Deck 47: Sexually Transmitted Infections and Vaginitis

Question 1

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 three months due to high reinfection rate
D)All of the above

Answer 1

All of the above

Question 2

Treatment for chancroid in a nonpregnant patient would be:

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

Answer 2

Any of the above

Question 3

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

Answer 3

Pregnant patients

Question 4

Follow-up testing after treatment of chancroid would be:

A)Syphilis and human immunodeficiency virus (HIV) testing at three-month intervals
B)Chancroid-specific antigen test every three months
C)Urine testing for Haemophilus ducreyi in 3 to 6 months for test of cure
D)Annual HIV testing if the patient engages in high-risk sexual behavior

Question 5

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

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

Question 6

Treatment for suspected gonorrhea is:

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

Question 7

A female patient presents with a complaint of vaginal discharge that when tested meets the criteria for bacterial vaginosis. Treatment of bacterial vaginosis in nonpregnant symptomatic women would be:

A)Metronidazole 500 mg PO b.i.d. x 7 days
B)Doxycycline 100 mg PO b.i.d. x 7 days
C)Intravaginal tinidazole daily x 5 days
D)Metronidazole 2 g PO x 1 dose

Question 8

An adult female presents with genital warts on her labia. Patient-applied topical therapy for genital warts includes:

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

Question 9

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

A)The most recent partners in the past 60 days should also be treated.
B)Alcohol should not be consumed during and for 72 hours after metronidazole therapy.
C)Condoms should be used during intercourse if intravaginal clindamycin cream is used.
D)Cotreatment for chlamydia is necessary.

Question 10

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 11

A woman with recurrent vulvovaginal candidiasis may be treated with:

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

Question 12

When treating suspected gonorrhea in a nonpregnant patient, the patient should be concurrently treated for chlamydia with:

A)Azithromycin 1 g 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 13

The drug of choice for treatment of tertiary syphilis is:

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

Question 14

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

A)Four weeks 2.3 to 6 weeks
B)3 to 6 months
C)One year

Question 15

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

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

Question 16

A 24-year-old female patient 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

Question 17

An adult female patient presents to the clinic with vulvovaginal candidiasis. Appropriate treatment for her would be:

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