Micro Review - Stds

Front 1

whipworm
Trichuris Trichiura

patient living in immigrant camp with poor sanitary conditions comes in with rectal prolapse after days of abdomen pain and diarrhea

Back 1

- often asymptomatic so don't even know have it
- can have diarrhea, abdomen pain
- prolapsed rectum
- look like whip hence name (coiled at end)
- eggs shed in feces must embryonate in soil before they are infective so NOT fecal-oral, rather ingest soil
- mebendazole (broad spectrum anti-helminith)
- The worms sew themselves into the bowel, and cause an inflammatory reaction that increases peristalsis, and causes diarrhea and tenesmus (consistent ineffective contraction of rectum or bladder). --> rectal prolapse
-fecal exam for eggs
- darkly staining barrel shaped egg
-

Front 2

Leishmania, Schistosomes, Plasmodia

common or uncommon in west?

Back 2

uncommon

Front 3

well defined painless chancre

Back 3

syphilis (treponema pallidum)

Front 4

mutlinucleated squamous cell w/ smudged ground glass nuclei w/ intranuclerainclusions

Back 4

Herpes type 2

Front 5

genital warts vs cervical cancer

Back 5

HSV strains 6 and 11 vs strains 16 and 18

Front 6

flagellated protozoan causing vaginitis

Back 6

Trichomonas vaginalis (frothy discharge)

Front 7

frothy discharge associated STD

Back 7

Trichomonas vaginalis (flagellated protozoan)

Front 8

young girl with no prenatal care, keratitis, notched incisors (hutchinsons teeth), deafness

Back 8

Syphilis (treponema pallidum). congenital. also osteochondritis, rash, liver, lung fibrosis. penicillin

Front 9

diagnose syphilis

Back 9

FTA-ABS

Front 10

PID associated with? (2)

Back 10

Chlamydia and Gonorrhea (urethritis) (infertility)

Front 11

malodorous, smear shows cells with granules attached to squamous cells

Back 11

Gardnerella vaginalis (metronidazole) (clue cells)

Front 12

Chlamydia trachomatis treatment? versus treatment for Gonorrhea?

Back 12

aziothromycin (single dose) doxycycline vs ceftriaxone for gonorrhea. DNA probe for quick diagnosis

Front 13

Donovan bodies

Back 13

Calymmatobacterium granulomatis. gram negative causing granuloma inguinale. org pin macrophages hence "donovan bodies".
raised sores that heal w/ scarring no lymphadenopathy.

Front 14

treat calymmatobacterium granulomatis

Back 14

doxycycline or trimethoprim sulfamethoxazole

Front 15

raised sore that heals with scarring and no lymphadenopathy

Back 15

calymmatobacterium granulomatis

Front 16

obligate intracellular so won't necessarily visualize on gram stain?

Back 16

chlamydia. too small (also rickettsia)

Front 17

diagnose HSV 2?

Back 17

Tznack prep, looking for eosinophilic intracellular inclusions

Front 18

if have HSV and pregnant?

Back 18

C section delivery.

Front 19

eosinophilic intranuclear inclusions and vesicles that ulcerate

Back 19

HSV 2 (acyclovir)

Front 20

papules w/o ulceration, lymphadenopathy

Back 20

C trachomatis lymphogranuloma venerem (granulomatous microabcesses) (doxycycline)

Front 21

treat candida?

Back 21

fluconazole (single dose)

Front 22

school of fish apearance on gram stain?

Back 22

Hameophilus Ducreyi (gram negative)

Front 23

test to determine if gonorrhea?

Back 23

oxidase test (+)

Front 24

cervical motion tenderness (chandelier sign)

Back 24

PID
chlamydia (won't see on smear, too small and intracellular)
gonorrhea (will see on gram stain)

Front 25

KOH test?

Back 25

candida. dissolves skin cells so can see candida better

Front 26

maculopapular erythematous lesions all over body INCLUDING PALMS AND SOLES

Back 26

secondary syphilis

Front 27

which of these will you see on gram stain?
HPV, chlamydia, syphilis, gonorrhea?

Back 27

only gonorrhea.
chlamydia too small. syph = spirochete. HPV virus

Front 28

frothy discharge?

Back 28

trichomonas vaginalis (pear shaped protozoa w/ flagella) (metronidazole)

Front 29

remains latent in sensory ganglia causing shooting pain, numbness, aches in genital region, back, ass, upper leg

Back 29

HSV 2. hides in sensory ganglia. recurrent vesicles that ulcerate. C section baby. Tznack smear

Front 30

condyloma latum for a while then heals and no more symptoms. could be?

Back 30

syphilis (treponema pallidum). heals and may enter latent phase.
this is a moist erythematous papule in anogenital area

Front 31

condyloma acuminatum

Back 31

HPV

Front 32

gonorrhea treatment?

Back 32

ceftriaxone and fluroquinolones

Front 33

has IgA protease and capsule as virulance factors?

Back 33

gonorrhea

Front 34

systemic gonococcal infection symptoms?

Back 34

erythematous pustules/paules on skin that can ulcerate in center. septic arthritis of joints (like ankle)

Front 35

which has Elementary body and reticulate body forms?

Back 35

Chlamydia. enter as Elementary body then differentiate to reticulate body, then multiply, differentiate to EB again and released

Front 36

if you see inclusion bodies that stain brown with iodine

Back 36

Chlamydia inclusion bodies

Front 37

associated with increase in vaginal pH?

Back 37

trichomonas (protozoan, pear shaped, flagellated)