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STD
test 4
49
Nursing
Undergraduate 1
04/06/2010

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Cards

Term
how many new cases of STIs are infected each year in the USA?
Definition
19 million
Term
50% of all people to get STI are what age?
Definition
15-24 years old
Term
how much do americans pay for to treat STDs?
Definition
14.7 billion
Term
what STDs are bacteria?
Definition
chalmydia, gonorrhea, syphillis
Term
what is the most common and fastest spreading STI in america?
Definition
Chlamydia
Term
what is the most common STI?
Definition
chlamydia
Term
what are some long term effects of chlamydia?
Definition
PID, eptopic pregnancy, tubal factor, infertility, and inflammation, an ulceration to cervix
Term
what could be the cause of chronic UTI that aren't going away with treatment?
Definition
chlamydia
Term
what is the treatment for Chlamydia?
Definition
doxycycline PO 100 mg twice a day/ 7 days, azithromycin PO 1 gram once
Term
what is an important thing to tell your patient about chlamydia to make sure they don't keep getting the STI?
Definition
a negative culture is needed before having sexual intercourse again so you can't spread it
Term
what is the number one way to diagnosis chlamydia?
Definition
a history of risk factors
Term
how is chlamydia spread?
Definition
sexual intercourse.
Term
what is the most common symptom of chlamydia?
Definition
painful urination
Term
most often with a gonorrhea diagnosis what else will be treated at the same time?
Definition
chlamydia
Term
what is the majority of people with gonorrhea?
Definition
less than 20 years old and those who are having sex with many partners
Term
what is the treatment for gonorrhea?
Definition
cefixime PO 400 mg once, ceftriaxone IM 125 mg once.
Term
what are the clinical manifestation of gonorrhea?
Definition
purulent cervical discharge, menstral irregularities, pelvic or abdominal pain , painful urination, low back pain, often asymptomatic
Term
how is gonorrhea spread?
Definition
genital-to-genital contact during sexual activity
Term
how is syphilis spread?
Definition
transmission is by entry through microscopic abrasions in subcutaneous tissue during sexual intercourse or activity
Term
how much has syphilis infections increased since 2005?
Definition
11%
Term
what are some long term effects of syphilis?
Definition
neurological, cardiovascular, musculoskeletal, or multi- organ complications can devlope
Term
what are the primary clinical manifestions of syphilis?
Definition
appears within 5-90 days after infection, initial chancre, lesions start as painless papule, then erodes to a nontender ulcer mm to cm in size
Term
what are the secondary clinical manifestations of syphilis?
Definition
occurs 6 weeks to 6 months after the initial appearance of the chancre, widespread, symmetric, maculopapular rash on palms and soles, generalized hyphodenopathy, fever, headache, hoarse cough/sore throat, and malaise
Term
what are some treatments for syphilis?
Definition
penicillin G IM 2.4 mU once (primary and secondary) penicillin G IM 2.4 mU once a week for 3 weeks (>1 year duration)
Term
how is syphilis diagnosed?
Definition
blood test, and microscopic exam or lesion tissue
Term
How can you prevent syphilis?
Definition
sexual abstinence, this includes other sexual acts
Term
what are the two types of the herpes simplex virus?
Definition
HSV-1, HSV-2
Term
where can HSV 1-2 occur?
Definition
Anywhere
Term
what are the initial clinical manifestations of the HSV?
Definition
multiple painful lesions, fever, malaise, chills, sever dysuria, can last 2-3 weeks
Term
what are some clinical manifestation of recurrent infections?
Definition
multiple painful lesions, systemic symptoms are usually absent
Term
what is the treatment for HSV?
Definition
this is a chronic and recurrent illness there is no know cure. can be controled with antiviral management.
Term
what can be done to prevent HSV?
Definition
sexual abstinence during onset of s/s until complete healing of lesions has occured, condoms may not always prevent transmission, avoiding articles that come in contact with lesions, plain soap and water to wash handsthat come in contact with active lesions.
Term
what is human paillomavirus?
Definition
double stranded DNA virus
Term
what are some long term effects of human paillomavirus?
Definition
genital warts, tumors, cervical cancer.
Term
how is human paillomavirus?
Definition
sexual intimacy
Term
what are the clinical manifestations of human paillomavirus?
Definition
lesions found on the buttock, vulva, vagina, anus, and cervix, long term infections, may have "cauliflower- like" mass appearance, wart are usually flesh colored and painless, can cause obstructins for bowel passage and/ or birth
Term
how is human papillomavirus diagnosed?
Definition
history, pap test, evaluation of s/s, and physical exam, definate Dx done via biopsy of lesion/ wart
Term
what is the treatment for HPV?
Definition
there is no treatment available for the eradication of HPV
Term
how can you prevent HPV?
Definition
sexual abstinence, having long term and monogamous relationships, prophylactic vaccination
Term
What strain does the HPV vaccine prevent?
Definition
strains 6,11,16 & 18
Term
The HPV vaccine is recommended for who?
Definition
females ages 9-26 years old
Term
what STD are cause by viruses?
Definition
HSV 1&2, HPV
Term
what are the clincal manifestions of chlamydia?
Definition
spotting or postciotal bleeding, mucoid or purulent cervical drainage, dysuria, can be asymptomatic
Term
how can chlamydia be prevented?
Definition
sexual abstinence, condom use
Term
what STD are the gifts that keep on giving?
Definition
HPV & HSV
Term
How can gential warts cause by the HPV be managed?
Definition
cryotherapy or surgical removal
Term
what topical treatments can be used for genital warts associated with HPV?
Definition
imiquidmod, podophylin, podofilox
Term
what can be done to help manage the discomfort associated with genital warts?
Definition
oatmeal bath, drying area with hair drier on the cool setting, cottom underwear, loose fitting clothing
Term
what patient education should be done in regards to STDs?
Definition
-STD transmissions; mouth, vagina, penis, rectum, urethra.
- use of barrier methods
- low risk sexual behaviors
- avoid the exchange of body fluids
- reducing the # of partners
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