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1. Spirochete: Treponema pallidum: syphilis
2. • A painless lesion, a chancre, develops on the genitals
• The chancre may be present for up to 3-12 weeks
2-3 weeks after exposure: Primary stage of syphilis
3. • A rash develops on the trunk and extremities (hands andfeet)
• Contact with lesions can cause spread of infection
• Other s/s include: arthritis, meningitis, fever, malaise,and weight loss: Secondary
stage of syphilis
4. causes progressive inflammatory changeswhich can impact multiple organ
• Manifestations include: aortitis and neurosyphilis(dementia, psychosis, pare-
sis, stroke, or meningitis): Tertiary stage of syphilis
5. Syphilis management: • Antibiotics are the primary method of treatment
• Penicillin G is the first line choice
• If allergic, doxycycline is alternate
6. • Most common in women 15-24 yrs old
• Often asymptomatic• s/s include
• Women: purulent discharge in the endocervical canal, UTI s/s, and vagini-
tis• --Men: s/s are more common, burning on urination, penile discharge,
painful/swollen testis: Chlamydia and gonorrhea
7. • Flagellated protozoan
• Per the CDC, about 3.7 million cases per year inthe US
• Can be asymptomatic which increases chancesof spread
• Increases risk for HIV, pregnancycomplications, infertility, and PID
• May lead to cervical cellular changes
• S/S include: malodorous vaginal discharge(may be frothy and discolored), and
vulvitismay occur leading to burning and itching: Trichomoniasis
8. Metronidazole or Tinidazole are: treatments for trichomoniasis
9. HSV-1 (genital herpes):
10. PSA levels should be less than: <4 ng/mL
, NSG-3250 EXAM 4
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11. Dysuria and nocturia and high levels of PSA are indications of: Prostatitis, BPH, or
Prostate cancer
12. Tamulosin: helps improve urine flow
13. a recurrent, lifelong viral infection that has the potential for transmission
throughout the lifespan
Initial infection is extremely painful and lasts 2-4 weeks: Genital herpes
14. Non cancerous prostatic enlargement: BPH
15. prostate-specific antigen (PSA): blood test that measures the level of prostate-specific antigen in the
blood
16. Tanulosin, finasteride, or surgical management can treat: BPH
17. epididymitis: inflammation of the epididymis that is frequently caused by the spread of infection from the
urethra or the bladder
18. hydrocele: a fluid-filled sac in the scrotum along the spermatic cord leading from the testicles
19. urethral stricture: abnormal narrowing of the urethra
20. erectile dysfunction: inability of an adult male to achieve an erection; impotence
21. What medications do you not want to take with slidinaphil?: Other nitrites
22. Most common types of cancers on penis: Squamous cell carcinoma around the foreskin
23. Weakened immune system, smoking, or over the age of 60 are risk factors
for: Neoplasms of penis
24. risk of prostate surgery: Risk of impotence (pudendal nerve damage)
25. Estrogen is used for: Menopause
26. Tadalafil: erectile dysfunction
27. The rash that occurs in secondary syphilis occurs ________ after the chancer-
: 1-6 months
28. Can fluids from syphilis lesion be transmitted?: YES
29. After the secondary stage, there is a period of _______: latency
30. Do you treat syphilis with antibiotics or antivirals?: Antibiotics
31. Be sure to wear _______ while dealing with syphilis lesions: gloves
32. Chlamydia infections are more common in _______ between the ages of __
and __: females