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Aberant Public Hea

NYCC Abberant Test II Winter 2010

QuestionAnswer
a Vaccine is an example of what type of immunity? Artificially acquired active immunity (immunity forever) and artificially acquired passive immunity (no lifetime immunity)
The American Social Health Association estimates trichomoniasis affects 7.4 million previously unaffected Americans each year and is the? most commonly presenting STI transmitted disease
If STD's (STI's) are the second most commonly transmitted infection, what's #1? Common cold an flu
How many diseases are spread by sexual contact? over 20
What three ways other than sex are STI's transmitted? Congenitally, Blood, Fomites
What are fomites? an inanimate object/substance capable of carrying and transmitting a disease, like a towel carrying trichomoniasis (vaginitis)
what is trichomoniasis and how can it be transmitted? vaginitis, via intercourse, anal, oral, or fomites (ie, towels)
Scientists disgustingly reference two of my favorite foods (chocolate and coffee) in relation to what STI? WTF, really. Gonococci (gonorrhea)- "Gram-negative coffee bean-shaped diplococci bacteria responsible for the sexually transmitted disease gonorrhea. A chocolate-medium overgrowth (stain)" ~Wikipedia
The American Social Health Association estimates trichomoniasis affects 7.4 million previously unaffected Americans each year and is the? most commonly presenting STI transmitted disease
If STD's (STI's) are the second most commonly transmitted infection, what's #1? herpes, genital warts, trichomoniasis, crabs
How many diseases are spread by sexual contact? over 20
What three ways other than sex are STI's transmitted? Congenitally, Blood, Fomites
What are fomites? an inanimate object/substance capable of carrying and transmitting a disease, like a towel carrying trichomoniasis (vaginitis)
what is trichomoniasis and how can it be transmitted? vaginitis, via intercourse, anal, oral, or fomites (ie, towels)
Scientists disgustingly reference two of my favorite foods (chocolate and coffee) in relation to what STI? Gonococci (gonorrhea)- "Gram-negative coffee bean-shaped diplococci bacteria responsible for the sexually transmitted disease gonorrhea. A chocolate-medium overgrowth (stain)" ~Wikipedia
What three STI's can be passed congenitally? Syphilis Gonorrhea Herpes
Syphilis and HIV can be transmitted through blood
Gonorrhea, Trich, Genital warts, Yeast (fungus) can all be transmitted by fomites (ie, towels, locker room benches)
1 in ____ Americans has an STD now, and 1 in _____ will have an STD at least once in their lifetime. 5,4
Over _____ of the people with STD's don't know they have them. Half
How many Americans ~have STD's 50-60 million
what is the largest population demographic of US citizens with STI's? teenage females
Name the 4 curable STDs Syphilis, Chlamydia, Trichomoniasis, Gonorrhea
what kind of STD's cannot be cured? VIRAL (just like any infection; antibiotics only work their magic on bacteria)
What three STI's can be passed congenitally? Syphilis Gonorrhea Herpes
Syphilis and HIV can be transmitted through blood
Gonorrhea, Trich, Genital warts, Yeast (fungus) can all be transmitted by fomites (ie, towels, locker room benches)
1 in ____ Americans has an STD now, and 1 in _____ will have an STD at least once in their lifetime. 5,4
Over _____ of the people with STD's don't know they have them. Half
How many Americans ~have STD's 50-60 million
what is the largest population demographic of US citizens with STI's? teenage females
Name the 4 curable STDs Syphilis, Chlamydia, Trichomoniasis, Gonorrhea
what kind of STD's cannot be cured? VIRAL (just like any infection; antibiotics only work their magic on bacteria)
What three STI's can be passed congenitally? Syphilis Gonorrhea Herpes
Syphilis and HIV can be transmitted through blood
Gonorrhea, Trich, Genital warts, Yeast (fungus) can all be transmitted by fomites (ie, towels, locker room benches)
1 in ____ Americans has an STD now, and 1 in _____ will have an STD at least once in their lifetime. 5,4
Over _____ of the people with STD's don't know they have them. Half
How many Americans ~have STD's 50-60 million
what is the largest population demographic of US citizens with STI's? teenage females
Name the 4 curable STDs Syphilis, Chlamydia, Trichomoniasis, Gonorrhea
what kind of STD's cannot be cured? VIRAL (just like any infection; antibiotics only work their magic on bacteria)
What three STI's can be passed congenitally? Syphilis Gonorrhea Herpes
Syphilis and HIV can be transmitted through blood
Gonorrhea, Trich, Genital warts, Yeast (fungus) can all be transmitted by fomites (ie, towels, locker room benches)
1 in ____ Americans has an STD now, and 1 in _____ will have an STD at least once in their lifetime. 5,4
Over _____ of the people with STD's don't know they have them. Half
How many Americans ~have STD's 50-60 million
what is the largest population demographic of US citizens with STI's? teenage females
Name the 4 curable STDs Syphilis, Chlamydia, Trichomoniasis, Gonorrhea
what kind of STD's cannot be cured? VIRAL (just like any infection; antibiotics only work their magic on bacteria)
Most prevalent STD genital herpes (35 million)
Next most prevalent STD after Genital herpes genital warts (20 million)
what is associated with genital warts? HPV
including genital herpes, genital warts, chlamydia, HIV, and hepatitis, how many people out of 5 are infected? 1
chlamydia is responsible not only for genital infection but blindness
according to STD video, what is the most reported STD in America? But what is the most common? gonorrhea, chlamydia
according to video, #1 cause of death in US infections caught in hospitals
100,000 people a year die from hospital-acquired infections - how could half of them have been prevented? from washing hands
Gonorrhea is also called clap, drip
Avg age of young people with STD's according to CDC 2008 report? 15-24
most commonly reported infectious disease in US accd'g to CDC 2008 report? chlamydia
second most commonly reported STD after chlamydia according to CDC 2008 gonorrhea
group with highest percentage of syphilis rate according to CDC 2008 report MSM (men who have sex with men)
genital ulcerative disease that is highly infectious but easily curable in its early (primary and secondary) stages. Left untreated, however, can lead to serious long-term complications, including brain, cardiovascular, and organ damage, and even death. SYPHILIS
Blacks represent only 12 percent of the total U.S. population, but made up more than 70 percent of __________ cases in 2008 — one of the greatest disparities of any disease, and the most severe racial disparity of all reportable STDs gonorrhea
chlamydia and syphilis rates are ___x higher amongst blacks, especially young females 8
what percent of gonorrhea cases show no symptoms? 5% (75% of females show serious symptoms, vs 25% of males that have mild symptoms)
is there immunity to gonorrhea? no
clap or drip is another name for gonorrhea
the number 2 sexually transmitted disease? gonorrhea
how many cases of gonorrhea per year? over 750,000
Number one reported chlamydia has how many per year 4,ooo,ooo per year
is genital warts a required report disease? no, that is why there might be more cases than estimated (20-25 million)
what is another name for genital warts HPV
HBV has how many carriers 1.5 million CARRIERS (infected)
Name #1 and #2 most commonly reported diseases in the US #1: chlamydia, #2: gonorrhea
#1 and #2 most common STD INFECTIONs in sheer numbers genital herpes, genital warts
many HIV positive persons also contract syphilis
many times people with chlamydia also have gonorrhea
cost to US economy for diagnosis and treatment of STD +10 BILLION $
what reproductive damage can STD's do to women tubal damage, scarring of fallopian tubes caused by PID (pelvic inflammatory disease)
what is RSB Responsible Sexual Behavior
what entity has put RSB on a list of objectives Dept of Health and Human Services
has the country seen an improvement in RSB? no, it's worsened
have teen pregnancies declined? yes, but not much
in 1999, what percentage of adolescents abstained from sex or used condoms and what is the 2010 goal percentage? 85%, 90%
condom use in sexually active adults is about ____% 25
the most effective school based programs about sex combine condoms with abstinence focus
_______of all the pregnancies in the US are unintended half (duh)
what groups have the highest rates of unplanned pregnancies (3) teens, women over 40, low income black women
how many teens get preg each year in US One Million
Nearly half of all unintended (1 million) pregnancies end in abortion (that's 500,000 fewer unhappy single mother children with children per year considering 1 out of 3 women is raped)
US taxpayers fork out between ___-___$BILLION a year to pay for teen pregnancy 7-15 BILLION
how many new cases of STD's per year 15 million
how many out of 15 million new STD cases reported occur in teens 4 million
Pelvic Inflammatory Disease, ectopic pregnancy, infertility, chronic pelvic pain, cervical cancer from HPV are all complications of STD's for women
the total cost of STD's and their complications is conservatively estimated at 17$ Billion annually
Gonorrhea is caused by the Bacterium Neisseria gonorrheae, also known as Gonococcus
N. gonorrheae is a gram ___ __________ gram (-) diplococcus
how long is gonorrhea's incubation period? 1-3 days, so pay attention to that one night stand!
when gonorrhea is in the gay population, it's often seen as ___________ gonorrhea procto-logic (logically found in the anus)
have oral throat infections of gonorrhea for both gay and straight people been reported of course
what is the most pathetic way to contract gonorrhea? Self-contamination from your own genitals to your own eyes due to your own bad sanitary habits
Can newborns be infected at birth with gonorrhea from their mothers? yes
males: needing to urgently pee, painful burning, green or yellow discharge from urethra, possible infection of urethra or prostate are all signs of gonorrhea
women are often ___________ of gonorrhea (and most STD's) gonorrhea
what is PPNG Pissy Precocious Neisseria Gonorrheae, the resistant strain
syphilis has been called "the great ___________" because it resembles many diseases and is tricky to diagnose IMPOSTER
Until AIDS arrived, what was the only STD that could kill you? Syphilis, because you would want to die if it went to your brain
Al Capone, Ben Franklin, Peter the Great, Florence Nightingale rumored to have had syphilis, although Florence Nightingale did not, as of her definitive biography in 2008 have it when she died of old age in 1910 at age 90)
In 1859 ________________ was elected the first female member of the Royal Statistical Society and she later became an honorary member of the American Statistical Association. Florence Nightingale
the infectious agent Treponema pallidum, a spirochete, is responsible for syphilis (can put holes or "trephanations" in your skull
the incubation for syphilis T.pallidum spirochete is 7-14 days (can be less)
there are _ stages of syphilis 4
the characteristic lesion is a chancre that appears at the point of contact. Painless, moist, pigmented, it heals spontaneously in 2-6 weeks and leaves no mark Primary (CHANCRE)syphilis
the characteristic lesion is a rash and other cutaneous involvements. Rash lasts several weeks and clears spontaneously Secondary (RASH)syphilis
the disease in latency with no external manifestations of the infection BUT the person is still contagious. Can last DECADES Latent (CLOAKED) syphilis
the final stage of disease where T. pallidum has invaded brain or produced gumma or caused heart attack. Insanity then death. Tertiary (SKULL DAMAGE)syphilis
what is the treatment for syphilis? penicillin
which phase of syphilis do newborns that contract the disease from their mothers exhibit secondary (RASH)
what kind of teeth do babies with congenital syphilis (Secondary RASH syphilis) display? Hutchinson's- small, notched, widely spaced incisors (Patricia Cornwell novel - Jean Baptiste)
how do you diagnose syphilis? serological test (blood panel)
Wasserman tests are non-____________ (examples) and sometimes false positive. treponemal tests - examples: VDRL and RPR
Specific treponemal blood tests for syphilis spirochete include FA and FTA and treponemal hemagglutination test. What are FA and FTA? FA-flourescent antibody FTA-Flourescent treponemal antibody
syphilis can also be detected by a __________ examination of the lesion exudate or by a ________ stain of the scraping darkfield, silver
for 40 years, between 1932-77, the esteemed Public Health Service conducted an experiment on 399 black men in the late stages of syphilis. The men were never cured and left to die from tertiary syphilis. What's the name of this infamous "experiment?" The Tuskegee Syphilis Experiment
what resembles the primary stage of syphilis chancroid (looks like chancre)
a chancroid is also known as a soft chancre
Haeomophilus ducreyi causes chancroids. It is a bacterial infection.
Haemophilius ducreyi is also known as Ducreys __________ because Ducreys discovered it bacillus
Haemophilus ducreyi is a gram ___ coccobacillus (-)
Is chancroid common in the US? Where? no, it's mostly tropical
the US averages about _______ cases of chancroid per year 3000
because it is not indigenous to the US, who brings it? tourists, immigrants, illegals
what is different about the chancroid from the primary chancre of syphilis? it hurts! it necrotizes, it can last months and swells up the lymph nodes. it doesn't spontaneously disappear - must be cured by erythromycin or ceftriaxone
what does NOT cure chancroids but does cure primary syphilis chancres? penicillin
chancroids have a well-defined border
when we say chancroids are necrotizing, what does that mean? they leave scars
chancroids are colorless and don't weep (exude). T/F? True
Human Papilloma virus is associated with genital warts
there are more than ______ strains of HPV 100
how many strains of HPV are sexually transmitted? 30-40
GENITAL WARTS ARE ASSOCIATED WITH HPV STRAINS (2) HPV 6 & 11
they appear as soft, moist pink or red minute swellings. they may grow rapidly in groups resembling cauliflower genital warts
incubation is 2-3 mo. but can be 1-20 mo. genital warts
are people who do not have an obvious wart infection infectious nonetheless? yes
HPV is not only transmitted sexually by by fomites (inanimate objects)
condoms defend against HPV but not completely. T/F? true
is there a cure for HPV? why or why not? no, because it is viral
genital warts can be removed by acids TCA (chemical) or freezing or surgery
HPV/genital warts are associated with cervical cancer. What is offered up as protection against this neoplasia? Gardasil.
Created by: hecutler