Gonorrhea, Genital Herpes, & HPV

Question 1

Etiology of gonorrhea

Answer 1

Neisseria gonorrhoeae (gram-negative cocci)

Question 2

Symptom onset of gonorrhea

Answer 2

2-8 days in males (typically abrupt in onset)

10 days in females (females are usually asymptomatic)

Question 3

1st line treatment in gonorrhea (including pregnancy)

Answer 3

Ceftriaxone (Rocephin) 250mg IM once + Azithromycin 1g PO once
OR
Ceftriaxone 250mg IM once + doxycycline 100mg PO BID x 7 days

Question 4

Genital Herpes Etiology

Answer 4

most commonly Herpes Simplex Virus-2

Question 5

Anti-viral treatment of genital herpes

Answer 5

• Acyclovir 400mg PO TID or 200mg 5x daily for 7-10 days (for primary episode); Acyclovir 400mg TID or 800mg BID x 5 days for recurrent episodes
• Valtrex 1g BID x 7-10days

Question 6

Suppressive therapy in HIV patients

Answer 6

Suppressive therapy does not reduce HSV or HIV transmission from patients who are HIV-positive

Question 7

HPV-6 & HPV-11

Answer 7

Most commonly associated w/ genital warts

Question 8

HPV-16 & HPV-18

Answer 8

Most commonly associated w/ cervical cancer

Question 9

Treatment of HPV

Answer 9

Can include cryotherapy, surgery, and topical agents

Question 10

Cervarix

Answer 10

Vaccine for HPV-16 & HPV-18 (females only)

Question 11

Gardasil

Answer 11

Vaccine for HPV-6, 11, 16, & 18 (females & males)

Question 12

Gardasil 9

Answer 12

Vaccine for HPV-6, 11, 16, 18, 31, 33, 25, 52, & 58 (females or males)