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34 Cards in this Set
- Front
- Back
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Who should be screened for STI's?
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Anyone who is sexually active who has had more than one partner, or who's partner has had more than one partner.
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How often should people be screened?
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Annually for all women 25 and under or
when you are pregnant or when you are in a new relationship or if you have signs/symptoms of a STI |
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Bacterial infections are curable/incurable?
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Curable
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Viral infections are curable/incurable?
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Incurable, but manageable.
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Ectoparasitic infections are curable/incurable?
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Curable
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What is the most serious complication of chlamydia?
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Pelvic Inflammatory Disease (PID)
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What are some outcomes of chlamydia?
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Increased chance of ectopic pregnancy and increase chance of tubal factor infertility.
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What does the CDC recommend for the treatment of chlamydia?
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doxycycline- less expensive, longer course of treatment
azithromycin- expensive, but only one treatment |
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What is the most common and fastest spreading bacterial STI?
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Chlamydia!
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A wet mount slide uses what fluid from the woman to screen?
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Discharge
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Gardasil is a vaccine for what virus?
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Human Papillomavirus Virus
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HPV is also known as what?
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condylomata acuminata or genital warts.
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What is the most common viral STI?
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HPV
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When is gardasil given?
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It is given to girls between the ages of 9-12 years but can be given to women up to age 26.
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What STI virus (besides HPV) is there a vaccine for?
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Hepatitis B.
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What common STI's are bacterial?
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Chlamydia, gonorrhea, syphilis, PID caused by a variety of bacteria)
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What common STI's are viral?
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Human papillomavirus, herpes simplex, hepatitis, HIV
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What are problematic symptoms of herpes?
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ulcerative lesions which cause lots of PAIN. Also, itching, and heavy, watery to purulent vaginal discharge is common. Urinary retention may also be a problem.
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How is a definitive diagnosis of herpes made?
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viral tissue cultures.
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What is the treatment for herpes?
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It is not curable, but meds (acyclovir and valacyclovir) can be taken to prevent outbreaks.
Clean lesions twice daily with saline prevents secondary infection. Management is directed toward specific treatment during primary and recurrent infections. Comfort: sitz baths, cotton underwear, hydrogen peroxide. Cool wet black tea bags may also be used on lesions Analgesics are also used for pain |
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Do condoms prevent the spread of herpes?
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No, there is still the potential to spread the disease while wearing a condom.
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What might trigger an outbreak of herpes?
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stress, menstruation, trauma, febrile illnesses and ultra violet light
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Who is at higher risk for Hepatitis B infection?
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Women of asian, pacific island or alaskan eskimo descent. Also haitian, and sub african women
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Hepatitis B is present in what bodily fluids?
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blood, saliva, sweat, tears, vaginal secretions, and wsemen.
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What can someone with hepatitis B do to prevent its spread?
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Have excellent personal hygiene, don't share towels, etc. which touch any of their bodily fluids.
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What occurs in the flora of the vagina during bacterial vaginosis?
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The normal H2)2 producing lactobacilli are replaced with anaerobic bacteria. This raises the pH of the vagina.
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What is the characteristic sign of bacterial vaginosis?
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Fishy odor. Also thin grey or milky discharge may be present.
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How is a diagnosis of Bacterial Vaginosis made?
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Whiff test, a wet mount slide is made and KOH is added to it, if it wafts a fishy smell it is a positive test.
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What is the treatment for bacterial vaginosis?
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Flagyl (metronidazole).
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What are common side effects of treatment for bacterial vaginosis?
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Flagyl has many side effects including: metalic taste, furry tongue, central nervous system reactions, N/V, and urinary tract disturbances.
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What must not be ingested while being treated for bacterial vaginosis?
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Alcohol. It will cause abdominal distress, N/V, and headache.
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What type of STI causes yellowish to greenish, frothy, mucopurulent, copious, malodorous discharge?
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Trichomoniasis.
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For which STI must the partner also be treated, trichomoniasis or bacterial vaginosis?
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Trichomoniasis, it is harbored in the urethra of a man and will come back if he is not treated. Men are not typically treated when their partner has vaginosis.
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What is the treatment for Group B streptococci?
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No treatment is necessary in the non pregnant client. It is a normal part of vaginal flora.
It is only treated if present shortly before birth (usually tested for at 37 weeks) so it is not passed to the baby during vaginal delivery. |
