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46 Cards in this Set

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Populations at risk of STI

Pregnant women, MSM, adolescents

Genital Herpes Type 1

Usually oral, non genital lesions

Genital Herpes type 2

Usually genital lesions

Is GH curable?

No, it is an acute, recurring, incurable STI

BC it's a virus!

Who has highest incidence of GH?

African Americans


African American women>Af. am men

Incubation period of GH?

2-20 days with average of 1 week

Long term complications of GH

Neonatal Transmission


Increase risk of HIV

Signs/symptoms of GH

Tingling/itching of genital area


Blister clusters, fever, headaches,inguinal swelling, painful urination, external dysuria, urinary retention

How long does it take GH lesions to resolve

2-6 weeks

What nerve does heroes lie dormant in?

Sacral nerve complex

What are recurring triggers of GH

Fever, sexual activity, sunburn, malnutrition, menses

How is GH confirmed?

Viral cell culture and Polymerase Chain Reaction (PCR)

What GH fluid gives best test resukts

Fluid from the first 48 of outbreak

What kind of test confirms type of GH

Serology testing

GH takes how many weeks to develop for serology test?

12 weeks high false-negative rate

What drugs treat GH

Acyclovir, famciclovir, valacyclovir

What are severe complications of GH

Disseminated disease and encephalitis (fatal)

Treatment for severe complications of GH

Hospitalization and IV acyclovir

What are the physiological processes of sex?

Excitement phase, plateau phase, orgasmic phase, resolution phase

Risk factors for problems with sex

Multiple/casual partners, failure to practice safe sex, alcohol/drug use, SSRIs

Populations at greatest risk for poor sex health

Adolescents, minorities, intellectual disabled, newly unpartnered

What are the 5 Ps of sexual history?

Partners, practices, protection, past history of infection, prevention of pregnancy

What are the 4 categories of contraceptive methods?

Biological, chemical, mechanical and surgical

What are biological contraceptive methods?

Calendar method or two day method

What are examples of chemical methods?

Hormone contraceptives, oral birth control

What are examples of mechanical contraceptives?

Non-hormonal IUDs and condoms

What are examples of surgical forms of contraception?

Vasectomy and uterine ablasions

What STD is associated with condylomata Acuminata

Genital warts (HPV)

What are low risk HPV strains?

6 and 11

What are high risk HPV strains?

16, 18, 31, 33, 35

What are interventions for HPV?

Podofilox cream 2x/day for 3 days- 4 days off then repeat 4x



Cryotherapy - every 1-2 weeks til gone



TCA/BCAs



Podophylin applied weekly- must be washed off

What category are male impotence drugs?

PDE-5s

What are 3 examples of PDE-5s?

Viagra, Levitra, Cialis

How do male impotence drugs work?

Relax smooth muscles in corporate cavernosa and increase blood flow to the penis

What two drugs need prior stimulation for erection?

Viagra and Levitra

What make impotence drugs acts the most naturally?

Cialis- erection is stimulated over longer period of time

What are side effects of PDE-5s?

Headaches, facial flushing, and stuffy nose

What happens if you take more than 1 pill per day?

Leg/back cramps and N/V

What is a contraindication for taking a PDE-5?

Nitrates- causes severe hypotension and reduces blood flow to vital organs

What are s/s of organic ED?

Diminishing firmness and decreased # of erections

Causes of ED?

Inflammation of prostate, urethra, seminile vessicles, surgical procedures, prostatectomy, HTN, Parkinson's, MS, DM, smoking, alcohol, poor health

What are signs and symptoms of menopause

Vaginal dryness, memory loss, difficult sleeping, mood swings, depression, headaches, hot flashes, dry skin, hair loss, decreased libido, cessation of menses

How many grades are there of pelvic organ prolapse?

3

What does HIV do to the T-Cells?

Removes CD4+ T cells from circulation

What happens of HIV patient has no Tx?

T cell counts fall, viral number rise and patient dies from either infection or cancer

What are manifestation s of acute HIV Infection?

Fever, night sweats, chills, headaches, then symptoms stop and patient will "feel" better not be better