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What STDs can be prevented with condom use? (4)
- 1) Chlamydia
- 2) Pelvic Inflammatory Disease (PID)
- 3) Gonorrhea
- 4) HIV some protection
Condomes (can/can not) protects you from infection of these STDs.
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Discribe chlamydia.
- Typically silent
- •Asymptomatic
- •Dysuria
- •Abnormal vaginal discharge
- Highly destructive
- •Salpingitis: acute infection of the fallopian tubes
- •Pelvic inflammatory disease (PID)
- •Infertility
This discribes what STD?
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How do you test for chlamydia?
You test for ______with a cervical or urethral swab or urine test.
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What do you use to treat chylamydia. Treat both patient and partner. When shuld you retest?
You treat ______ with Azithromycin or Doxycyline. You should retest in 3 weeks.
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This STD is
–Often asymptomatic or greenish-yellow purulent endocervical discharge, pharyngitis
•Also spread by oral-genital, genital-anal contact
–Sequelae:
•PID
•Salpingitis
•Fertility issues
Discribe Gonorrhea.
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How do you test for gonorrhea
You test for gonorrhea with a cervical or urethral swab and urine test.
NOQ
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How do you treat Gonorrhea.
To treat this STD you would treat the patient and partner(s) with Rocephin or Suprax (now resistant to quinolones)
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Discribe Pelvic inflammatory disease (PID)
An infection of the uterus (endometritis), fallopian tubes (salpingitis) related to multiple organisms, but most commonly as a result from Chlamydia or Gonorrhea exposure.
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What are the symptoms of Pelvic Inflammatory Disease (PID)? (8)
Syptoms of ____ ____ disease include fever, chills, nausea, vomiting, increased vaginal discharge, dysuria, irregular bleeding, and abdominal/pelvic pain.
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How do you treat Pelvic Inflammatory Disease (PID)?
This STI is treated with broad spectrum antibiotics – inpatient or outpatient setting.
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What are some pregnancy risks and complications with Chlamydia? (3)
- 1) Premature rupture of membranes (PROM)/preterm birth
- 2) Neonatal conjunctivitis
- 3) Neonatal pneumonia
These are some pregnancy risks and complications with what STD?
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What are some pregnancy risks and complications with Gonorrhea? (5)
- 1) Intraamniotic infection
- 2) Preterm labor/PROM/preterm birth
- 3) Postpartum endometritis
- 4) Newborn sepsis
- 5) Neonatal conjunctivitis
These are some pregnancy risks and complications with what STD?
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Syphillis has three stages, discribe the Primary stage.
- The _____ stage of syphillis is characterized by a painless papule at the site of inoculation that erodes to a large ulceration with a firm base (chancre)
- –5-90 days following exposure
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What is a chancre?
A painless papule at the site of inoculation in syphillis that erodes to a large ulceration with a firm base. This is a hard primary ulcer, the 1st sign of syphillis.
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Syphillis has three stages, discribe the Secondary stage.
The _____ stage of syphillis is characterized by symmetric maculopapular rash on the palms and soles and generalized lymphadenopathy, headache, and malaise.
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Syphillis has three stages, discribe the Tertiary stage.
The _____ stage of syphillis is characterized by neurologic and cardiovascular, musculoskeletal or multiorgan system complications.
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What is used for the initial screening for Syphillis? (2)
- 1) Venereal Disease Research Laboratory (VDRL) or
- 2) Rapid Plasma Reagent (RPR)
These are used for the initial screening of what STD.
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If you get a positive screen on the initial tests for syphillis what would you confirm with? (2)
- Confirmation would be done with
- 1) FTA-ABS
- 2) MHA-TP
These would be the confirmation tests done for what STD?
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What's the treatment for syphillis?
Penicillin G benzathine or doxycycline is the treatment for what STI?
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What STIs will condoms not protect against? (4)
- 1) Syphillis- if not covering the lesion
- 2) Genital Herpes
- 3) HPV ???
- 4) Hep B & C
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What is Jarisch-Herxheimer reaction?
This is sometimes a reaction to treatment of syphillis marked by an acute febrile reaction often accompanied by headache, myalgias, and arthralgias that develop within the 1st 24 hours of treatment.
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Jarisch-Herxheimer reaction is self limiting but pregnant women should be monitored for contractions and fetal movement if in the ___ or ___ trimester.
_____-_____ reaction is self limiting but pregnant women should be monitored for contractions and fetal movement if in the 2nd or 3rd trimester.
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This STI hurts
What's a big indicator of genital herpes.
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What are the two types of Herpes?
- 1) HSV1 – usually oral (cold sores – not considered to be an STI unless cultured in the genital area)
- 2) HSV2 – most often genital lesions although cross contamination is possible
These are the two types of what STI?
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What is the progression of symptoms with genital herpes?
Symptoms often begin with flu-like prodrome, then burning or tingling at site of infection, followed by eruption of painful vesicles then ulcerations at the site of infection.
This discribes what STI?
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Is genital herpes curable?
No, Its the gift "STD" that keeps on giving.
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How do you test for genital herpes? (2)
- 1) Culture of active lesions
- 2) Serum antibodies (not specific)
These are test for what STI?
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How do you treat genital herpes?
Treatment of ____ ____ is with antiviral medication – acyclovir, valacyclovir, famvir.
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Acyclovir, Valacyclovir, and Famvir would be used ot treat what STD?
What would be used to treat genital herpes?
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What are some patient teachings with genital herpes? (3)
- 1) Patients need to be educated on handwashing, limiting sexual contact during outbreaks and prodrome
- 2) Virus can be shed even at times when patient is not experiencing an outbreak
- 3) Condoms do not protect
These are patient teachings with what STD?
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What are some pregnancy risks with Syphillis? (4)
- 1) Miscarriage
- 2) Preterm labor/birth
- 3) Congenital infection
- 4) Stillbirth
These are some pregnancy risks with what STD?
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What are some pregnancy risks with Herpies simplex. (3)
- 1) Systemic infection in the newborn
- 2) Cesarean delivery if active lesions
- 3) Acyclovir OK in pregnancy (book states otherwise)
These are some pregnancy risks with what STD
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Define Condyloma accuminatum.
A wart, typically found on teh genitals, the perineum, the anus, or the sucosal suraces of the vagina or mouth. It is caused by various types of human papilloma virus.
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Define Dysuria.
Painful or difficult urination.
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Define Dyspareunia.
Pain in the labia, vagina, or pevis during or after sexual intercouse.
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Define Kernicterus.
A form of jundice occuring in newborns during the second to eighth day after birth. The prognosis is poor if left untreated.
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