Sexually transmitted diseases

Question 1

What are STDs

Answer 1

pathogens that are acquired and transmitted through sexual activity

Question 2

What are some less common STDs

Answer 2

Bacterial vaginosis, Pelvic inflammatory Disease, HIV/AIDS, Chancroid. Lymphogrnauloma Verenum (LGV), Trichomoniasis

Question 3

What is the single most common demographic factor contributing to incidence of STDs

Answer 3

Age

Question 4

What is the single greatest risk factor for acquiring STIs

Answer 4

Number of sex partners

Question 5

T/F: 1 million people get a STD worldwide every day

Answer 5

True

Question 6

What is the most common STD in the US while also being small, obligate, intracellular bacterium

Answer 6

Chlamydia Trachomatis

Question 7

T/F:Long term complications can occur in women with chlamydia with damage to female reproductive tract while there is minimal to no damage in men

Answer 7

True

Question 8

T/F: Majority of infections in both men and women are asymptomatic

Answer 8

True

Question 9

CDC recommends that which patients get annual screening done for chlamydia

Answer 9

sexually active women younger than 25, all men who sex with men and sexually active HIV infected people

Question 10

What are the primary goals for chlamydia

Answer 10

detect chlamydia, prevent complications, and test and treat partners

Question 11

What are the symptoms for men and women who have acquired chlamydia, when should they occur

Answer 11

Burning urination/dysuria, discharge, swollen lymph nodes in the groins, 1-3 weeks after sexual contact with infected partner

Question 12

What is the best test to use to find if chlamydia is present, how long does it take

Answer 12

Nucleic Acid Amplification Test (NAAT), 24 hours

Question 13

What are the treatment options for chlamydia

Answer 13

Azithromycin 1 gram by mouth once OR Doxycyline 100 mg BID for 7 days OR Levofloxacin 500 mg BID for 7 days

Question 14

What is the advantage of using azithromycin to treat chlamydia, doxycyline

Answer 14

resistance not documented and only one dose, better for rectal strands and covers LGV

Question 15

What is the treatment option for chlamydia if the patient is pregnant, what extra steps MUST be taken

Answer 15

Azithromycin 1 gram by mouth once OR Amoxicillin 500 mg TID for 7 days/ pregnant patient must take a NAAT test in 3 weeks to see if the infection is completely eradicated

Question 16

What are counseling points for patients with chlamydia

Answer 16

Partner notification of the last 60 days, check in 3 months for reinfection, avoid sex for 7 days after treatment, recommend HIV and syphillis testing, condom use

Question 17

What is the 2nd most common STI in the US and is a gram negative diplococci

Answer 17

Neisseria gonorrhea

Question 18

T/F: Like chlamydia annual screenings for sexually active women under the age of 25 is recommended for gonorrhea

Answer 18

True

Question 19

T/F: Females are more likley to have symptoms from gonorrhea

Answer 19

False: Males are more likely to have symptoms from gonorrhea

Question 20

What are symptoms seen in gonorrhea

Answer 20

dysuria, discharge

Question 21

What is the best test to see if there is a gonorrhea infection

Answer 21

NAAT

Question 22

What is only class of antibiotic that has activity against gonorrhea,what route

Answer 22

IM Cephalosporins

Question 23

What is the treatment regimen for gonorrhea

Answer 23

Ceftriaxone 250 mg IM PLUS Azithromycin 1 gram by mouth OR doxycycline 100 mg BID for 7 days

Question 24

What is the alternative regimen for gonorrhea if cephalosporin is not available

Answer 24

Cefixme 400 mg by mouth once PLUS Azithromycin 1 gram by mouth once or Doxycycline 100 mg BID for 7 days

Question 25

What should a patient with gonorrhea be given if they have a severe PCN/Cephalospporin allergy

Answer 25

Gemifloxacin 320 mg PLUS Azithromycin 2 grams in ONE SINGLE DOSE

Question 26

What is should all patients treated with the alternative regimen for gonorrhea do

Answer 26

Come in for a NAAT in 14-21 days

Question 27

What should be given empirically if it is not know if a patient has

Answer 27

Ceftriaxone 250 mg IM once PLUS Azithromycin one gram by mouth once