W&I Test2 (Part9)

• 1) Chlamydia
• 2) Pelvic Inflammatory Disease (PID)
• 3) Gonorrhea
• 4) HIV some protection

Condomes (can/can not) protects you from infection of these STDs.

• 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?

You test for ______with a cervical or urethral swab or urine test.

You treat ______ with Azithromycin or Doxycyline. You should retest in 3 weeks.

Discribe Gonorrhea.

You test for gonorrhea with a cervical or urethral swab and urine test.

NOQ

To treat this STD you would treat the patient and partner(s) with Rocephin or Suprax (now resistant to quinolones)

An infection of the uterus (endometritis), fallopian tubes (salpingitis) related to multiple organisms, but most commonly as a result from Chlamydia or Gonorrhea exposure.

Syptoms of ____ ____ disease include fever, chills, nausea, vomiting, increased vaginal discharge, dysuria, irregular bleeding, and abdominal/pelvic pain.

This STI is treated with broad spectrum antibiotics – inpatient or outpatient setting.

• 1) Premature rupture of membranes (PROM)/preterm birth
• 2) Neonatal conjunctivitis
• 3) Neonatal pneumonia

These are some pregnancy risks and complications with what STD?

• 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?

• 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

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.

The _____ stage of syphillis is characterized by symmetric maculopapular rash on the palms and soles and generalized lymphadenopathy, headache, and malaise.

The _____ stage of syphillis is characterized by neurologic and cardiovascular, musculoskeletal or multiorgan system complications.

• 1) Venereal Disease Research Laboratory (VDRL) or
• 2) Rapid Plasma Reagent (RPR)

These are used for the initial screening of what STD.

• Confirmation would be done with
• 1) FTA-ABS
• 2) MHA-TP

These would be the confirmation tests done for what STD?

Penicillin G benzathine or doxycycline is the treatment for what STI?

• 1) Syphillis- if not covering the lesion
• 2) Genital Herpes
• 3) HPV ???
• 4) Hep B & C

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.

_____-_____ reaction is self limiting but pregnant women should be monitored for contractions and fetal movement if in the 2nd or 3rd trimester.

What's a big indicator of genital 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?

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?

No, Its the gift "STD" that keeps on giving.

• 1) Culture of active lesions
• 2) Serum antibodies (not specific)

These are test for what STI?

Treatment of ____ ____ is with antiviral medication – acyclovir, valacyclovir, famvir.

What would be used to treat genital herpes?

• 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?

• 1) Miscarriage
• 2) Preterm labor/birth
• 3) Congenital infection
• 4) Stillbirth

These are some pregnancy risks with what STD?

• 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

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.

Painful or difficult urination.

Pain in the labia, vagina, or pevis during or after sexual intercouse.

A form of jundice occuring in newborns during the second to eighth day after birth. The prognosis is poor if left untreated.