Deck 95: Drug Therapy of Sexually Transmitted Diseases

Question 1

A patient is admitted to the hospital with fever,headache,malaise,joint pain,and enlarged lymph nodes. Blood cultures are positive for Treponema pallidum. The nurse recognizes this as which type of syphilis?

A) Congenital
B) Primary
C) Secondary
D) Tertiary

Answer 1

Secondary

Question 2

A newborn infant has been given erythromycin ophthalmic ointment as a routine postpartum medication. The infant's mother learns that she has a C. trachomatis infection and asks the nurse if her baby will need to be treated. Which response by the nurse is correct?

A) "The erythromycin ointment will prevent your baby from developing conjunctivitis."
B) "Without additional treatment, your baby could develop blindness."
C) "Your baby will need to be treated with oral erythromycin."
D) "Your baby will need to take doxycycline [Vibramycin] for 10 days."

Answer 2

"Your baby will need to be treated with oral erythromycin."

Question 3

A female patient has come to the STD clinic and has been diagnosed with a Trichomonas vaginalis infection. What education should be provided to this patient?

A) Male partners should always be treated, even if they are asymptomatic.
B) The applicator for the vaginal gel should be washed after each application.
C) The infection is not completely eliminated with the medication.
D) The medication should be taken twice daily for 2 weeks.

Answer 3

Male partners should always be treated, even if they are asymptomatic.

Question 4

A patient complains of painful urination. A physical examination reveals vesicles on her labia,vagina,and the foreskin of her clitoris. The nurse will expect to teach this patient about which medication?

A) Acyclovir [Zovirax]
B) Azithromycin [Zithromax]
C) Metronidazole [Flagyl]
D) Tinidazole [Tindamax]

Question 5

An adolescent patient with mild cervicitis is diagnosed with gonorrhea. The nurse will expect the provider to order which drug(s)?

A) Azithromycin [Zithromax], 1 gm PO once, and doxycycline [Vibramycin], 100 mg PO twice daily for 7 days
B) Ceftriaxone [Rocephin], 250 mg IM once, and azithromycin [Zithromax], 1 gm PO once
C) Ceftriaxone [Rocephin], 125 mg IM once
D) Doxycycline [Vibramycin], 100 mg IV twice daily for 12 days

Question 6

A patient admitted to the hospital is using metronidazole [Flagyl] 0.75% gel. The nurse understands that this agent is used to treat which condition?

A) Chlamydia trachomatis
B) Gardnerella vaginalis
C) Haemophilus ducreyi
D) Trichomonas vaginalis

Question 7

During a routine screening,an asymptomatic,pregnant patient at 37 weeks' gestation learns that she has an infection caused by Chlamydia trachomatis. The nurse will expect the provider to order which drug?

A) Azithromycin
B) Doxycycline
C) Erythromycin ethylsuccinate
D) Sulfisoxazole

Question 8

A nurse is teaching a group of adolescent students about sexually transmitted diseases. Which statement by a student indicates understanding of infections caused by C. trachomatis?

A) "C. trachomatis conjunctivitis in newborns can result in blindness."
B) "The CDC recommends screening for chlamydial infections in all sexually active men."
C) "Treatment for C. trachomatis should be initiated when infections are symptomatic."
D) "Women with asymptomatic Chlamydia trachomatis infections can become sterile."

Question 9

An adolescent patient comes to the clinic complaining of a burning sensation upon urination and a pus-like discharge from the penis. The nurse is correct to suspect that the patient has which disorder?

A) Gonorrhea
B) Herpes simplex
C) Nongonococcal urethritis
D) Syphilis

Question 10

Which infections may be acquired through nonsexual transmission? (Select all that apply.)

A) Chlamydia trachomatis
B) Gardnerella vaginalis
C) Herpes simplex
D) Neisseria gonorrhea
E) Treponema pallidum
F) None of above

Question 11

A patient is diagnosed with pelvic inflammatory disease (PID). Which treatment regimen is most appropriate for reducing the risk of sterility in this patient?

A) Azithromycin [Zithromax], 1 gm PO once, and cefoxitin, 2 gm IM once in the clinic
B) Ceftriaxone [Rocephin], 250 mg IM once, with doxycycline [Vibramycin], 100 mg PO twice daily for 14 days as an outpatient
C) Doxycycline [Vibramycin], 100 mg IV twice daily, and cefoxitin, 2 gm IV every 6 hours in the hospital
D) Doxycycline [Vibramycin], 100 mg PO twice daily for 14 days, and metronidazole [Flagyl], 500 mg PO twice daily for 14 days in the hospital