chap 44: STI & Vaginitis

Question 1

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

1. OTC intravaginal clotrimazole
2. OTC intravaginal miconazole
3. Oral fluconazole one-time dose
4. Any of the above

Answer 1

4. Any of the above

Question 2

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

1. Metronidazole 2 grams PO x 1 dose
2. Topical intravaginal metronidazole daily x 7 days
3. Intravaginal clindamycin daily x 7 days
4. Azithromycin 2 grams PO x 1 dose

Answer 2

1. Metronidazole 2 grams PO x 1 dose

Question 3

Treatment for suspected gonorrhea is:

1. Ceftriaxone 250 mg IM x 1
2. Ceftriaxone 2 grams IM x 1
3. Ciprofloxacin 500 mg PO x 1
4. Doxycycline 100 mg bid x 7 days

Answer 3

1.Ceftriaxone 250 mg IM x 1

Question 4

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

1. Weekly intravaginal butoconazole for 3 months

2 . Fluconazole 150 mg PO daily x 7 doses then monthly for 6 months

3. Weekly fluconazole 150 mg PO x 6 months
4. Intravaginal tioc

Answer 4

3. Weekly fluconazole 150 mg PO x 6 months

Question 5

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

1. Ceftriaxone IM
2. Benzathine penicillin G IM
3. Oral azithromycin
4. Oral ciprofloxacin

Answer 5

2.Benzathine penicillin G IM

Question 6

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

1. 4 weeks
2. 3 to 6 weeks
3. 3 to 6 months
4. 1 year

Answer 6

3.3 to 6 months

Question 7

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

1. IM ceftriaxone
2. IM benzathine penicillin G
3. Oral azithromycin
4. Any of the above

Answer 7

2.IM benzathine penicillin G

Question 8

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

1. Men who have sex with men
2. Adolescent females
3. Pregnant patients
4. All of the above

Answer 8

3. Pregnant patients

Question 9

Treatment for chancroid in a nonpregnant patient would be:

1. Oral azithromycin
2. IM ceftriaxone
3. Oral ciprofloxacin
4. Any of the above

Answer 9

4. Any of the above

Question 10

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

1. Syphilis and HIV testing at 3-month intervals
2. Chancroid-specific antigen test every 3 months
3. Urine testing for Haemophilus ducreyi in 3 to 6 months for the test of cure
4. Annual HIV testing if engaging in high-risk sexual behavior

Answer 10

1. Syphilis and HIV testing at 3-month intervals

Question 11

The goals of treatment when prescribing for sti include

1. treatment of infection.
2. prevention of disease spread
3. preventio nof long eterm sequelae from infection
4. all of the above

Answer 11

4. ALL OF THE ABOVE

Question 12

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

1. Ceftriaxone IM
2. Benzathine penicillin G IM
3. Oral azithromycin
4. Oral ciprofloxacin

Answer 12

2.Benzathine penicillin G IM

Question 13

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

1. Necessity of treating sexual partner simultaneously
2. Abstaining from intercourse until both partners are treated
3. Need for retesting in 3 months due to high reinfection rate
4. All of the above

Answer 13

4. All of the above

Question 14

Helima 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

: 1. Metronidazole 500 mg PO bid x 7 days

2. Doxycycline 100 mg PO bid x 7 days
3. Intravaginal tinidazole daily x 5 days
4. Metronidazole 2 grams PO x 1 dose

Answer 14

1. Metronidazole 500 mg PO bid x 7 days

Question 15

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

1. Podofilox 0.5% gel
2. Podophyllin 10% resin
3. Trichloracetic acid
4. Any of the above

Answer 15

1. Podofilox 0.5% gel

Question 16

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

1. Azithromycin 1-gram PO x 1
2. Amoxicillin 500 mg PO x 1
3. Ciprofloxacin 500 mg PO x 1
4. Penicillin G 2.4 million units IM x 1

Answer 16

1.Azithromycin 1-gram PO x 1

Question 17

12. Besides prescribing antimicrobial therapy, patients with bacterial vaginosis require education regarding the fact that:
13. The most recent partners in the past 60 days should also be treated.
14. Alcohol should not be consumed during and for 1 day after metronidazole is taken.
15. Condoms should be used during intercourse if intravaginal clindamycin cream is used.
16. Co-treatment for chlamydia is necessary.

Answer 17

2. Alcohol should not be consumed during and for 1 day after metronidazole is taken.