clin med 5 vaginal tx Flashcards
1
Q
bacterial vaginosis tx
A
- metronidazole 500 mg PO BID x 7 days or
- clindamycin vaginal cream 2% 5 g QD x 7 days or
- metronidazole gel 0.75% 5 g BID x 5 days
2
Q
bacterial vaginosis alternative tx
A
- clindamycin 300 mg PO BID x 7 days
- clindamycin ovules 100 g intravaginally at bedtime x 3 days
- tinidazole 2 g PO QD x 2 days
- tinidazole 1 g PO QD x 5 days
- secnidazole 2 g oral granules in single dose
3
Q
uncomplicated candida albicans tx
A
- any topical azole antifungal -> miconazole, terconazole, clotrimazole
-fluconazole 150 mg PO once
4
Q
complicated candida albicans
A
- topicals x 7-14 days
- fluconazole 150 mg every 3rd day for 3 doses
- may need weekly fluconazole as maintenance for 6 months
5
Q
trichomonas tx
A
- metronidazole 500 mg PO BID x 7 days
- tinidazole 2 g PO single
6
Q
PID inpatient tx
A
- ceftriaxone 1 g IV every 24 hours + doxy 100 mg PO every 12 hours + metronidazole 500 mg PO every 12 hours
- clindamycin + gentamicin
- cefotetan + doxycycline
7
Q
PID outpatient tx
A
- ceftriaxone 500 mg IM + doxy + metro both x 14 days
8
Q
gonorrhea tx
A
- ceftriaxone 500 mg IM in single dose for pts <150 kgs
9
Q
gonorrhea tx for cephalosporin allergy
A
- gentamicin 240 mg IM in single dose + azithromycin 2 g orally in single dose
10
Q
gonorrhea tx if ceftriaxone not available
A
- cefixime 800 mg PO once
11
Q
chlamydia tx
A
- doxy 100 mg BID x 7 days
- alternative - 1 g azithro once (pregnancy)
12
Q
syphilis tx
A
benzathine penicillin G 2.4 million units IM single dose
13
Q
HPV provider applied tx
A
- podophyllin
- tri/bichloroacetic acid
- cryotherapy
- laser
14
Q
HPV pt applied
A
- podofilox
- imiquimod
- sinecatechins
15
Q
genital herpes tx 1st episode
A
- acyclovir 400 mg TID x 7-10 days
or - valacyclovir 1g BID x 7-10 days
or - famciclovir 250 mg TID x 7-10 days
16
Q
genital herpes recurrent episodes
A
- valacyclovir 1 g QD x 5 days
17
Q
genital herpes suppression therapy for more than 6 recurrences per year
A
- valacyclovir 500mg - 1g QD x 1 year
18
Q
chancroid tx
A
- azithro 1 g once
or - ceftriaxone 250 mg IM
or - cipro 500 mg BID x 3 days
19
Q
lymphogranuloma venereum tx
A
- doxycycline 100 mg BID x 21 days
20
Q
granuloma inguinale tx
A
- azithro 1g once per week x 3 weeks
-doxy 100 mg BID x 21 days
-tmp-sfx DS BID x 21 days
