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1538 EXAM #1 QUESTIONS WITH COMPLETE ANSWERS
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1538 EXAM #1 QUESTIONS WITH COMPLETE ANSWERS
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1538 EXAM #1 QUESTIONS WITHCOMPLETE ANSWERS
GC/Chlamydia during pregnancy - Answer-Can have a direct affect on preterm labor
Pica - Answer-an abnormal craving or appetite for nonfood substances, such as dirt,
paint, or clay
Reportable STIs - Answer-- gonorrhea
- chlamydia - public health dept. (most commonly reported)
- syphilis
- HIV/AIDs
Chlamydia - Answer-S&S
- yellow mucus discharge
- odor
- abdominal pain (PID)
- pain after intercourse
- 75% women, 50% men asymptomatic
Treatment
- azithromycin 1g
-- refrain from sex 7 days post trmnt/ follow up
- Nucleic Acid Amplification Testing (NAAT)
-- urine or swab
Gonorrhea - Answer-S&S
--Men
- painful/ swollen testes
--Women (asymptomatic or overlooked)
- green discharge
- red swollen cervix
Treatment
- Rocephin 500mg IM
- azithromycin 1g
-- increased risk of drug resistance
Long-term side effects of STIs - Answer-- infertility
- arthritis
- endocarditis
Syphilis - Answer-- "the great imitator"
- start with **painless chancre
,- HIV pt's at highest risk
- highly infectious in the primary phase
- affects all the organ in late stages
Treatment
- penicillin
Dx
- VDLR/ RPR
-- (+) 10-14 days post appearance of chancre
Trichomoniasis - Answer-S&S
-"strawberry" cervix
- foul odor
- discharge
- dysuria
- men: pain with urination/ejaculation
Treatment
- Metronidazole (flagyl)- do drinking
- Tinidazole (Tindamax)
herpes simplex virus type 2 - Answer-Stages
-Initial stage
-Innoculation stage (burning/tingly feeling in genitals before outbreak)
-Vesicular stage
-Ulceration stage
-Final stage
- **painful lesions can last 17 days
- can shed
- additional outbreaks are less severe and heal faster
Treatment
- cyclovir drugs
-
Triggers
- stress
- fatigue
- before menstrual cycle
- sunburn
Dx:
- culture or blood test
, What can cause erectile dysfunction? - Answer-- hypertensives
- diabetics (high a1c)
- stressors (loss of loved one, loss of job)
- performance anxiety
- low testosterone
- substance use
Dyspareunia - Answer-- pain during/ or after sex
- peri/post menopausal women
- need water-based lube
- antihistamines, prolapsed uterus or bladder, psychological issues can cause it
- men: infection/inflammation, aging, psychosocial
HPV - Answer-Preventative
- vaccine (Gardasil)- only cover cancer-causing strains
S&S
- asymptomatic
Trmnt
- acids and gels
- ablative (laser or electrocautery)
- cryotherapy
- surgery
What link in the chain of infection needs to be broken for an STI? - Answer--
transmission
- portal of entry
- portal of exit
Adolescence education on STI's - Answer-- condom use
- birth control
- abstinence
- STI S&S
Doxycycline - Answer-- give for chlamydia and gonorrhea
- don't give to pregnant women and children
- no antacids
- no milk or calcium supplements
Treatment for ED - Answer-- oral medications (onset within 30-60 min)
-- cant give if they take nitrates or some CV drugs -> severe hypotension
- intraurethral gels
- penile implant/ pump
Altered libido - Answer-- can be from a variety of medical or non-medical causes
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