Deck 44: Sexually Transmitted Infections and Vaginitis

Question 1

Demione is a 24 year old who is 32 weeks pregnant and has tested positive for syphilis.The best treatment for her would be:

A) IM ceftriaxone
B) IM benzathine penicillin G
C) Oral azithromycin
D) Any of the above

Answer 1

IM benzathine penicillin G

Question 2

Sophie presents to clinic with a malodorous vaginal discharge and is confirmed to have Trichomonas infection.Treatment for her would include:

A) Metronidazole 2 grams PO x 1 dose
B) Topical intravaginal metronidazole daily x 7 days
C) Intravaginal clindamycin daily x 7 days
D) Azithromycin 2 grams PO x 1 dose

Answer 2

Metronidazole 2 grams PO x 1 dose

Question 3

Treatment for chancroid in a non-pregnant patient would be:

A) Oral azithromycin
B) IM ceftriaxone
C) Oral ciprofloxacin
D) Any of the above

Answer 3

Any of the above

Question 4

In addition to antimicrobial therapy,patients treated for Trichomonas infection should be educated regarding:

A) Necessity of treating sexual partner simultaneously
B) Abstaining from intercourse until both partners are treated
C) Need for retesting in 3 months due to high reinfection rate
D) All of the above

Question 5

When treating suspected gonorrhea in a non-pregnant patient,the patient should be concurrently treated for Chlamydia with:

A) Azithromycin 1 gram PO x 1
B) Amoxicillin 500 mg PO x 1
C) Ciprofloxacin 500 mg PO x 1
D) Penicillin G 2.4 million units IM x 1

Question 6

Zoe presents with genital warts present on her labia.Patient-applied topical therapy for warts includes:

A) Podofilox 0.5% gel
B) Podophyllin 10% resin
C) Trichloracetic acid
D) Any of the above

Question 7

The drug of choice for treatment of early latent or tertiary syphilis is:

A) Ceftriaxone IM
B) Benzathine penicillin G IM
C) Oral azithromycin
D) Oral ciprofloxacin

Question 8

Besides prescribing antimicrobial therapy,patients with bacterial vaginosis require education regarding:

A) The most recent partners in the past 60 days should also be treated
B) Alcohol should not be consumed during and for 1 day after metronidazole is taken
C) Condoms should be used during intercourse if intravaginal clindamycin cream is used
D) Necessity of co-treatment for Chlamydia

Question 9

Sydney presents to clinic with vulvovaginal candidiasis.Appropriate treatment for her would be:

A) OTC intravaginal clotrimazole
B) OTC intravaginal miconazole
C) Oral fluconazole one-time dose
D) Any of the above

Question 10

A test of cure is recommended after treating Chlamydia in which patient population?

A) Men who have sex with men
B) Adolescent females
C) Pregnant patients
D) All of the above

Question 11

Helima presents with a complaint of vaginal discharge that when tested meets the criteria for bacterial vaginosis.Treatment of bacterial vaginosis in a non-pregnant symptomatic women would be:

A) Metronidazole 500 mg PO BID x 7 days
B) Doxycycline 100 mg PO BID x 7 days
C) Intravaginal tinidazole daily x 5 days
D) Metronidazole 2 grams PO x 1 dose

Question 12

If a woman presents with recurrent vulvovaginal candidiasis she may be treated with:

A) Weekly intravaginal butoconazole for 3 months
B) Fluconazole 150 mg PO daily x 7 doses then monthly for 6 months
C) Weekly fluconazole 150 mg PO x 6 months
D) Intravaginal tioconazole x 14 days

Question 13

The goals of treatment when prescribing for sexually transmitted infections include:

A) Treatment of infection
B) Prevention of disease spread
C) Prevention of long-term sequelae from the infection
D) All of the above

Question 14

Treatment for suspected gonorrhea is:

A) Ceftriaxone 250 mg IM x 1
B) Ceftriaxone 2 grams IM x 1
C) Ciprofloxacin 500 mg PO x 1
D) Doxycycline 100 mg BID x 7 days

Question 15

Jamie was treated for chancroid.Follow-up testing after treatment of chancroid would be:

A) Syphilis and HIV testing at 3-month intervals
B) Chancroid-specific antigen test every 3 months
C) Urine testing for Haemophilus ducreyi in 3 to 6 months for test of cure
D) Annual HIV testing if engaging in high-risk sexual behavior

Question 16

Ongoing monitoring is essential after treating for gonorrhea.The patient should be rescreened for gonorrhea and Chlamydia in:

A) 4 weeks
B) 3 to 6 weeks
C) 3 to 6 months
D) 1 year

Question 17

The drug of choice for treatment of primary or secondary syphilis is:

A) Ceftriaxone IM
B) Benzathine penicillin G IM
C) Oral azithromycin
D) Oral ciprofloxacin