STDs

Question 1

chlamydia male presentation

Answer 1

urethritis
epididymitis
prostatitis
proctitis
conjunctivitis

Question 2

chlamydia female sx

Answer 2

cervicitis
PID
perihepatitis
tubo-ovarian abscess

Question 3

chlamydia diagnosis

Answer 3

clinical

nucleic acid amplification test swab (NAAT)

Question 4

chlamydia treatment

Answer 4

doxy 100 mg BID x7days
OR 1 dose of 1 g azithromycin

TREAT PARTNER

Question 5

male sx of gonorrhea

Answer 5

purulent penile discharge
epididymitis
prostatitis
*more severe than chlamydia

Question 6

arthritis-dermatitis syndrome

Answer 6

polyarthralgia
tenosynovitis
dermatitis
associated with disseminated gonococcal infection

Question 7

disseminated gonococcal infection sx

Answer 7

arthritis-dermatitis syndrome
purulent arthritis
endocarditis and meningitis (both rare)

Question 8

gonorrhea diagnosis

Answer 8

Gram stain and cx (gram negative diplococci)

NAAT

Question 9

gonorrhea tx

Answer 9

TREAT PARTNERS
ceftriaxone 500mg IM (1 dose)
+ chlamydia tx (azithro or doxy)

Question 10

HSV-1

Answer 10

oral lesions

Question 11

HSV-2

Answer 11

genital lesions

Question 12

most common etiology of genital ulcer worldwide

Answer 12

HSV-2

Question 13

primary HSV-2 sx

Answer 13

more severe and can last 2-4 weeks
local sx or pain and itching of lesions
fever, headache, myalgia

Question 14

recurrent HSV-2 infection

Answer 14

milder than initial episode
prodrome of tingling the day before
painful ulcers

Question 15

HSV diagnosis

Answer 15

PCR/NAAT is the best choice (serology and cx not as sensitive)

Question 16

HSV treatment

Answer 16

Acyclovir or famciclovir or valacyclovir x7-10 days

Question 17

HSV episodic treatment

Answer 17

start tx when prodromal sx start

Question 18

trichomonas vaginalis

Answer 18

protozoa that is flagellated

only seen in those who have sexy time with the ladies

Question 19

trichomonas male sx

Answer 19

often asymptomatic
can cause urethritis
increased risk of acquiring HIV

Question 20

trichomonas female sx

Answer 20

vaginitis
cervicitis (strawberry cervix)
irritation
frothy malodorous discharge

Question 21

trichomonas diagnosis

Answer 21

wet mount

NAAT

Question 22

trichomonas tx women

Answer 22

TREAT PARTNERS TOO

metronidazole 500 mg BID x7 days

Question 23

trichomonas tx women

Answer 23

TREAT PARTNERS TOO

metronidazole 500 mg BID x7 days

Question 24

trichomonas men tx

Answer 24

TREAT PARTNERS

metronidazole 2 g PO x 1 dose

Question 25

chlamydia biology

Answer 25

obligate intracellular bacteria

Question 26

chlamydia serovars

Answer 26

trachoma (eye) ABC
genital tract/conjunctivitis D-K
LGV treated longer

Question 27

most common bacterial STI in US

Answer 27

chlamydia