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NURP 531 Exam 2- Important Concepts Study Guide
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NURP 531 Exam 2- ImportantConcepts Study Guide
At what age do you screen for gonorrhea and chlamydia? - Answer 24 or less
at what age do you screen for STIs only if there are risk factors? - Answer 25 and up
VVC or vulvovaginal candidiasis is usually caused by? - Answer candida albicans
S&S of _________________:
thick, white, curd-like vaginal discharge that adheres to the vaginal walls; vulva may be
erythematous with some slight swelling; vagina may be red and slightly edematous;
vaginal itching, dysuria, dyspareunia are common - Answer Vulvovaginal candidiasis
(VVC)
What does a wet slide show for VVC? - Answer budding yeast and hyphae thin strands
What does KOH do when testing for VVC? - Answer kills epithelial cells so that yeast and
hyphae can show up
Uncomplicated tx for VVC - Answer fluconazole x1 dose; can do OTC creams
complicated VVC is considered when? - Answer occur >4 times per year, severe
symptoms, immunocompromised
Treatment for complicated VVC - Answer fluconazole in two doses 72 hours apart and
topical azole for 7-14 days (nystatin)
can use boric acid if other treatments do not work
T/F Chlamydia is often asymptomatic - Answer True
Caused by Chlamydia trachomatis - Answer Chlamydia
S&S of:
spotting, dysuria, dyspareunia, occasionally pelvic pain, bartholin gland infection,
salpingitis, mucopurulent cervical discharge or cervicitis, abdominal tenderness or CMT
(cervical motion tenderness), elevated WBS - Answer chlamydia
How do you dx Chlamydia? - Answer NAAT testing
Treatment of choice for chlaymida? - Answer Azithromycin 1gm po x1 dose
When treating chlamydia you should treat all sex partners in the last ________ days; pt
, should refrain from sex until ______ days after tx completed - Answer 60 days; 7 days
CAUSED BY NEISSERIA GONORRHOEAE - Answer gonorrhea
When treating gonorrhea you treat ___________ concurrently - Answer chlamydia
S&S:
vaginal discharge, bleeding and spotting, dysuria, labial edema, pain - Answer
Gonorrhea
Dx of Gonorrhea - Answer NAAT testing
Treatment for Gonorrhea - Answer Ceftriaxone 500mg IM (<150kg) AND doxycycline
100mg BID for 7 days if chlaymydia has not be excluded
Non-gonococcal Urethritis treatment: - Answer Azithromycin 1gram orally OR
Doxycycline 100mg BID for 7 days
protozoan infection; most prevalent non-viral STI - Answer Trichomoniasis
S&S:
50-70% asymptomatic: classic is strawberry cervix and copious amounts of
yellow-green vaginal discharge - Answer trich
Dx for trich is 3 out of 4 of these: - Answer 1. thin milky vaginal discharge
2. vaginal pH of >4.5
3. + Wiff test
4. 20% clue cells
AMSEL Dx Criteria stands for: - Answer A=Adherent bacteria
M=milky discharge
S=Stentch (+wiff)
EL=elevated pH
Treatment for Trich - Answer Flagyl 2gm po once
What should patient avoid and for how long when taking flagyl? - Answer avoid alcohol
for 24 hours before and after tx
HSV1= - Answer oral
HSV2= - Answer genital
Treatment for HSV2 outbreak when using valtrex for initial outbreak - Answer 1gram
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