thera STD

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coal
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246804
Filename:
thera STD
Updated:
2013-11-14 00:44:02
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thera STD
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thera STD
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  1. 6 risk factors of STD's
    • age
    • gender
    • # of sex partners
    • MSM
    • prostitution
    • illicit drug use
  2. organism that causes syphilis
    treponema pallidum
  3. 4 stages of syphilis
    • primary
    • secondary
    • latent
    • tertiary/neurosyphilis
  4. presentation of primary syphilis
    single painless chancre on external genitalia persisting for 1-8 weeks, heals without treatment
  5. presentation of secondary syphilis
    • rash - nonpuritic
    • malaise
    • fever
    • HA
    • pharyngitis
    • develops 2-8 weeks after untreated chancre
  6. presentation of latent syphilis
    usually asymptomatic but with a positive serologic test
  7. what is a pt considered in early latent syphilis
    infectious
  8. what is a pt considered in late latent syphilis
    host
  9. presentation of tertiary syphilis
    • gummatous lesions involving any organ or tissue
    • up to 50% of pts develop w/disease progression
  10. organism responsible for genital herpes
    herpes simplex virus - types 1 & 2
  11. 5 stages of genital herpes
    • primary mucocutaneous infection
    • infection of the ganglia
    • establishment of latentcy
    • reactivation
    • recurrent infection
  12. organism causing chancroid
    haemophilus ducreyi
  13. 4 criteria for making a chancroid diagnosis
    • >1 painful genital ulcers
    • no evidence of T. pallidum infection
    • negative HSV culture for ulcer exudate
    • typical clinical presentation
  14. most common viral STD
    HPV
  15. how to diagnose HPV
    • pap smear
    • HPV-DNA testing
  16. organism causing chlamydia
    chlamydia trachomatis
  17. most commonly reported infectious disease
    chlamydia
  18. most common cause of genital ulceration
    genital herpes
  19. S&S of chlamydia in men
    • dysuria
    • urinary frequency
    • mucoid discharge
    • 50% asymptomatic
  20. S&S of chlamydia in women
    • endocervitis
    • mucopurulent discharge
    • usually asymptomatic
  21. 3 diagnostic methods for chlamydia
    • endocervical or urethral swab - gold standard
    • enzyme immunosorbent assay (EIA)
    • nucleic acid amplification tests (NAAT's)
  22. organism causing gonorrhea
    Neisseria gonorrhoeae
  23. symptoms of gonorrhea in men
    • urethritis
    • dysuria
    • urinary frequency
    • purulent discharge
  24. symptoms of gonorrhea in women
    • usually asymptomatic
    • otherwise same as men
    • urethritis
    • dysuria
    • urinary frequency
    • purulent discharge
  25. organism causing pelvic inflammatory disease
    • N. gonorrhoeae
    •    and/or
    • C. trachomatis
  26. symptoms of pelvic inflammatory disese
    • lower abdominal pain
    • fever
    • 2/3 of women are asymptomatic
  27. minimum diagnostic criteria for pelvic inflammatory disease
    • uterine/adnexal tenderness
    •         or
    • cervical motion tenderness
  28. 5 complications from pelvic inflammatory disease
    • ectopic pregnancy
    • infertility
    • dyspareunia
    • pelvic adhesions
    • chronic pelvic pain
  29. organism causing trichomoniasis
    trichomonas vaginalis
  30. symptoms of trichomoniasis in women
    • vaginal d/c (malodorous, green/yellow, foamy)
    • vulvar pruritus
    • dysuria
    • 50% asymptomatic
  31. 3 diagnosis mechanisms for trichomoniasis
    • wet-mount of vaginal secretions
    • pH of vaginal discharge >5
    • monoclonal AB, DNA probes or PCR
  32. organism causing bacterial vaginosis
    polymicrobial but associated with gardnerella vaginalis
  33. diagnosis of BV - 4 criteria (3 must be present)
    • homogenous, thin, white discharge that smoothly coats vaginal wall
    • clue cells on microscopic exam
    • vaginal fluid pH > 4.5
    • fishy odor from vaginal discharge before or after the addition of 10% KOH

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