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What has a section removed from it for a vasectomy?
Vas Deferens
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Where is the sperm stored?
Scrotum
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What is the cordlike excretory duct of the semen in the testicle?
Epididymus
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What is it called when the prepuce constricts, and if not cared for properly, can adhere, requiring intervention such as circumcision?
Phimosis
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What is the skin covering the glans penis, which is sometimes removed (circumcision)?
Prepuce
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What is the area on a female called that has hair growth in the genital area?
Mons Pubis
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What engorges with blood on a female when sexually aroused?
Clitoris
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What is a person called when they have sexual organs of both genders?
Hemaphrodite
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In relation to gender, what is established at conception (DNA), and is further influenced at puberty and by hormones?
Biological Identity
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In relation to gender, what is a sense of masculinity/feminism, and is influenced by social expectations and behaviors?
Gender Identity
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In relation to gender, what is a clear and persistent erotic desire for a specific gender?
Sexual Orientation
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What are three requirements when gathering a patients history?
- Privacy (try to get EVERYONE else out of the room regardless of who they are, promotes honesty)
- Trust (confidentiality)
- Comfort
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How can you wash off syphilis?
Soap and water
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If pregnant with syphilis, how old is the fetus when treated?
18 months, after that, it’s in the fetus’s blood stream
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T/F Syphilis is often associated with other STDs.
True
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How is syphilis diagnosed?
- Culture if recently acquired-Venereal disease research lab test (VDRL)
- Blood test if had for while-Rapid plasma regain test
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Syphilis is caused by what, and what type of pathogen is it?
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How is syphilis transmitted?
- Sexual intercourse during 1st two stages
- Lesions
- Needles
- Mother to fetus
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List the stages of Syphilis in the correct order and give a brief description of each
- Primary
- Secondary
- Latent
- Tertiary
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What is present during the Primary stage of syphilis?
Chancre (ulcers in genital area, usually only 1-3, painless)
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What are chancres?
Ulcers in genital area, usually only 1-3, painless
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What is present during the Secondary stage of syphilis?
- Skin rashes-can be throughout whole body, but concentrated on palms and soles of feet
- Patchy hair loss
- Enlarged lymph nodes
- Fatigue
- Lesions those are moist, raised, and gray to pink on genital/perirectal
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What symptoms are present during the Latent stage of syphilis?
None, patient is asymptomatic during this stage
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What is present during the Tertiary stage of syphilis?
- Lesions in any organ
- Dementia
- Pain, and loss of sensation in the legs
- Attacks brain and heart
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What is the Ping-Pong effect?
Re-exposure after treatment due to not treating partner for STD
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What is the treatment for gonorrhea?
One time treatment of 1 gram rocephin IM, and 1 gram zithromax PO
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What pathogen is gonorrhea caused by?
N. gonorrhoea
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How is gonorrhea diagnosed?
Culture
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What are the S&S of gonorrhea with men and women?
- Men: resembles UTI
- Females: vaginal discharge
- Both: can have eye infections, nausea and vomiting
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What could you educate a patient about regarding gonorrhea?
- Wear loose and absorbent under garments
- Good hygiene
- Sitz bath (decreases lower abd discomfort and dysuria)
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What is the most commonly occurring STD in the US?
Chlamydia
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What is the most common communicable disease in the US?
Gonorrhea
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What is the 3rd most frequently reported communicable disease in the US?
Syphilis
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What type of med is used for Chlamydia?
Antibiotic
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How is Chlamydia diagnosed?
Culture and direct fluorescent antibody test (DFA)
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What are some S&S of Chlamydia?
- Can be asymptomatic
- Females: vaginal itching, burning, irregular bleeding
- Males: burning urination
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How can Chlamydia lead to sterility?
- It can scar fallopian tubes, which can lead to ectopic pregnancies
- Need to remove fallopian tube and possibly ovaries due to damage
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Trichomoniasis is caused by what pathogen and what type is it?
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What kind of environment does Trichomoniasis thrive in and how can the vagina become more susceptible to it?
- Alkalinic
- Vagina is acidic, though semen, douching, oral contraceptives and some antibiotics reduce acidity, making it more alkalinic
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What are some S&S of Trichomoniasis?
- Most are aysmptomatic
- Famales: vaginal itching, discharge (frothy, profuse, gray, green or yellow and smells)
- Males: purulent discharge, itching, dysuria (burning sensation)
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How Trichomoniasis treated and what are some things to teach about the treatment?
- Flagile
- Urine turns dark brown
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How is Trichomoniasis diagnosed?
Microscopic exam of discharge aka ‘wet prep’
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What are some S&S of Candidiasis? (aka yeast infection)
- Females: cottage cheese like discharge, itchy, inflamed vulva
- Males: purulent discharge, exudates
- Systemic S&S: chills, fever, general malaise
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How is Candidiasis treated? (aka yeast infection)
- Diflucan (one pill)
- Nystatin
- “Yogurt Therapy”
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What are some S&S of Genital Herpes 1 and 2? (HSV)
- Fluid filled vesicles, eventually turning to red ulcers with halo
- Possible to get into exposed cuts and become systemic
- 1st time, get flu-like S&S then outbreaks
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When is Genital Herpes 1 and 2 (HSV) contagious?
- 12-24 hrs prior to tingling which happens before outbreak
- Can also transfer to fetus if delivered vaginally (can get into lungs and/or eyes)
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Prevention of Genital Herpes 1 and 2 (HSV) requires what type of condom?
Latex
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How is Genital Herpes 1 and 2 (HSV) treated?
- Acyclovir to inhibit viral replication
- Pain control, usually lydocain (topical) or codeine (PO), or aspirin (PO)
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What are some NI that can be done r/t Genital Herpes 1 and 2 (HSV)?
- Educate to wear loose under garments
- Sites sensitive to heat
- Nutrition
- Sitz Bath-soothes area and reduces inflammation
- Hygiene-keep area clean and dry
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