STI Flashcards


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created 1 year ago by abedfordpowell
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1

Active HSV-2 increases risks for HIV? T/F

True

2

What is the most common spreading of HSV?

Asymptomatic shedding

3

Most primary infections of HSV are symptomatic?

False- asymptomatic

4

HSV ulcers are PAINFUL?

True

5

How often is Acyclovir given in treatment of the 1st episode of HSV?

TID or 5x/day

6

How often is Valacylovir given in treatment of the 1st episode of HSV?

BID

7

What form of anti-viral should be given in severe HSV?

IV Acyclovir

8

What organism is associated with syphilis?

Treponema pallidum

9

What test in used in diagnosing syphilis?

Darkfield examination

FTA-ABS

TP-PA

10

What stage of syphilis is the most infectious?

Primary

11

Primary syphilis:

Painless chancre on penis/labia about 3 weeks after exposure

12

Secondary syphilis:

2-8 weeks if untreated

Disappears in 4-10 weeks if lesions remain untreated

13

What stage of syphilis is considered not infectious?

Late latent

14

Early latent:

Up to one year from exposure

15

Late latent:

After one year

16

Tertiary syphilis:

Gummatous lesions on the skin, bone, mucous

17

Neurosyphilis:

Meningitis and eye disease

18

What stages of syphilis can be treated with Bicillin-LA x 1 injection?

Primary

Secondary

Early latent

19

What stages of syphilis can be treated with Bicillin-LA x 3 injections?

Late latent

Tertiary

20

What stages of syphilis can be treated with IV Aqueous Penicillin G

Neurosyphilis

21

Jarisch-Herxheimer is associated with what STI?

Syphilis

22

Urethritis:

Purulent discharge, dysuria, urethral pruritus

23

Cervicitis:

Requires one of the 2 criteria:

1. Visible purulent exudate

2. Inducible endocervical bleeding

* Often asymptomatic

24

Which 3 STI's are associated with increased HIV risk?

HSV

Syphilis

Chlamydia

25

Which 2 STIs are typically asymptomatic?

HSV

Chlamydia

26

Which 2 STI's should be routinely screened for annually in high risk populations?

Chlamydia

Gonorrhea

27

Treatment of chlamydia:

"Dal had chlamydia"

Doxycycline 100 mg BID x 7 days

Azithromycin 1 g x 1 dose

Levofloxacin 500 mg x 7 days

28

What is the preferred treatment of chlamydia in pregnancy?

Azithromycin

29

Which STI is characterized by urethritis, cervicitis, proctitis, conjunctivitis, pharyngitis, septic arthritis, myocarditis, tenosynovitis?

Gonorrhea

30

What is the diagnostic test used for Gonorrhea?

NAAT

31

What is the treatment of Gonorrhea?

Cetriaxone 500 mg IM x 1

PLUS

Doxycycline 100 mg QD x 7

32

What dose of cetriaxone will you use if the patient is >150 kg?

1 gram

33

Diagnosis of BV?

Need 3:

1. Thin, white discharge

2. CLUE cells

3. pH >4.5

4. Fishy odor

34

Treatment of which STI's can be treated OTC?

BV

VVC

35

Treatment of BV?

Flagyl- oral and TOPICAL

Clindamycin- topical

36

Trichomoniasis:

YELLOW discharge

painful sex

"strawberry cervix"

37

Trichomoniasis treatment for women:

Flagyl 500 mg BID x 7 days

38

Trichomoniasis treatment for men:

Flagyl 2 g x 1

39

VVC:

THICK white clumped curd like odorless discharge

40

VVC treatment:

Fluconazole 150 mg PO x 1

Can repeat q 72 hours for 2-3 doses for complicated VVC

41

OTC treatment of VVC:

Azole topicals

NOT METRONIDAZOLE!!!

42

Which AB is a strong inhibitor of CYP2C19, caused transamititis and QTc prolongation?

Fluconazole