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