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Aberant Public Hea
NYCC Abberant Test II Winter 2010
Question | Answer |
---|---|
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. |