STI And UTI

Question 1

Treatment of choice neisseria gonorrhoea

Answer 1

Ceftriaxone and azithromycin

Question 2

Treatment of choice chlamydia trachomatis

Answer 2

Azithromycin

Question 3

Treatment of choice trichomonis vaginalis

Answer 3

Metronidazole

Question 4

Treatment of choice bacterial vaginosis

Answer 4

Eg gardnerella vaginalis, lactobacillus, anaerobes

Metronidazole

Question 5

Treatment of choice candida albicans STI?

Answer 5

Clotrimazole

Question 6

Treatment of choice treponema palladium?

Answer 6

Doxycycline or benzathine benzylpenicillin

Question 7

Treatment of choice haemophilus ducreyi

Answer 7

Azithromycin

Question 8

Name 6 C’s general measures STI consultation and management?

Answer 8

• Counseling and education including HIV test
• condom promotion, provision and demonstration
• compliance treatment
• contact treatment
• circumcision promotion
• cervical cancer screening

Question 9

Treatment of abnormal vaginal discharge and sexually active last 3 months without pain?(3)

Answer 9

All, even pregnant women:
• ceftriaxone IM (if penicillin Allergy, increase dose azithromycin)
• and azithromycin oral
• and metronidazole

Do speculum exam and pap smear after treat.

Question 10

Treatment of abnormal vaginal discharge and sexually active last 3 months without pain and vulva scratched or inflamed and or curd like discharge?(2)

Answer 10

Treat for candidiases:clotrimazole topical

If return because not better, add oral metronidazole

Question 11

Treatment Mus (male urethritis syndrome)? (3)

Answer 11

Urethral discharge and Dysuria
• ceftriaxone IM (unless pen allergy)
• and azithromycin
• if partner has VDS, add metronidazole