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IOS 10 exam 4
STDs
| Question | Answer |
|---|---|
| 1. Genital Herpes Simplex Virus HSV-2- | a. Prodrome tingle, burn (1-2days), b. Local tenderness, purulent malodorous secretions, lymphadenopathy. Symptoms last 3-4 weeks, c. Local-Erosions, macerations, erythema. , d. Lesion progression-papules, vesicles, ulcer, heal. Systemic- HA, myalgias, fe |
| Syphilis-s/s | Primary- genital ulcer b. Secondary-Skin Lesions occur 3-6weeks ,Tertiary- Cardiac ,d. Latent disease- Asymptomatic ,Early Latent Syphillis, Late latent syphilis |
| Chlamydia-s/s | Women-asymptomatic or discharge. Men- Majority asymptomatic, mucoid or clear urethral discharge |
| Gonorrhea-(More women) s/s | Incubation (1-14 days) symptoms 10 days-endocanal, abnormal discharge or bleeding |
| Bacterial Vaginosis s/s | Malordorus, fishy smell and vaginal discharge. |
| Trichomoniasis-women s/s | Malodorus, yellow green discharge with vulvar irritation. Pear shaped flagellating organism;no clue cells. |
| Human Papilloma Virus s/s | Low risk -11-6 (genital warts and mild pap test abnormal) and highrisk 16-18. Both are usually asymptomatic. Present several weeks or months after exposure. |
| 1. Genital Herpes Simplex Virus methods of diagnosis | Visual inspection, Viral culture |
| Syphilis –methods of diagnosis | Nontreonernal test (VDRL and RPR) and Treponemal test (FTA-ABS and TP-PA) |
| Chlamydia methods of diagnosis | Nucleic Acid Amplification Test (NAATs)- Urethral swabs from men, cervical/vaginal swabs from women, and urine from both. |
| Gonorrhea-methods of diagnosis | must report to statea. Men:Gram stain of male urethral specimen- Gram(-) diplococci or urine b. Women: Urine |
| 1. Bacterial Vaginosis (BV)- methods of diagnosis | > 3 of the following: thin white discharge that coats vaginal wall, clue cells on miscopic exam, vaginal pH > 4.5, fishy odorbefore KOH (whiff test), gram stain |
| Trichomoniasis-methods of diagnosis | Culture is the most sensitive commercially-pear shaped flagellating organism, no clue cells. |
| 1. Human Papilloma Virus- methods of diagnosis | Identified by appearance, biopsy, Colposcopy (after pap smear) |
| 1. Genital Herpes Simplex Virus-Treatment | a. Primary- Valacyclovir 1 g PO BID, Acyclovir 400 mg PO TID (7-10days) . (recurrent 5 days, >6 recurrent annual) |
| Syphilis – Treatment | a. Primary, secondary, or early latent-Benzathine PCN G 2.4MU IM x1 or Doxycyline 100mg BID x 14 or Tetracycline 500mg QID x 14 |
| Chlamydia--Treatment | a. Primary- Azithromycin 1 g PO x 1 rescreen in 3 months if <25 |
| Gonorrhea--Treatment | a. DOC: Ceftriaxone 125mg IM x 1 or fluoroquinolone |
| Bacterial Vaginosis (BV)-Treatment | a. DOC- Metronidazole 500mg PO BID x 7 days- Caution ETOH, Clindamycin cream- (oil base can weaken condom) |
| Trichomoniasis- -Treatment | a. DOC-Metronidazole 2 g PO x 1 |
| STDs that require partner therapy | Syphillus, chlamydia, gonarrhea, trich, |
Created by:
liza001
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