STDs

Question 0

Fever, HA, myalgias, lymphadenopathy

Answer 0

Primary HSV infection

Question 1

Virus that replicates in the sensory ganglion

Answer 1

HSV

Question 2

Multinucleated giant cells on Tzanck smear

Answer 2

One of the herpes viruses

Question 3

Contraindication to breast feeding

Answer 3

HIV

Question 4

HIV diagnosis in kids older than 18 months

Answer 4

1. HIV Elisa

Then confirm with Western Blot

Question 5

HIV diagnosis in kids younger than 18 months

Answer 5

HIV DNA PCR

Question 6

Treatment for pneumocystis jiroveci

Answer 6

Bactrim

Question 7

HIV + with CD4 less than 50

Answer 7

Think MAC/MAI

Question 8

HIV drug that causes bone marrow suppression (anemia, neutropenia, thrombocytopenia)

Answer 8

Zidovudine

Question 9

HIV drug that causes pancreatitis

Answer 9

Lamivudine (3TC) or Emtricitabine (FTC) or Didanosine (ddi)

Question 10

Screen for HLA B*5701 prior to using this HIV drug

Answer 10

Abacavir (Ziagen)

Question 11

HIV drug to avoid in pregnancy

Answer 11

Efavirenz (Sustiva) or D4T/ddi combo

Question 12

HIV post exposure prophylaxis requirements:

Answer 12

1. Bloody fluid AND

2. Broken skin

Question 13

Which agar to test for neissera gonorrhea

Answer 13

Thayer-Martin or chocolate agar

Question 14

Peri hepatitis (Fitz Hugh Curtis) is a complication of

Answer 14

PID

Question 15

Leading cause of acute septic arthritis in young adults

Answer 15

Disseminated Gonococcal Infection

Question 16

Triggers dissemination of gonorrhea (get arthritis)

Answer 16

Menstruation

Question 17

Tx of gonorrhea

Answer 17

Ceftriaxone 250 mg IM x 1 dose + azithromycin 1 g po x 1

Question 18

Tx of hospitalized PID

Answer 18

Cefoxitin 2 g IV q6 or cefotetan 2 g IV q12 PLUS doxy 100 mg po or IV q12 until improved followed by doxy 100 mg po bid x 14 days total

OR

Clindamycin 900 mg IV q8 + gentamicin 2 mg/kg IV x 1 then gent 1.5 mg/kg IV q8 until improved followed by doxy 100 mg po bid x 14 days total

Question 19

Indications for hospitalizing PID

Answer 19

• pregnancy
• n/v
• failure to respond to tx in 24-48 hrs

Question 20

Adolescent with hearing loss

Answer 20

Syphillis

Question 21

Adolescent with hair loss

Answer 21

Syphillis or lupus

Question 22

Etiology of chancroid

Answer 22

Haemophilus ducreyi (school of fish)

Question 23

Painful chancre

Answer 23

Haemophilus ducreyi

Question 24

Kid goes on spring break to Carribbean and gets painless subcutaneous nodules. Has Donovan bodies on Wright stain

Answer 24

Granuloma inguinale

Question 25

Tx of trichimoniasis

Answer 25

Metronidazole or tinidazole