Infectious disease

Question 1

Tx of choice for: pH 5-6.5, fishy odor, KOH test, clue cells of wet mount, no vaginal inflammation

Answer 1

bacterial vaginosis (garnerella) treated with po metronidazole

Question 2

Tx of choice for: pH 3.8-4.5, cottage cheese, vaginal inflammation

Answer 2

candida vaginitis treated with fluconazole

Question 3

What if pt has syphilis and allergic to penicillin?

Answer 3

Treponeum pallidum

desensitize to penicillin if skin test is positive for IgE response.
Then givePenG

Question 4

MC asx
Cervicitis (mucopurulent discharge and irregular bleeding)
urethritis
perihepatitis

Dx

Answer 4

C/G

Question 5

Tx of chlamydia, gonorrhea, or both

Answer 5

chlamydia - azithro
gono - azithro and ceftriaxone
Empiric- “ + “

Question 6

Tx of syphilis

Answer 6

empiric penicillinG

Question 7

HIV tx during pregnancy

Answer 7

3-drug (2NRTIs, 1 NNRTI) [NRTI - zidovudine]

Question 8

postpartum HIV mother - what for infant?

Answer 8

zidovudine for 6wk

Question 9

Hep C mom. Make sure she is vaccinated with what during pregnancy

Answer 9

hep b and c

Question 10

GBS screen - when and how

Answer 10

35-37 weeks with culture of vagina and rectum

Question 11

GBC tx

Answer 11

penicillin