Infections

Question 1

What STD is gram negative intracellular diplococci?

Answer 1

Gonorrhea

Question 2

Most accurate way to diagnose Gonorrhea?

Answer 2

NAAT of discharge or urine

Question 3

Tx for gonorrhea?

Answer 3

Ceftriaxone 500mg IM in a single dose

Question 4

Should you treat the partners?

Answer 4

yep

Question 5

What is the most common sexually transmitted infection?

Answer 5

Chlamydia

Question 6

Gold standard to diagnose chlamydia?

Answer 6

NAAT

Question 7

Tx for chlamydia?

Answer 7

Maybe now its azithromycin but i think book answers will be doxycycline 100mg PO BID for 7 days

Question 8

If someone is pregnant with chlamydia how do you treat them?

Answer 8

azithromycin 1gm X 1 dose or amoxicillin 500 TID x 7 Days

Question 9

a 22-year-old patient presents with a complaint of painful blisters on the vulva and vaginal introitus. She admits to a prodrome of burning, tingling, and pruritus before the appearance of lesions. Upon examination, you note vesicles on an erythematous base.

What do they have?

Answer 9

Herpes simplex virus

Question 10

What is the gold standard for Dx herpes simplex virus?

Answer 10

Viral culture

Question 11

other than viral culture which is the gold standard for Dx herpes simplex what else can you do to Dx it?

Answer 11

PCR

Question 12

Tx for herpes

Answer 12

1. acyclovir

2. Valacyclovir- this is the best 1000mg bid for 7 days to 10 days

Question 13

When would you implement suppressive therapy for herpes simplex? and what is it?

Answer 13

For those with severe or frequent > or = 6 recurrent episodes per year

Use Valacyclovir 500mg once daily

Question 14

What HPV type causes genital warts?

Answer 14

HPV 6 and 11

Question 15

> 90% of cervical cancer is associated with what HPV types?

Answer 15

HPV 16, 18, 31, 33, and 35

Question 16

What is the name of the flesh colored skin fleshy lesions caused by HPV? and what subtypes cause it?

Answer 16

Condylomata acuminata

and HPV 6, 11, 16, 18, 31, 33, and 35

Question 17

What kind of cells will you see on a pap smear that are typical for cervical warts?

Answer 17

Koilocytic squamous epithelial cells in clumps

Question 18

Do HPV spontaneously go into remission months to years later?

Answer 18

yes

Question 19

In the office what can you apply to get rid of HPV warts?

Answer 19

podophyllin or trichloroacetic acid (TCA)

Question 20

What cream can you prescribe for a patient to apply to get rid of HPV warts?

Answer 20

topical imiquimod

Question 21

What HPV types does the 9 v-valent vaccine target?

Answer 21

6, 11, 16, 18, 31, 33, 45, 52 and 58

Question 22

at what age can the 9-valent HPV vaccine be initiated?

Answer 22

at 9