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57 Cards in this Set
- Front
- Back
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Which HPV strains lead to genital warts?
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6 and 11
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How do you treat genital warts?
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imiquimod or destructive agents
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How do you treat mild dysplasia?
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expectant management
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How do you treat moderate dysplasia?
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excision, destruction of the lesion
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How do you treat CIS?
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surgery/radiation as appropriate
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What is HSV?
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ulcerative diseaes of the lower genital tract, chronic and recurrent
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Which HSV strains cause genital warts?
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HSV1 and HSV2
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How do you diagnose herpese?
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viral cultre, antibody testing
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How do you treat herpes?
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acyclovir, treat first and recurrent episodes and pregnancy
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How does syphillis present?
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painless, indurated ulcer
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How do you treat syphilis?
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benzathine penicillin G
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What is lymphogranuloma venereum?
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ulcerative disease caused by c. trachomatis
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Which serotypes cause LGV?
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L1, L2, and L3 serovars of c. trachomatis
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How does LGV present?
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genital ulcers, inguinal buboes
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Where do you get LGV?
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outside of the US
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How do you treat LGV?
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doxycycline, drainage of buboes
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How does chancroid present?
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1-3 extremely painful ulcers, tender inguinal adenopathy
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What organism causes chancroid?
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Haemophilus ducreyi
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How do you treat chancroid?
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azithromycin, ceftriaxone, fluoroquinolones, erythromycin, reexamine in 7 days for resolution
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What cuases vaginitis?
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trichomonas: flagellated parasite in trophozite form
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How do you treat syphilis?
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benzathine penicillin G
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What is lymphogranuloma venereum?
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ulcerative disease caused by c. trachomatis
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Which serotypes cause LGV?
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L1, L2, and L3 serovars of c. trachomatis
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How does LGV present?
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genital ulcers, inguinal buboes
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Where do you get LGV?
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outside of the US
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How do you treat LGV?
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doxycycline, drainage of buboes
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How does chancroid present?
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1-3 extremely painful ulcers, tender inguinal adenopathy
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What organism causes chancroid?
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Haemophilus ducreyi
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How do you treat chancroid?
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azithromycin, ceftriaxone, fluoroquinolones, erythromycin, reexamine in 7 days for resolution
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What cuases vaginitis?
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trichomonas: flagellated parasite in trophozite form
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how does vaginitis present?
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profuse malodorous discharge, pruritis
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What are the causes of vaginitis?
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post operative infection, premature membrane rupture,
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How do you treat trichomonas?
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metronidazole
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What can cause chlamidya?
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PID, HIV transmission, ectopic, congenital disease
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What is chlamidya?
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obligate intracellular bacterium
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What does chlamidya do?
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incites chronic inflammatory change and fibrosis in tubal epithelium
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What is the long term complication of chlamidya?
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tubal obstruction and PID
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What do you see on physical exam of chlamidya?
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cervical discharge, friable cervix
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How do you treat chlamydia cervicitis?
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doxycycline, azithromycin, abstinence
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Who should get screened for chlamydia?
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all sexually active women under 26 annually
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What can cause gonorrhea?
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PID, ectopic, HIV, congenital
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What is gonorrhea?
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gram negative diplococcus
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How does gonorrhea infect?
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attaches to columnar and transitional epithelium of the GU tract
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What are the complications of gonorrhea?
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co-infection with chlamydia, progression to PID
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What do you find on exam with gonorrhea?
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cervical discharge, friable cervix, WBC, gram negative diplococcus
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Hwo do you treat gonorrhea cervicitis?
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cephalosporins
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Who gets screened for gonorrhea?
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all sexually active women > age 26
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What is PID?
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infection of the endometrium, fallopian tubes, ovaries, peritoneum, surrounding organisms
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What can cause PID?
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gonorrhea and chlamydia, entrance of vaginal flora into the upper genital tract, usually polymicrobial
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What ist he minimal criteria for PID?
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lower abdominal and pelvic pain, cervical motion tenderness
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How do you treat PID outpatient?
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rocephin/doxycycline, quinolone/flagyl
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How do you treat PID inpatient?
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cefoxitin/doxycycline
gentamycin/clindamycin |
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What are the complications of PID?
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infertility, ectopic pregnancy, chronic pelvic paind, recurrent disease
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Which infections can be transmitted via oral sex?
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HIV, HSV, HPV, Hep B/C
gonorrhea, chlamydia |
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Which infectiosn can be transmitted via anal sex?
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HIV, HSV, HPV, Hep B/C
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What screening should be yearly?
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Chlamydia/Gonorrhea, HIV, Pap smear/HPV, all STDs
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For what can you be immunized?
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HPV 6, 11, 16, 18
Hep A, B |
