ID-STDs

Question 1

Empiric therapy for cervicitis/urethritis

Answer 1

ceftriaxone and azithromycin

Question 2

Therapy for chlamydia

Answer 2

azithromycin or doxy

Question 3

Therapy for gonorrhea cervicitis, urethritis, proctitis or pharyngeal infection

Answer 3

ceftriaxone plus azithromycin

Question 4

Treatment of disseminated gonococcal infection

Answer 4

ceftriaxone IV

Question 5

Treatment of pelvic inflammatory disease

Answer 5

Cefotetan or cefoxitin plus doxycycline

Question 6

Describe the clinical findings of primary syphilis

Answer 6

painless ulcer (chancre)–starts as a papule and the ulcerates with a clean base

Chancres heal in 3-6 weeks

Question 7

Describe the clinical findings of secondary syphilis

Answer 7

Systemic illness characterized by a generalized macular and papular rash that normally involves the trunk and extremities, including the palms and soles

Genital lesions can form plaques: condyloma lata and superficial erosions

fever, malaise, generalized LAD

Question 8

Describe the clinical findings of tertiary syphilis

Answer 8

CV disease, gumma

Question 9

How does neurosyphilis present?

Answer 9

asymptomatic, meningovascular, parenchymatous, or ocular disease

Question 10

When should CSF be looked at?

Answer 10

in those who do not have an appropriate serologic response to treatment

Question 11

What is the treatment of choice for all stages of syphilis?

Answer 11

penicillin

Question 12

Should partners be treated for someone with syphilis?

Answer 12

Yes any contact in the past 90 days should also get a penicillin shot

Question 13

In a person positive for chlamydia… do you treat for gonorrhea?

If the person is positive for gonorrhea… do you treat for chlamydia?

Answer 13

No! Just treat for chlamydia.

But, if gonorrhea is detected, you still give ceftriaxone and azithromycin.