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18 Cards in this Set
- Front
- Back
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Urethritis best intial test?
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Urethral swab and gram stain. Would show increased number of white blood cells.
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Treatment for Urethritis?
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Combination of one drug for gonorrhea and one for Chlamydia.
Gonorrhea: Cefixime or Ceftriaxone Chlamydia: Azithromycin or Doxycycline. |
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Pelvic Inflammatory Disease presentation
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Lower abdominal tenderness & pain, fever, cervical motion tenderness, leukocytosis.
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Appropriate first step in a woman with lower abdominal pain or cervical motion tenderness?
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Pregnancy test
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Most ACCURATE test for PID?
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Laparoscopy, although it is only rarely needed. Usually used only if diagnosis is unclear, symptoms persist despite therapy or recurrent episodes for unclear reasons. more commonly cervical swab for culture is used but that is not the most accurate test.
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Treatment of PID?
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Combination of meds for gonorrhea and chlamydia.
Inpatient: Cefoxitin or cefotetan with doxycycline Outpatient: Ceftriaxone and doxycycline (possibly with metronidazole) |
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Painless genital ulcer?
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Syphilis
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Painful genital ulcer?
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Chancroid (Haemophilus ducreyi)
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Lymph nodes tender and suppurating with genital ulcer?
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Lymphogranuloma venereum
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Vesicles prior to ulcer and painful on genitals?
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Herpes Simplex
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Syphilis diagnostic test?
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Dark-field microscopy, VDRL/RPR 75% sensitive in primary syphilis; FTA or MHA-TP (confirmatory)
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Diagnostic test for Chancroid?
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Stain and culture
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Diagnostic test for lymphogranuloma venereum?
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Complement fixation titers in blood, Nucleic acid amplification testing on swab
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Diagnostic test for Herpes simplex?
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Tzanck prep is best intital test, viral culture is most accurate test.
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Syphilis treatment?
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Single does of IM benzathine penicillin or Doxycycline if penicillin allergic
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Chancroid treatment?
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Azithromycin (single dose)
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Lymphogranuloma venereum treatment?
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Doxycycline
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Herpes simplex treatment?
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Acyclovir, valacyclovir, famciclovir; Foscarnet for acyclovir-resistant herpes
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