or 800mg PO BID x 3-5days) |
|
What are the second line empiric therapies for Secondary Genital Herpes? |
1) Famciclovir 125mg PO TID - 5x/day x3-5days
2) Valacyclovir 500mg PO BID x3-5days (or 1g BID PO x3-5days) |
|
What are the first line empiric therapies for Genital Herpes Suppression? |
1) Acyclovir 200-400mg TID 5x/day x6-12months |
|
What are the second line empiric therapies for Genital Herpes Suppression? |
1) Famciclovir 250mg BID - 5x/day x 6-12months
2) Valacyclovir 500mg PO daily x 6-12months |
|
What are the recommended empiric therapies for Chancroid? |
1) Azithromycin 1g PO x 1dose
2) Ciprofloxacin 500mg PO x 1dose
3) Ceftriaxone 250mg IM x 1dose
4) Erythromycin Base 500mg QID x 7days |
|
What are the first line empiric therapies for LymphoGranuloma Venerum? |
1) Doxycycline 100mg PO BID x 21days |
|
What are the second line empiric therapies for LymphoGranuloma Venerum? |
1) Erythromycin base 500mg PO QID x21days
2) Azithromycin 1g once weekly x 3doses |
|
What are the patient applied products for Human Papilloma Virus? |
1) Imiquimod 3.75% cream qd HS x 8weeks 2) Imiquimod 5% cream x3/week HS x16 weeks 3) Podofiloux/Podophyllotoxin 0.5% solution apply to wart q12hrs for x3/week x 4 weeks |
|
What are the physican applied products for Human Papilloma Virus? |
1) Podophyllin 25% x 6weeks 2) Trichloroacetic acid 50-80% solution x 6weeks 3) Cryotherapy apply weekly x 4 weeks |
|
What are the first line empiric therapies for Trichomniasis? |
1) Metronidazole 2g PO x 1dose |
|
What are the second line empiric therapies for Trichmoniasis? |
2) Metronidazole 500mg PO BID x 7days |
|
"HPV is considered the most common sexually transmitted infection in the US" True or False? |
TRUE |
|
"HPV 16, 18, 31 and 45 account for 50% of cervical cancers" True or False? |
FALSE, accounts for 80% |
|
"HPV can cause many types of cancer other than cervical cancer" True or False? |
TRUE |
|
"HPV 6, 11 are responsible for >90% of Anogenital warts" True or False? |
TRUE |
|
What are the characteristics for Gardasil HPV vaccines? |
Gardasil: 1) Quadrivalent Vaccine (HPV-4) 2) Protects agianst HPV 6, 11, 16, 18 3) Indicated for women 9-26 years of age 4) Given at 0,2 and 6 months 5) Protects for 5 years
|
|
What are the characteristics for Cervarix HPV vaccines? |
Cervarix: 1) Bivalent Vaccine (HPV-2) 2) Protects against HPV 16 and 18 3) Indicated for women 10-25 years of age 4) Given at 0,1 and 6 months 5) Protects for 6.4 years |
|
"Gardasil has 60% efficacy in 16-26 yr olds in preventing Cervical Cancers" True or False? |
False, 98% efficacy |
|
"Gardasil has 100% effiacy in 16-26 yr olds in preventing vulvular/vaginal cancers and warts" True or False? |
TRUE |
|
"Cervarix has no effect in preventing Genital Warts" True or False? |
TRUE |
|
"Vaccine has a decline in Genital Warts for Heterosexual men AND Bisexual, Homosexual" True or False? |
FALSE |