Sexually Transmitted Infections

Question 1

The causative organism for gonorrhoea is

Answer 1

Neisseria gonorrhoeae

Question 2

Gonorrhea diagnosis involves _____ and/or ______ of the affected clinical site(s)

Answer 2

culture testing and/or NAAT

Question 3

Gonorrhea can be symptomatic or asymptomatic

Males initially present with ______ associated with dysuria

Females present ________

Answer 3

purulent discharge

asymptomatically

Question 4

Preferred treatment for gonorrhea non-MSM

Answer 4

Ceftriaxone + Azithromcyin

Cefixime + Azithromcyin

Duration is 1 dose

Question 5

Preferred treatment for gonorrhea (pharyngeal in any population or if MSM)

Answer 5

Ceftriaxone + Azithromycin

Duration is 1 dose

Question 6

Gonorrhoea “TEST OF CURE” is recommended after completion of therapy, especially in the following settings:
1.
2.
3.
etc

Answer 6

1. pregnancy
2. child
3. not treated with ceftriaxone

disseminated infection, tx failure, resistance, pharyngeal infection

Question 7

After completing therapy for Gonorrhoea:

culture based tests should be done __ - __ days after treatment

NAAT tests should be completed __ - __ weeks after treatment

Answer 7

3-7 days

2-3 weeks

Question 8

Chlamydia and gonorrhea

Refer all recent (<___ days) partners for testing and empiric treatment ); no sexual contact for patient or other affected individuals until __ week after initiation of treatment

Answer 8

60 days

1 week

Question 9

Chlamydia is caused by

Answer 9

Chlamydia trachomatis

Question 10

Chlamydia is generally asymptomatic however severe disease including ____ produces potentially invasive infections

Answer 10

LGV (Lymphogranuloma venereum)

Question 11

Females are typically more symptomatic than males for Chlamydia and present with:
List some symptoms

Answer 11

Cervicitis, vaginal discharge, dysuria, lower abdominal pain, abnormal vaginal bleed, dyspareunia, conjunctivitis

Question 12

Preferred treatment for uncomplicated chlamydia
1
2

Answer 12

1 Azithromycin PO x 1 dose
OR 2 doxycycline BID x 7 days

Question 13

Preferred therapy for pregnant, or uncomplicated chlamydia
1
2

Answer 13

Amoxicillin po tid x 7 days OR azithromycin PO x 1 dose

Question 14

Treatment for severe, LGV chlamydia
1
2

Answer 14

Doxycycline x 21 days OR erythromycin x 21 days

Question 15

Test of cure for Chlamydia is not recommended after completion of therapy unless:
1
2
3
4

Answer 15

1 adherence concerns
2 alternative therapy used
3 concerns for child abuse
4 pregnancy

Question 16

NAAT tests for chlamydia should be completed __ - __ weeks after treatment

Answer 16

3-4

Question 17

Syphilis is caused by the spirochete _______

Answer 17

Treponema pallidum

Question 18

What are the 3 stages of syphilis clinical presentation
1
2
3

Answer 18

Primary
- painless chancre on cutaneous or mucocutaneous tissue at the original site of infection

Secondary (2 weeks- 6 months)
- rash, fever, malaise, swollen lymph nodes, wax and wane symptoms

Tertiary (years)
- Systemic involvement, bones, CNS, heart, blood vessels, liver, SSTI, eyes

Question 19

What is the preferred therapy for early stage: primary, secondary or latent under 1 year of syphilis ?

Answer 19

Benzathine PEN G IM x 1 dose

(if true penicillin allergy and failed alternative treatments patient must be desensitized)

ALT: Doxy
Ceftiraxone

Question 20

Preferred therapy in late stage syphilis?

Answer 20

Benzathine PEN G IM x 3 doses weekly

(if true penicillin allergy and failed alternative treatments patient must be desensitized)

ALT: Doxy x 14d (28 late)
Ceftiraxone x 10d

Question 21

Patient with ocular syphilis should be treated with ?

Answer 21

PEN G IV x10-14 d

Question 22

True or False: Test of cure is recommended after therapy in syphilis?

Answer 22

True

Question 23

Sexual partners require assessment and treatment relative to the stage of syphilis:

Primary: partners within _______
Secondary: partners within ______
Early latent: partners within______

Answer 23

3 months

6 months

1 year

Question 24

Patient administrable medication for HPV treatment?
1
2

Answer 24

1 podofilox 0.5%
2 imiquimod 3.75% or 5% cream

MD administered
- podophyllin 10-25%
- cryotherapy

Question 25

HPV vaccine is not recommend for
1
2

Answer 25

1 females < 9 years
2 pregnancy