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34 Cards in this Set

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3 organisms that cause Urethritis/Cervicitis

1) N. gonorrhea


2) Chlamydia trachomatis


3) Trichomonas vaginalis

3 organisms that cause genital ulcer disease

1) Herpes simplex virus


2) Treponema pallidum


3) Chlamydia trachomatis

2 organisms that cause genital warts

1) Human papilloma virus


2) Molluscum contagiosum

"It hurts when I pee", what clinical syndrome?

Urethritis

"I have vaginal discharge", what clinical syndrome?

Cervicitis

Triad of disseminated gonococcal infection

1) arthritis


2) dermatitis


3) tenosynovitis

Treatment for gonorrhoea?

Class 3 cephalosporin + Azithromhycin

Ocular trachoma is caused by

Chlamydia trichomatis

Treatment of chlamydia trichomatis

Azithromycin OR doxycycline

Vaginal discharge, erythema of vulva and cervix, itch, dysuria, what organism usually causes this?

Trichomonas vaginalis

Typical "strawberry" appearance of the cervix?

Trichomonas vaginalis

"I have a rash, I see something down there", what clinical signs?

Genital ulcer disease

Most transmission of HSV 1,2 is during _______________ phase

Asymptomatic shedding

T or F, HSV infection is for life

TRUE

Clinical manifestation of Herpes simplex 1,2

Cluster of vesicles on an erythematous base (lesions anywhere in "boxer short" area)

T or F, primary lesions of HSV are not painful

FALSE, they are painful

Clinical manifestations of primary genital herpes: (4)

1) Extensive vesiculo-ulcerative lesions


2) Systemic symptoms


3) Tender lymphadenopathy


4) Meningitis = rare

T or F, HSV is curable

FALSE

Treatment of Herpes?

Acyclovir, or Famcyclovir, or Valacyclovir

Which is the least common of the 3 nationally reportable bacterial STI's

Syphilis

Transmission of syphilis (3)

1) Vaginal sex


2) Oral sex


3) Anal sex

Syphilis is more complicated to diagnose and recognize than other STI's. Why?

1) Different stages of the disease


2) Different manifestations during the different stages


3) Diagnosis can be complicated

Secondary syphilis lesion is characterized by:

Rash that causes lesions on the palms and soles


(on exam I think)

Tertiary syphilis lesion is characterized by:

Aneurysm of the aorta


(on exam I think)

Primary syphilis lesion is characterized by:

Painless lesions (unlike HSV which is painful)

Latent syphilis is _________

Asymptomatic

Gumma is found when?

Tertiary syphilis

Neurosyphilis takes place during what stage of syphilis?

Tertiary

Syphilis diagnosis is mostly based on _________

Serology

Syphilis serology: first screen with _____________, and then confirm with ____________

1) non-treponemal


2) treponemal

Which organism are we looking for when doing syphilis serology?

Treponema pallidum

How to treat syphilis?

Penicillin IM, unless neurosyphilis = Penicillin IV

Lymphogranuloma venereum is caused by which organism?

Chlamydia trachomatis

Clinical signs of LGV?

Often single painless papule, weeks later: tender adenopathy