STDs

Question 1

strawberry (petechiae) cervix with FROTHY yellow-green discharge

Answer 1

trichomoniasis

Question 2

how do you treat trichomoniasis?

Answer 2

Flagyl 500mg x 1

Question 3

(+) whiff test

Answer 3

Bacterial vaginosis

Question 4

white, malodorous/fishy discharge

Answer 4

bacterial vaginosis

Question 5

treatment for bacterial vaginosis

Answer 5

Flagyl 500 BID x 7 days

Question 6

what is the treatment for gonorrhea? What else do you treat for?

Answer 6

ceftriaxone (Rocephin) IM
(+) Azithromycin PO
Also treat for Chlamydia with doxy

Question 7

non-pruritic rash to palms and soles of feet with flu-like symptoms spread by sexual contact.

Answer 7

Syphilis

rash is the most contagious stage

Question 8

blood test to diagnose syphilis?

Answer 8

RPR- rapid plasma reagin

Question 9

treatment for chlamydia?

if pregnant?

Answer 9

Doxycycline or Azithro

if pregnant- Azithromycin

Question 10

treatment for HPV/genital warts

Answer 10

-Podofilox (Condylox) gel (contraindicated in pregnancy)
-Imiquimod (Aldara) cream
leave on 6-10 hrs and wash off
-Cryotherapy

Question 11

treatment for genital warts/HPV if pregnant

Answer 11

Trichloroacetic acid(TCA)

Question 12

what CD4 count diagnoses HIV?

Answer 12

CD4 < 200

*you want a high CD4 count, the higher the CD4 means a better immune system

Question 13

what is the best signs of HIV treatment being successful?

Answer 13

an undetectable viral load < 50

Question 14

What STD is associated with a painless chancre as the initial lesion?

Answer 14

syphilis

Question 15

what is the treatment for syphilis?

Answer 15

IM benzathine penicillin

Question 16

is flagyl safe for pregnancy to treat BV?

Answer 16

yes

Question 17

what is vulvovaginal candidiasis?

and how do you treat it?

Answer 17

yeast infection
fluconazole (Diflucan) oral single dose (not if pregnant)
or topical miconazole (Monistat)

Question 18

What STD is more symptomatic in men and presents as purulent green or milky urethral discharge, dysuria, and testicular pain?

Answer 18

gonorrhea

Question 19

what strains of HPV are highest risk for cervical cancer?

Answer 19

16 and 18

Question 20

can a person with HIV get live vaccines?

Answer 20

NO

Question 21

What range do you want the viral load to be in for successful HIV treatment?

Answer 21

< 50

Question 22

What is the chandelier test positive for?

Answer 22

cervical motion tenderness

pelvic inflammatory disease

Question 23

treatment for PID

Answer 23

IM ceftriaxone + doxy

Question 24

What does the NAAT test screen for?

Answer 24

Chlamydia and Gonorrhea

Question 25

White cheese like vaginal discharge, swelling, redness, itching.
BV, trichomoniasis, or candida

Answer 25

candida

Question 26

cauliflower shaped warts

Answer 26

HPV

Question 27

What is condyloma acuminate?

Answer 27

genital warts/HPV

Question 28

The acetowhitening tests for what STD?

Answer 28

HPV

Question 29

Which HPV strains cause genital warts?

Answer 29

6 & 11

Question 30

Jarisch-Herxheimer reaction

Answer 30

immune mediated reaction (flu-like symptoms, rash) to treatment of antibiotics (penicillin for syphilis)

Question 31

Fitz-Hugh Curtis Syndrome

Answer 31

inflammation of the liver d/t chlamydia, gonorrhea, or PID