Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

pharma Omamah > STD > Flashcards

STD Flashcards

1
Q

Preferred & alternative medicine for urogenital & anorectal infection ?

A

Preferred:
Single “high dose” IM ceftriaxone

Alternative:

  1. Other cephalosporins
  2. Azithromycin + gentamycin /gemefloxacin
  3. Spectinomycin
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the adverse effect of combining azithromycin w/ gemefloxacin ?

A

QT prolongation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What do you give a patient with gonorrhea & chlamydia?

A

Add to gonorrhea treatment doxycycline for 7 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the 1st line & alternatives for pharyngeal gonococcal infection

A

1st lime :
Single dose IM ceftriaxone

Alternative:
Azithromycin + gentamicin

Spectinomycin —> not used —> poor penetration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the 1st line intreating gonococcal conjunctivitis ?

A

Single 1g IM ceftriaxone

Topical FQ

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

If cornea was involved in gonococcal conjunctivitis what do you give the pt?

A

IV 1g ceftriaxone every 12-24 hrs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What do you give a patient w/Disseminated gonococcal infection (DGI)?

A

Ceftriaxone 1 g IV every 24 hours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is used for prophylaxis (preferred & alternative)in infants born to mothers with gonorrhea?

A

Erythromycin ophthalmic ointment in single application

Alternative: ceftriaxone IM /IV once

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Early sphyilis preferred

A

Penicillin G benzathine 2.4 million IM once

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Early sphyilis alternative

A
  • Doxycycline or Tetracycline PO for 14 days
  • Ceftriaxone 1-2 g daily IM or IV for 10-14 days
  • Amoxicillin + probenecid , both given orally twice for 14 day
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Late syphilis preferred

A

Penicillin G benzathine 2.4 million units IM once weekly for 3 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Late sphyilis alternatives

A
  • Doxycycline orally twice daily for four weeks

* Ceftriaxone 2 g daily IM or IV for 10 -14 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Neurosyphilis preferred

A

Aqueous penicillin G 3 to 4 million units IV every 4 hours for 10
to 14 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Neurosyphilis alternative

A

Ceftriaxone 2 g IV daily for 10 to 14 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Congenital sphyilis treatment ?

A

1 Aqueous penicillin G, IV, B.i.D

  1. procaine penicillin G IM as a single daily dose for 10 days
  2. Benzathine penicillin G, IM, single dose
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

1st line for chlamydia

A
  1. Doxycycline ( preferred if co-infection with N.gonorrhea )
  2. Azithromycin
17
Q

Doxycycline dose in chlamydia

A

100 mg twice daily for 7 days

18
Q

Dose of azithromycin in chlamydia

A

1g single dose

19
Q

Chlamydia alternatives

A
  1. Quinolones: ofloxacin orlevofloxacin for 7 days

2. Erythromycin & penicillin: less effective

20
Q

Quinolones cautions

A
  1. Avoid in pregnancy or lactation

2. Avoid inadolescents younger <18 years of age (bone abnormalities)

21
Q

Why is penicillin less effective in chlamydia

A

Bcz it can actually prolongate the presence of these pathogens ( they don’t die but they are in a state of stress as if it is dormant )

22
Q

Pregnant women chlamydia treatment

A

Azithromycin 1 g single dose OR amoxicillin or erythromycin (7-14 days)

23
Q

Newborn chlamydia mainfested as conjunctivitis & pneumonia treatment

A

Erythromycin 50 mg/kg orally in four divided doses for 14 days

• CAUTION: Both erythromycin & azithromycin could be associated with infantile hypertrophic pyloric stenosis (IHPS)

24
Q

Erythromycin is the choice in children with which disease

A

Gonorrhea & chlamydia

And erythromycin is preffered than azi

25
Q

Trichomoniasis treatment

A

5-nitromidazole drugs:

  1. Metronidazole
  2. Tinidazole

Dose: 500 mg PO BID for 7 days

26
Q

Trichomoniasis treatment caution

A
  1. Sex partners should be treated

2. Avoid intercourse until therapy completed

27
Q

HSV treatment

A

Oral therapy for 7 - 10 days

Acyclovir or valacyclovir or famciclovir

28
Q

When to start IV in HSV ?

A

More severe conds like CNS involvement or end organ disease including hepatitis or pneumonia

29
Q

What is IHPS

A

Infantile hypertrophic pyloric stenosis which happens in the tube connecting the stomach to intestine in which it closes so maybe the drug will be stopped or monitored

pharma Omamah (4 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions