AHN 577 Infectious Disease Part 3 Questions &
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What bacteria causes syphilis? - (answer)Treponema pallidum
Primary syphilis symptoms - (answer)Painless ulcer/chancre
Secondary syphilis symptoms - (answer)Nontender enlargement of lymph
nodes
Late (tertiary) syphilis symptoms - (answer)Fluid expression from lesions
Diagnosing non-treponemal syphilis - (answer)- VDRL
- RPR
* Positive 4-6 wks after infection or 1-3 wks after appearance of lesion
Diagnosing treponemal syphilis - (answer)- TPHA
- TPPA
- FTA-ABS
CSF testing for syphilis - (answer)If neuro syphilis suspected
Preferred treatment for syphilis - (answer)- PCN
- Doxy if PCN allergic
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Mode of transmission for lyme borreliosis - (answer)Through ticks
- Most prevalent in spring and summer
Characteristic of lesion in lyme borreliosis - (answer)Bulls-eye lesion,
commonly in areas of tight clothing, such as groin, thigh, or axilla
Lyme disease s/s - (answer)- Facial palsy
- Arthritis/arthralgia/stiff neck
- Encephalomyelits
- Peripheral neuropathy
Criteria for lyme disease diagnosis - (answer)- Person with exposure potential
within last 30 days
- At least one late manifestation of disease
- Lab confirmation (antibodies on ELISA test)
Preferred treatment for lyme disease - (answer)- Doxy
- Amoxicillin
- Cefuroxime
Types of spirochete - (answer)- Lyme borreliosis
- Treponema pallidum (syphilis)
Mode of transmission for HSV 1 - (answer)Kissing, oral sex
Area primarily affected by HSV 1 - (answer)oral, genital