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:
, / . Sec-ondary,/.stage,/.of,/.syphilis
4. causes, / . progressive, / . inflammatory, / . changeswhich, / . can, / . impact, / . multiple, /
. organ
• Manifestations, / . include:, / . aortitis, / . and, / . neurosyphilis(dementia,, / . psycho
sis,, / . paresis,,/.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,/.vagi
ni-tis•,/.--
Men:,/.s/s,/.are,/.more,/.common,,/.burning,/.on,/.urination,,/.penile,/.discharge,,/.painf
ul/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,/.discolore
d),,/.and,/.vulvitismay,/.occur,/.leading,/.to,/.burning,/.and,/.itching:,/.Trichomoniasis
8. Metronidazole,/.or,/.Tinidazole,/.are:,/.treatments,/.for,/.trichomoniasis
9. :
,10. PSA,/. levels,/. should,/. be,/. less,/. than:,/. <4,/.ng/mL
, 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, / . trans
mission,/.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,/.nitrite
s
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, / . ris
k, / . 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, / .
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:
, / . Sec-ondary,/.stage,/.of,/.syphilis
4. causes, / . progressive, / . inflammatory, / . changeswhich, / . can, / . impact, / . multiple, /
. organ
• Manifestations, / . include:, / . aortitis, / . and, / . neurosyphilis(dementia,, / . psycho
sis,, / . paresis,,/.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,/.vagi
ni-tis•,/.--
Men:,/.s/s,/.are,/.more,/.common,,/.burning,/.on,/.urination,,/.penile,/.discharge,,/.painf
ul/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,/.discolore
d),,/.and,/.vulvitismay,/.occur,/.leading,/.to,/.burning,/.and,/.itching:,/.Trichomoniasis
8. Metronidazole,/.or,/.Tinidazole,/.are:,/.treatments,/.for,/.trichomoniasis
9. :
,10. PSA,/. levels,/. should,/. be,/. less,/. than:,/. <4,/.ng/mL
, 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, / . trans
mission,/.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,/.nitrite
s
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, / . ris
k, / . 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, / .
