Gonococcal conjunctivitis

Question 1

What is the primary symptom of gonococcal conjunctivitis in newborns?

Answer 1

Yellow discharge from the eye(s)

Gonococcal conjunctivitis presents in the first week of life.

Question 2

In the context of neonatal eye infections, how can gonococcal conjunctivitis be differentiated from chlamydia?

Answer 2

Gonococcal conjunctivitis presents in the first week of life, while chlamydia is associated with subsequent pneumonia.

USMLE questions often include this differentiation.

Question 3

What is the prophylaxis treatment for gonococcal conjunctivitis?

Answer 3

Erythromycin ointment

This is administered to prevent gonococcal conjunctivitis in newborns.

Question 4

What is the recommended treatment for gonococcal conjunctivitis in pediatric cases?

Answer 4

IM 3rd-gen cephalosporin, usually cefotaxime

This is the standard treatment protocol for gonococcal conjunctivitis.

Question 5

True or False: on USMLE, Chlamydia ophthalmia neonatorum is always associated with subsequent pneumonia.

Answer 5

True

This is a high-yield point for distinguishing it from gonococcal conjunctivitis.