STI important

Question 1

5 P’s

Answer 1

partners, practices, protection, past, pregnancy

Question 2

HIV pre-exposure prophylaxis

Answer 2

at risk adults and adolescents >35kg to reduce risk of sexually acquired HIV. excludes individuals at risk from receptive vaginal sex

Question 3

herpes testing is reserved for ___ illnesses

Answer 3

systemic

Question 4

which STIs do you report to the department of health

Answer 4

AIDS, HIV, chancroid, chlamydia, gonococcus, syphilis, hepatitis

Question 5

EPT

Answer 5

treating heterosexual MALE partners of WOMEN diagnosed with chlamydia, gonorrhea, or trichomoniasis

Question 6

EPT for gonorrhea

Answer 6

cefixime 800 mg 1 dose + doxycycline 100 mg BID x 7d

Question 7

EPT for chlamydia

Answer 7

azithromycin 1 gm PO x1

Question 8

EPT for trichomoniasis

Answer 8

metronidazole 2 g PO x 1 for male partner of female`

Question 9

for EPT, when to return for evaluation

Answer 9

7-10 days

Question 10

signs of bacterial vaginosis

Answer 10

discharge is odorous

Question 11

EPT for bacterial vaginosis?

Answer 11

no

Question 12

signs of trichomoniasis

Answer 12

discharge is yellow/green

Question 13

EPT for trichomoniasis?

Answer 13

yes

Question 14

signs of candidiasis

Answer 14

discharge is cheesy

Question 15

EPT for candidiasis?

Answer 15

no

Question 16

preferred agent for syphilis

Answer 16

benzathine penicillin, even if pregnant and allergic to penicillin: desensitize

Question 17

agent for chlamydia in pregnancy

Answer 17

azithromycin

Question 18

agent for gonorrhea in pregnancy

Answer 18

ceftriaxone

Question 19

agent for bacterial vaginosis/trichomoniasis in pregnancy

Answer 19

metronidazole

Question 20

preferred agent for chlamydia

Answer 20

doxycycline 100 mg PO BID x 7d

Question 21

alternative agents for chlamydia

Answer 21

azithromycin 1 g PO once, levofloxacin 500 mg PO daily x 7d

Question 22

preferred agent for gonorrhea

Answer 22

ceftriaxone 500 mg PO or 1 g IM once

Question 23

alternative agents for gonorrhea

Answer 23

cefixime 800 mg PO once, gentamycin 240 mg IM once + azithromycin 2 g PO once

Question 24

preferred agent for trichomoniasis

Answer 24

metronidazole 500 mg PO BID x 7d (women) or 2 g PO once (men)

Question 25

alternative agent for trichomoniasis

Answer 25

tinidazole 2 g PO once

Question 26

agents for bacterial vaginosis

Answer 26

metronidazole 500 mg PO BID x 7d, metronidazole gel 0.75% 1 full applicator (5g) intravaginally daily x 5d, clindamycin cream 2% 1 full applicator (5g) intravaginally at bedtime x 7d