Term
| is sexual contact theonly mode of transmission for STDS? |
|
Definition
|
|
Term
| a person with 1 STD will probbaly also have? |
|
Definition
|
|
Term
STDS are gnerally spread by what ppl?
(2) |
|
Definition
asymptomatic
have symptoms but ignroing them |
|
|
Term
| what is a common misconception by ehalth care providers? |
|
Definition
| patient NOT at risk for STD |
|
|
Term
how can STD be prevented-
(2) |
|
Definition
-abstinence
-monogomous with uninfected aprtner |
|
|
Term
2/3 of cases are what age?
which gender is more %?
which are higher % races? |
|
Definition
teens-20s
male
african> am indian> hispanic |
|
|
Term
|
Definition
sex active
multiple sex ppl in 6 months
previous STD
prostitues
homo sex (MSM)
sex w/ drugs |
|
|
Term
| prevention methods for STDs -3 |
|
Definition
edicate high risk ppl
eval, educate sexual partnerrs
pre-exposure vaccines |
|
|
Term
time and sensitivity of STD diagnositc tests?
cost of tests? |
|
Definition
take time, suboptimal sens.
higher cost than empiric therapy |
|
|
Term
|
Definition
|
|
Term
what are the congenital infections?
-4
which isn't transmitted thru birthing? |
|
Definition
chalmydia, gonorrhea, HSV, syphillis
-syphillis |
|
|
Term
| which 3 infections are urethritis/cervicitis |
|
Definition
gonorrhea
chlamydia
trichomoniasis |
|
|
Term
| which 3 infections are genital lesions |
|
Definition
syphillis
genital herpes
genital warts |
|
|
Term
| which 3 infections are vaginosis |
|
Definition
bacterial vaginitis
trichomoniasis
vulvovaginal candidiasis |
|
|
Term
| which is the 2nd most reported STD in US? |
|
Definition
|
|
Term
| for gonorrhea which transmission is higher? (M-> F, F->M) |
|
Definition
|
|
Term
|
Definition
1)G attaches to epitheial cell w/ pili
2) G is pinocytosed into cell
3)PMNs invade tissue-> purulent exudates |
|
|
Term
| neisseria gonorrhea is a gram? |
|
Definition
|
|
Term
diagnosis of gonorrhea may be made by-4
which is the only one to provide resistnace data? |
|
Definition
culture, NAATS, enzyme immunoassay, gram stain;
culture |
|
|
Term
clinical presentation of gonorrhea of males
what are the complications? |
|
Definition
urethritis, dysuria, white urethral discharge;
they are rare- proctitis |
|
|
Term
| what % of females are asymtpomatic for gonorrhea? |
|
Definition
|
|
Term
what are the symptoms of females with gonorrhea
complications? |
|
Definition
dysuria, vaginal discharge, uterine bleeding;
pelvic inflamm disease, infertility |
|
|
Term
| what disease in seen in untreated gonorrhea patients? what are the symptoms? |
|
Definition
disseminated gonoccocal infection
systemic symptoms, skin lesions, arthrites |
|
|
Term
gonorrhea med resisitance:
which meds are due to plasmid resistance? (4) |
|
Definition
| penicillins, tetracyclines, spectinomycin, FQs |
|
|
Term
gonorrhea med resisitance:
which med class has a rapid resistance and so no longer reccomended |
|
Definition
|
|
Term
gonorrhea med resisitance:
which med is no longer reccomedned to recent increaeses in resitance? |
|
Definition
|
|
Term
for gonorrhea treat partners within past _ days?
how long do they need to not have sex? |
|
Definition
60
7 days after single dose of med |
|
|
Term
with gonorrhea what co infection do you always treat for?
which gneder has this coninfection more? |
|
Definition
|
|
Term
what is the most most common reported STD in US?
which gender has it more? |
|
Definition
|
|
Term
| what type of organsim if clhmaydia |
|
Definition
|
|
Term
chlamydia uses what for replication?
what does it retain thruought devlopement tho? |
|
Definition
host material
cellular identity |
|
|
Term
| how is chlamydia diagnosed |
|
Definition
| nonculture technique NAAT |
|
|
Term
| inflammation from chlamydia can lead to 2 things? |
|
Definition
|
|
Term
| annual screening for chalmydia is reccomedned for who? -3 |
|
Definition
sex active women <20-25 yrs
preggo
older women w/ risk factors |
|
|
Term
-% of males are asymp for Chlamydia
what are syomtpoms? 3
what are complications? 3 |
|
Definition
50
urethritis, dysuria, genital itching
rare-prostatitis, proctitis, reiter's |
|
|
Term
-% of women are asmpyt for chlamyd?
what are symptoms? 3
complications? 3 |
|
Definition
75
itching, vaginal discharge, pain with urination/intercourse;
PID, infertitlity, ocular trachoma |
|
|
Term
| syphillis reach _ in 2000 |
|
Definition
|
|
Term
| syphillis has _% for aquisition rate with SINGLE exposure |
|
Definition
|
|
Term
| untreated syphillis has _ % perinatal mortality |
|
Definition
|
|
Term
what is the infectious agent of syphillis?
what kind of org is it? |
|
Definition
treponema pallidum
spirochete |
|
|
Term
| what diagnostic tests are used for syphillis |
|
Definition
| smears or serologic (RPR, VDRL) |
|
|
Term
| what is the name of the presentation in stage 1 of syphillis |
|
Definition
| chancre- 1 oe more nontender papulaes in genitals |
|
|
Term
is chancre contagious?
how long deos it take to resolve? |
|
Definition
yes, very
spontaneoulsy in 3-6 wks |
|
|
Term
| which stage of syphillis is called latent? |
|
Definition
|
|
Term
| 2nd syph stage has what presentation- (2) |
|
Definition
| mucocutaneous eruptions, nonpruirutic rash on trunk, oral, genitals, palms/soles |
|
|
Term
| is the 2nd stage of syph contagious? |
|
Definition
|
|
Term
| how long does it take for 2nd stage syph to appear |
|
Definition
| if not treated 2 wks after chancre |
|
|
Term
| which syph stage is asymptomatic? |
|
Definition
|
|
Term
early latent(syph( defined as?
is late latent infectious? |
|
Definition
1 yr from onset (contagious)
no, but still host |
|
|
Term
| symtpoms of syph stage 4- (2) |
|
Definition
inflamm of organ system
Gummas- benign grnalumatous lesion on bone, skin, URT, heart |
|
|
Term
stage 4 syph occurs in _% untreated
occurs _ yrs after onset |
|
Definition
|
|
Term
neurosyphillis occurs at what stage?
symtpoms- 4 |
|
Definition
any
hemiplegia, seizures, pain in back/legs, blader disturbed |
|
|
Term
patients with just syphillis need serologic follow up _ months after theray?
what if HIV patient? |
|
Definition
|
|
Term
whcih infection has jarisch-herxheimer rxn?
what is it?
when does it occur? |
|
Definition
syphillis
febrile rxn- fever, chills, tachycardia
24 hrs after intital treatment |
|
|
Term
| genital herpes last how long? |
|
Definition
|
|
Term
| genital herpes is what type of org? |
|
Definition
|
|
Term
what are the two serotypes of genital herpes?
which causes recurrence? which causes 30% of 1st episodes? |
|
Definition
|
|
Term
| diagnosis of genital herrpes is done 2 ways |
|
Definition
|
|
Term
presentaiton of primary genital herpes-3?
which gender has more severe symptoms, and whats a common one? |
|
Definition
fever, headache, fatigue
women-cervicitis |
|
|
Term
genital lesions appear _ days after contact of GSV?
painful ulceration last?
viral shedding lasts? |
|
Definition
|
|
Term
secondary genital herpes:
_ % in first year
are vesicle few/more heal faster/slower?
viral shedding lasts? |
|
Definition
80
fewer, fasterr(3-10 days)
4 days |
|
|
Term
| if preggo has active genital herpes, what should be done during birth? |
|
Definition
|
|
Term
| effective therapy for genital herpes requires therapy within- |
|
Definition
|
|
Term
| what is prodrome and when is it present? |
|
Definition
burning,tingling 18-36 hrs before lesion;
secodnary genital herrpes |
|
|
Term
| HPV is associated with increased _ cancer |
|
Definition
|
|
Term
| what type of organism is HPV |
|
Definition
| nonenveloped, DS DNA virus |
|
|
Term
| which STD cannot be cultured |
|
Definition
|
|
Term
|
Definition
| anogenital warts, condylomota |
|
|
Term
| is HPV usually asypmtomatic? |
|
Definition
|
|
Term
|
Definition
| removal of lesion by cryotherapy, topical acids, surgery |
|
|
Term
| HPV vaccine is reccomended for? |
|
Definition
|
|
Term
what HPV strains are most cancerous?
which cause genital warts |
|
Definition
|
|
Term
|
Definition
|
|
Term
| what are the two HPV vaccines, and what strains do they coverr |
|
Definition
Gardisil- 6,11,16,18
Cervarix- 16,18 |
|
|
Term
vaginosis cover infections with-
whihc is the only strict STD |
|
Definition
vaginal discharge
trichomonaisis |
|
|
Term
| what species causes bacterial vaginosis |
|
Definition
gardnerella vaginalis
anaerobe bacteria |
|
|
Term
| what type of org causes trichomoniasis |
|
Definition
| anaeorobe, flagela, protozoan |
|
|
Term
| what species (and type of org) causes vulvovaginal candidasis |
|
Definition
candida albicans
budding yeast |
|
|
