STI

Question 1

how do we treat Chlamydia?

Regular vs pregnancy

Answer 1

Normal : Doxycyline 100mg BID x 7 days

Pregnancy: Azithromycin (avoid tetracyclines)
could also use amoxicillin

Question 2

How do we treat Gonorrhea

Answer 2

Ceftriaxone 250g IM x 1

Question 3

Signs associated with gonorrhea

Answer 3

THIN purulent green discharge
Odor
Bartholin gland abscess
S/S PID

Question 4

Do we test of cure in chlamydia or gonorrhea?

Answer 4

NO. unless pregnant or past hx of treatment failure

Question 5

What is BV

Answer 5

bacterial vaginosis

Question 6

Symptoms of BV

Answer 6

Thin, watery discharge 
FISHY odor (positive wiff-amine test)

Question 7

How do we treat BV (normal vs pregnant)

Answer 7

Metronidazole 500mg PO BID x 7 days *** NO ALCOHOL

** if pt refusing to not drink give clinamycin instead

Pregnancy: Clindamycin vaginal cream prior to 37 weeks)

Question 8

How do we treat herpes simplex 2

Answer 8

antiviral

acyclovir/valacyclovir

***SAFE in pregnancy

Question 9

what strands of HPV most often lead to cervical dysplasia/cancer?

Answer 9

HPV 16 & 18

Question 10

What does Treponema pallidum cause?

Answer 10

Syphilis

Question 11

What is a spirochete that penetrates intact skin/mucous membranes and enters the blood stream?

Answer 11

Treponema pallidum –> syphilis

Question 12

What is present during PRIMARY phase of syphilis

Answer 12

PAINLESS chancre (appears where it enters the body, will heal)

Question 13

What is present during secondary phase of syphilis

Answer 13

Sores on Palms of hands/ soles of feet!

bilateral, symmetrical, nonpruitic

2-6 weeks

Question 14

What is present during Latent phase of syphilis

Answer 14

asymptomatic

Question 15

What is present during Tertiary phase of syphilis

Answer 15

ALL kinds of issues… not reversible, has disseminated through organs/body

Cardio - valve disease
neuro- dementia, tabes dorsalis, ect
ortho - charcot joints,

Question 16

what STI can cause hydrops fetalis

Answer 16

congenital syphilis

Question 17

How do we treat syphilis?

Answer 17

Benzathine Penicilln G (Bicillin LA) IM

***Still give during pregnancy

Question 18

A positive chandelier sign can indicate what

Answer 18

cervical motion tenderness can suggest PID

Question 19

How do we treat PID?

Answer 19

Tx based on infecting organism

Question 20

Trichomoniasis is caused by what

Answer 20

protozoan - trichomonas vaginalis

Question 21

Symptoms of Trichomoniasis

Answer 21

Vaginal discharge FROTHY, copious, pearly yellow/green in color

Question 22

how do we treat Trichomoniasis?

Answer 22

Metronidazole 2g PO x 1

Still symptomatic? –> Flagyl 500mg PO x 7days

Pregnant? Pump and dump 24 hrs

Question 23

What is pediculosis pubis?

Answer 23

Pubic lice

Question 24

what is the tx for pediculosis pubis?

Answer 24

Permethrin 1%

***NEVER use Lindane (Kwell) In pregancy

Remove Nits

Question 25

Symptoms of trichomoniasis in men

Answer 25

most asymptomatic

Question 26

Chancroid is considered a co-factor for transmission of

Answer 26

HIV

Chancroid = STI caused by Haemophilus ducreyi

Question 27

Pt presents with 3 - 0.5cm HPV lesions on her vulva. appropriate treatmet would include…

a. acetic acid
b. colposcopy
c. podophyllin
d. acyclovir

Answer 27

Podophyllin

also…
Imiquimod (no pregancy)
trichloroacetic acid (TCA)

Question 28

Pt presents with 3 - 0.5cm HPV lesions on her vulva. appropriate treatmet would include…

a. acetic acid
b. colposcopy
c. podophyllin
d. acyclovir

Answer 28

Podophyllin

also…
Imiquimod (no pregancy)
trichloroacetic acid (TCA)