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23 Cards in this Set
- Front
- Back
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What is a sexually transmitted bacterial disease limited to columan aand transitional epithlium, differing in males and females?
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Gonococcal infections
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What are the signs of Gonococcal infections in males?
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Acute purulent dischanrge for the anterior urethra with dysuria within 2-7 days after exposure
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What can Urethritis be documented as?
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The presence of mucopurulent or purulent discharge and grams stain of urethral discharge showing 5 or more WBC per oil immersion field
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What are the signs of Gonococcal infections in females?
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development of mucopurulent cervicitis, often asymptomatic, although some women have abnormal vaginal discharge and vaginal bleeding after intercourse
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What is a common infection in females and homosexual males
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pharyngeal and anorectal infections and may cause pruritus, tenesmus and discharge.
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In whom does conjunctivitis normally occur?
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newborns and can result in blindness if not treated
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What are also cause by other sexually transmitted agents and seriously complicate the clinical idagnosis of gonorrhoea?
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Non gonococcal urethritis(NGU) and nongonococcal mucopurulent cervicitis(MPC)
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What causes about 30% to 40 % of NGU in the USA and other countries?
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Chlamydia trachomatis
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What is used to diagnosis for Gonococcal Infections?
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Gram-stain
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What is the common mode of transmission of Neisseria gonorrhoeae?
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Mucous membranes through sexual activity of infected.
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What is the incubation period for Neisseria gonorrhoeae?
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2-7 days sometimes longer whern symptoms occur
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What is the treatment of umcomplicated gonococcal infections of the cervix, rectum and urethra in adults?
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Ceftraxone IM (125 mg single dose), cefixime PO (400 mg single dose), ciprofloxacin PO (500 mg single dose), floxacin PO (400 mg single dose) or levofloxacin PO (250 mg single dose)
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If patients cant take cephalosporins nor quinolones, what can treat gonococcal infections?
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Spectinomycin 2 grams IM single dose
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What do patients with N.Gonorrhoea be treated with?
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Orally azithromycin (1 gram single dose) or doxycyline(100mg twice daily for 7 days
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What is used to treat gonococcal infections of the pharynx?
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Ceftriaxone 125 mg IM in a single dose or ciprofloxacin 500 mg orally in a single dose.
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What is acute redness and swelling of conjunctiva in one or both eyes, with mucopurulent discharge in which gonococci are identifiable by micrscopic and culture methods?>
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Gonococcal Conjunctivitis
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What is conjunctiva occuring within the first 3 weeks of life?
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Ophthalmia neonatorum
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What is the most common infectious cause of conjunctivitis?
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Chlamydia trachomatis, which produces inclusion conjuctivitis that tends to be less acute than gonococcal conjunctivits and usually appears 5-14 days after birth
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What is a importent cause of blindness in the world ?
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Neisseria gonorrhoea
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What is the resevoir for infection for conjunctivitis in newborns?
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Infection of the maternal cervix
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What is the incubation period for neisseria gonorrhoeae?
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Usually 1-5 days
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What is used as a preventative measure for newborns?
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instillation of 1% silver nitrate aqueous solution store in individual wax capsules or erythromycin and tetracycline ophthalmic ointments are also effective
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What is recommended if antibiotic susceptibility is not known or penicillin resistant organisms are present, for gonococcal infections?
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a single dose of ceftriaxone 25-50mg IV or IM
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