Exam 1

Question 1

What type of virus is HIV and what cells does it attack

Answer 1

Retrovirus that attacks and causes destruction of T lymphocytes

Question 2

How is HIV transmitted from mother to a neonate

Answer 2

Perinatally through the placenta and through the breast milk

Question 3

What trimester is testing recommended for patients at risk for HIV

Answer 3

Third

Question 4

What procedures should be avoided for a patient who has HIV

Answer 4

Amniocentesis and episiotomy for risk of maternal blood exposure

Question 5

What is the goal to the CD4 cell counts greater than

Answer 5

500/cells/mm

Question 6

If a patient is HIV positive what should they schedule for 38 weeks

Answer 6

C-section

Question 7

What med is HIV treated with

Answer 7

Zidovudine— 3 hours before C-section and administered to infant at delivery and for 6 weeks after birth

Question 8

What is toxoplasmosis caused by

Answer 8

Consumption of raw or undercooked meat or handling car feces

Question 9

What are the TORCH infections

Answer 9

Toxoplasmosis, hepatitis, rubella, cytomegalovirus, herpes

Question 10

After the rubella vaccine how long should you avoid pregnancy

Answer 10

28 days- 4 weeks

Question 11

What is cytomegalovirus

Answer 11

Member of the herpes family transmitted by droplet from person to person

Question 12

Medication treatment for toxoplasmosis

Answer 12

Sulfonamides or a combination of pyrimethamine and sulfadiazine

Question 13

What can GBS cause if transmitted to a neonate

Answer 13

Respiratory depression, pneumonia, sepsis, meningitis

Question 14

Medication treatment of GBS

Answer 14

Penicillin G or ampicillin

Question 15

When should the mother be screened for GBS

Answer 15

35-38 weeks

Question 16

What medication treats chlamydia during pregnancy

Answer 16

Azithromycin or amoxicillin

Question 17

What is the prophylactic medication given to neonates after birth against gonorrhea and chlamydia

Answer 17

Erythromycin for ophthalmia neonatorum

Question 18

What medication is used to treat chlamydia but contraindicated in pregnancy

Answer 18

Doxycycline

Question 19

Treatment for gonorrhea in pregnancy

Answer 19

IM ceftriaxone and azrithromycin PO

Question 20

How is syphilis transmitted

Answer 20

Oral, vaginal, or anal sex and can be transmitted to an an unborn child

Question 21

Primary stage of syphilis

Answer 21

Painless popular lesion at site of infection

Question 22

Secondary stage of syphilis

Answer 22

Skin rash

Question 23

Tertiary stage of syphilis

Answer 23

Damage to internal organs

Question 24

Treatment of syphilis

Answer 24

Penicillin G IM in a single dose or if duration of syphilis is unknown 3 doses
Doxycycline and tetracycline PO if allergic to penicillin- do not administer if pregnant

Question 25

What is the most common STI

Answer 25

HPV

Question 26

Treatment of trichomoniasis

Answer 26

Metronidazole(can not be given during first trimester) or tinidazole