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STD NP
Info & Q: NP EXAM
| Question | Answer |
|---|---|
| What test for HIV screen? | Elisa |
| What test for HIV confirmation? | Western Blot |
| What CD4 cell count differentiates HIV from AIDS? | If CD4 is <200 that indicates AIDS |
| Pregnant HIV positive pt, which anti-retroviral drug would you give? | AZT |
| ID the STD: Fishy odor with or without KOH? | Bacterial Vaginosis (BV) |
| ID the STD: Clue cells on microscopic exam? | Bacterial Vaginosis (BV) |
| ID the STD: White or grayish discharge smooth on vaginal walls? | Bacterial Vaginosis (BV) |
| ID the STD: vaginal fluid pH >4.5 | Bacterial Vaginosis (BV) |
| Tx for Bacterial Vaginosis? | 1. Metronidazole (Flagyl) 2. Clindamycin (Cleocin) |
| What should we tell pts to avoid when taking Metronidazole (Flagyl)? | Avoid alcohol until 24 hrs after last dose; disulfiram-like reaction (major puke) |
| Chlamydia is most often found in what pop? | 15 - 24 year old |
| ID the STD: cervical motion tenderness, salpingitis (PID), abnormal vag bleed, vag DC, friable cervix? | Chlamydia |
| DX the Chalmydia? | DNA Probe |
| What do we do in 3 weeks after tx for Chlamydia? | rescreen because of increase rate of re-infection |
| UA with Chlamydia will have? | WBC |
| Gold Standard DX tool for Chlamydia? | Culture |
| Tx the Chlamydia? | 1. Azithromycin 1 gm 2. Doxycycline 7 days |
| ID the STD: burning with urination, DC | Gonorrhea |
| DX test for Gonorrhea? | DNA Probe |
| Tx the Gonorrhea? | 1. Ceftriaxone (Rocephin) 125mg 2. Suprax PO |
| ID the STD: Frothy, copious, pale yellow to gray-green vaginal DC? | Trichomoniasis |
| ID the STD: Strawberry cervix? (petechiae) | Trichomoniasis |
| Tx the Trichomoniasis? | Metronidazole (Flagyl) |
| Primary Syphilis is characterized by? | a chancre that heals spontaneously and leads to Secondary Syphilis |
| Secondary Syphilis is characterized by? | Rash to palms of hands and soles of feet; may be on trunk as well thus get your RPR with any "rash"; bilaterally symmetrical; resolves in 2-6 wks |
| Latent Syphilis means? | You have had for years; asymptomatic |
| Tertiary Syphilis means? | bad CINO; Cardio, Integumentary, Neruo, Ortho |
| Dx test for Syphylis: | RPR (VDRL) |
| If pt has Pos RPR then what test? | FTA-ABS (fluorescent treponemal antibody absorbed); confirms the RPR |
| Tx for Syphylis? | PCN |
| Painful ulcer think? | Herpes |
Created by:
dprest
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