NUR 624 STD/ST Exam questions and answers
When treating a minor for anything reproductive you can treat without parent permission T or F
TRUE; parents cannot have access to their medical records
Syphilis is caused by what organism?
Treponema pallidum (spirochete)
Syphilis may also be referred to as "bad blood" and 2/3 of cases come from
men having sex with men
Primary syphilis main presentation is
painless chancre AT SITE OF INOCULATION (mouth, penis etc) occur 2-3 weeks after exposure
In women, primary syphilis is commonly undetected bc
the painless ulcer may occur in the cervix, anus, back of throat. Men know bc it's on tip of penis
What stages of syphilis are infectious
primary (infectious) and secondary (very infectious)
latent you are NOT infectious
**Primary syphilis goes away 3-6 weeks without treatment but will progress to secondary if not
treated**
Secondary syphilis occurs __ - __ weeks after primary and the hallmark sign is
6-8 weeks; hallmark sign is RASH; painless, maculopapular rash on palms of hands and soles of feet but
usually on trunk and other areas of the body.
Also split pea rash in mouth
other symptoms associated with secondary syphilis include
enlarged lymph nodes
Secondary syphilis will resolve within weeks to months but if left untreated with progress to latent
Latent syphilis is characterized by
NO symptoms but you are still sero positive
(2) stages in latent syphilis: Early and Late
Early: got syphilis WITHIN the last year and no symptoms. If untreated can have relapse and have
symptoms again and be infectious
, Late: after 1 year or unknown; NOT INFECTIOUS
Tertiary syphilis can occur decades after untreated latent and cause
chronic infx, immune response and effects the cardiovascular system, skin (causing gummatous) and
neuro system
late neurosyphilis
Neurosyphilis can occur when
a variation of syphilis that infects the nervous system; can occur within 1 hour of inoculation
ANY STAGE OF SYPHILIS
How is neurosyphilis diagnosed?
spinal tap
In early neurosyphilis you have:
In late you have:
Early: meningitis, stroke like symptoms
Late: dementia and paralysis
Congenital syphilis
a syphilis infection in a newborn baby resulting from transmission from an infected mother; birth-48
mon;
S/S: rash, fever, and signs of neurosyphilis such as bulging fontanels and seizures
other dx for syphilis is serum blood test; nontreponemal and treponemal
Nontreponemal: VDRL and RPR will be positive within 3 weeks of primary infx. Then will go back to
negative
Treponemal are specific tests that can be used earlier than 3 weeks but may remain + indefinitely so
cannot use to assess for reinfection
Definite exam of syphilis is
darkfield exam of lesion exudate
treatment of primary and secondary syphilis and EARLY latent
Penicillin G 2.4 million units IM once
Treatment of LATE latent syphilis and tertiary
When treating a minor for anything reproductive you can treat without parent permission T or F
TRUE; parents cannot have access to their medical records
Syphilis is caused by what organism?
Treponema pallidum (spirochete)
Syphilis may also be referred to as "bad blood" and 2/3 of cases come from
men having sex with men
Primary syphilis main presentation is
painless chancre AT SITE OF INOCULATION (mouth, penis etc) occur 2-3 weeks after exposure
In women, primary syphilis is commonly undetected bc
the painless ulcer may occur in the cervix, anus, back of throat. Men know bc it's on tip of penis
What stages of syphilis are infectious
primary (infectious) and secondary (very infectious)
latent you are NOT infectious
**Primary syphilis goes away 3-6 weeks without treatment but will progress to secondary if not
treated**
Secondary syphilis occurs __ - __ weeks after primary and the hallmark sign is
6-8 weeks; hallmark sign is RASH; painless, maculopapular rash on palms of hands and soles of feet but
usually on trunk and other areas of the body.
Also split pea rash in mouth
other symptoms associated with secondary syphilis include
enlarged lymph nodes
Secondary syphilis will resolve within weeks to months but if left untreated with progress to latent
Latent syphilis is characterized by
NO symptoms but you are still sero positive
(2) stages in latent syphilis: Early and Late
Early: got syphilis WITHIN the last year and no symptoms. If untreated can have relapse and have
symptoms again and be infectious
, Late: after 1 year or unknown; NOT INFECTIOUS
Tertiary syphilis can occur decades after untreated latent and cause
chronic infx, immune response and effects the cardiovascular system, skin (causing gummatous) and
neuro system
late neurosyphilis
Neurosyphilis can occur when
a variation of syphilis that infects the nervous system; can occur within 1 hour of inoculation
ANY STAGE OF SYPHILIS
How is neurosyphilis diagnosed?
spinal tap
In early neurosyphilis you have:
In late you have:
Early: meningitis, stroke like symptoms
Late: dementia and paralysis
Congenital syphilis
a syphilis infection in a newborn baby resulting from transmission from an infected mother; birth-48
mon;
S/S: rash, fever, and signs of neurosyphilis such as bulging fontanels and seizures
other dx for syphilis is serum blood test; nontreponemal and treponemal
Nontreponemal: VDRL and RPR will be positive within 3 weeks of primary infx. Then will go back to
negative
Treponemal are specific tests that can be used earlier than 3 weeks but may remain + indefinitely so
cannot use to assess for reinfection
Definite exam of syphilis is
darkfield exam of lesion exudate
treatment of primary and secondary syphilis and EARLY latent
Penicillin G 2.4 million units IM once
Treatment of LATE latent syphilis and tertiary
