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72 Cards in this Set
- Front
- Back
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Infection of uterus
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endometritis
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infection of fallopian tube
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salpititis
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normal pH of the vagina
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4.2
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Most common normal flora in the female reproductive tract
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Lactobacillis
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Inflammation of the glands penis
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Balantitis
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inflammation of the epididimis
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epididimitis
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inflammation of the prostate
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prostatitis
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What part of the urethra is colonized with bacteria?
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Distal 1/3
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Organism for Bacterial vaginosis
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Gardnerella vaginalis
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What will slides show if a pt has bacterial vaginosis?
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squamous cells with bacteria inside
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Common organism for Toxic Shock Syndrome (TSS)
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Staphlococcus aureus
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What is TSS caused by?
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Release of Exotoxin C from leaving a tampon in for too long or pulling it out too early
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S&S of TSS
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fever, hypotension, rashes, dequamation
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Most common organism for Group B strep
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Streptococcus agalactiae
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When do you screen a pregnant woman for group B strep?
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35-37 wks
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Common organism for Mastitis
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Staphlococcus aureus
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Yeast infection in the mouth caused by oral sex
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Thrush- caused by candidia
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Summer diaper rash in babies or rash in inframammary space caused by
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candidiasis
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Most common cause of vaginitis in females
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Yeast infection: Candida albicans
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S&S of yeast infection
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adherant thick cottage cheese discharge
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These are formed as a result of Candida albicans and Candida dublinises
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germ tubes with spores
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What STD is caused by a motile parasite which causes frothy discharge and intense itching and strawberry cervix?
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Trichomonas Vaginalis
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What drug is Trichomonas treated with and what is important to remind the pt while taking it?
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Flagyl (Metranidozol)
Cant drink alcohol! |
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What pH does trichomonas like
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more alkaline
5.5-6 |
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Which vaginal infections present with fishy odor?
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Bacterial vaginosis and trichomonas
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How do you diagnose gonorrhea in men?
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gram stain PMNs and see intracellular gram negative diplococci
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How do you diagnose gonorrhea in women
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Gram stain and culture growth on Thayer-Martin plate
**Must be reported if found to be positive |
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Incubation period for Neisseria gonorrhea
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2-7 days
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70 of females are asymptomatic for this
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Neisseria gonorrhea
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What complication may result from gonorrhea
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Scarring to the fallopean tubes leading to infertility
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Organism that causes Syphilis
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Treponema pallidum
tightly coiled spirocete, motile with 3 flagella |
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Primary Syphilis
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Hard painless shanker on penis/vagina
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Secondary Syphilis
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Christmas tree rash on trunk that will clear up in the sun
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Tertiary Syphillis
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Generally presents like manic-depressive illness
CNS changes |
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Describe syphyilis chancre
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raised borders, not painful, lesions with spirochetes, highly infections
resolves on its own |
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Treponema pallidum
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spirochete
acid fast |
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Highly infections lesions during secondary syphilis
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Condyloma latum
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Define latent syphillis
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the stage in which there is a positive serological tests for syphillis in the absesnce of any clincial disease symptoms
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Sx of Tertiary Syphillis
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PARSIS
personality changes act "all out" like a child reflexes are hyperactive eyes are in Argyll Robertson pupils Sensorium (delusions, hallucinations) Intellect: reduction in mental capacity Speech: slurred speach, repeat last words |
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Argyll Robertson Pupils
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pupil doesnt restrict with light but does will accomidation
"protitute pupils" TERTIARY SYPHILIS |
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Hutchinson's teeth
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notches on the teeth
SIGN ON CONGENITAL SYPHILIS |
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Non-treponemal Syphilis testing
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screening for syphillis
crude antigen used in testing Used to see response to tx VDRL and RPR |
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VDRL
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venereal disease research lab
spinal testing |
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RDR
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MOST SENSITIVE TEST FOR SYPHILIS
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Treponemal testing for syphilis
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confirmatory, specific
has actual antigens from treponema Positive earlier in the disease and remains positive for years FTA-ABS Treponema Pallidum Immobilization ELISA Darkfield microscopy |
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Tx for Syphillis
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penicillin or erythromycin or tetracycline is PCN allergic
after proper treatment they are no longer infection within 24-48 hours |
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Jarisch Herxheimer Reaction
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most common with treatmetn of secondary syphillis, rash, fever, fatigue, mimics drug reaction
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Organism for Chancroid
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Haemophilus decrevi
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What makes chancroid different from syphilis
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very PAINFUL lesion
not at firm as syph lesion |
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What Chancroid look like on a gram stain
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school of fish
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buboes
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inflammed lymph tissues
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Grouped vesicles within a week of sexual encounter
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Herpes Simplex
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Tx for Herpes Simplex
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Antivirals: acyclovir
Valtrex: valaciclouvir Famvir: famcicluvir ADJUST FOR RENAL INSUFFICIENCY |
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Due to the pox virus
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Molluscum contagiosum
umbilicated lesion spread by touching |
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Most common cause of non-gonococcal urethritis
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Chlamydia trachomatis
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Staining technique for Chlamydia
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incusion body
filled with glycogen and picks up iodine stain |
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Infectious form of Chlamydia
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Elementary body
cannot replicated metabolically inactive |
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Dischange of Chlymydia vs Gonorrhea
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not as painful or thick
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Organism for Lymphogranuloma Venereum (LGV)
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Chlymydia trachomatic
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Lymphogranuloma Vereneum
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very painful buboes
much more common in men |
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Organism for Granuloma Inguinale
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Klebsiella granulomatis
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Pathonumonic for Granuloma inguinale
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Donovan body
safety pin on bipolar staining |
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Organism for Gential warts
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condylomata acuminata
HPV |
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HPV vaccine
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Quadravalent vaccine
main serotypes 6,11,16,18 |
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benign commonplace lesions on penis
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pearly penile papules
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PID happens at beginning and end of period... why?
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becuase cervical Os is open for menses
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Chandelier's Sign for PID
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insert 2 fingers into the vagina and move the cervix
pt will react because it is VERY painful |
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organism for pubic lice
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phthirus pubis
usually on the hair shaft |
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Organism for scabies
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Sarcoptes scabei
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Neisseria gonorrhea effect in babies
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Opthalmic Neonatorium
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hightly infectious lesions in secondary syphilis
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Condyloma latum
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Treatment for syphilis
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Penicillin
Erythromycin or tetracycline if allergic |
