Recommended Dosages for Genital Treatments
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What is the recommended dosage of Acyclovir for a first symptomatic episode of genital herpes in adults?

  • 800 mg BID for 2 days
  • 1000 mg daily
  • 200 mg TID for 5 days
  • 400 mg TID for 5 to 10 days (correct)

    • For chronic suppressive therapy of genital herpes, what is the correct dosage of Valacyclovir?

  • 250 mg BID or 500 mg daily (correct)
  • 1000 mg daily if > 9 episodes per year
  • 500 mg daily
  • 250 mg BID

    • For external genital warts, what is the recommended application schedule for Imiquimod 3.75% cream?

  • Every other day for 12 weeks
  • Twice daily for 4 weeks
  • Once daily for up to 8 weeks (correct)
  • Three times per week for 16 weeks

    • What is the correct dosage of Acyclovir for children with first symptomatic herpes episode?

    <p>80 mg/kg/day divided QID for 5 to 7 days</p> Signup and view all the answers

    In pregnancy, what is the recommended dosage of Acyclovir for first symptomatic herpes episode?

    <p>Both a and b are correct</p> Signup and view all the answers

    What is the duration of treatment for Podofilox 0.5% solution in treating external genital warts?

    <p>3 days on , 4 days off</p> Signup and view all the answers

    For acute recurrent genital herpes, what is the correct Valacyclovir dosage?

    <p>Either a or b</p> Signup and view all the answers

    What is the recommended duration for Sinecatechins 10% ointment treatment?

    <p>Up to 16 weeks</p> Signup and view all the answers

    For immunocompromised hosts with herpes, what is the primary recommendation?

    <p>More aggressive therapies and specialist consultation</p> Signup and view all the answers

    For prior infection within previous year of herpes during pregnancy, what is the prophylaxis dosage of Acyclovir?

    <p>Either a or b</p> Signup and view all the answers

    What is the recommended duration for Imiquimod 5% cream treatment?

    <p>Up to 16 weeks</p> Signup and view all the answers

    For acute recurrent herpes in children, what is the correct Acyclovir dosage?

    <p>Either a or b</p> Signup and view all the answers

    What is the maximum number of Podofilox treatment cycles recommended?

    <p>4 cycles</p> Signup and view all the answers

    What is the recommended concentration for TCA treatment of genital warts?

    <p>80-90% in ethyl alcohol</p> Signup and view all the answers

    What is the duration of Valacyclovir treatment for acute recurrent herpes episodes?

    <p>3 days</p> Signup and view all the answers

    For chronic suppressive therapy, what is the correct Famciclovir dosage?

    <p>250 mg BID</p> Signup and view all the answers

    What is the recommended duration for cryotherapy treatment of genital warts?

    <p>Maximum 8 weeks</p> Signup and view all the answers

    What is the recommended timing for initiating herpes therapy for maximum benefit?

    <p>Within 72 hours</p> Signup and view all the answers

    What is the maximum wart area that can be safely treated without direct medical supervision?

    <p>4 cm²</p> Signup and view all the answers

    What percentage of patients experience spontaneous resolution of genital warts within 6 months?

    <p>20-30%</p> Signup and view all the answers

    For children with acute recurrent herpes, what is the correct Acyclovir dosage?

    <p>Either a or b</p> Signup and view all the answers

    What is the recommended volume limit per day for Podofilox application?

    <p>≤ 0.5 mL/day</p> Signup and view all the answers

    What is the typical wart area in most patients?

    <p>0.5-1.0 cm²</p> Signup and view all the answers

    When using TCA, what should be applied around warts to prevent burning discomfort?

    <p>5% EMLA cream</p> Signup and view all the answers

    What is the freezing margin recommended beyond the wart diameter in cryotherapy?

    <p>1-2 mm</p> Signup and view all the answers

    What is the risk of vertical transmission when primary herpes outbreak occurs at delivery?

    <p>30-40%</p> Signup and view all the answers

    How long should Imiquimod 5% cream be washed off after application?

    <p>6-10 hours</p> Signup and view all the answers

    What is the duration of treatment for neonatal herpes affecting only skin, eye, and mucous membranes?

    <p>14 days</p> Signup and view all the answers

    What is the maximum treatment area recommended for provider-administered therapies?

    <p>≤ 10 cm²</p> Signup and view all the answers

    By what percentage is recurrent genital herpes reduced with suppressive therapy?

    <p>70-80%</p> Signup and view all the answers

    What is the recommended timing for podophyllin resin removal after application?

    <p>3-4 hours</p> Signup and view all the answers

    How often should chronic suppressive therapy be reassessed?

    <p>Every 12 months</p> Signup and view all the answers

    What is the dosage of Acyclovir for neonatal herpes?

    <p>60 mg/kg/day</p> Signup and view all the answers

    When using Sinecatechins ointment, how much should be applied?

    <p>0.5 cm</p> Signup and view all the answers

    What is the recommended interval for cryotherapy applications?

    <p>Every 1-2 weeks</p> Signup and view all the answers

    For how long should EMLA cream be applied before TCA treatment?

    <p>10-20 minutes</p> Signup and view all the answers

    What is the maximum number of episodes per year that indicates a need for higher dose Valacyclovir?

    <blockquote> <p>9 episodes</p> </blockquote> Signup and view all the answers

    What is the first-line antibiotic choice for treating vaginitisis caused by T. vaginalis?

    <p>Metronidazole</p> Signup and view all the answers

    What is the usual dosage of metronidazole for treating trichomoniasis?

    <p>2 g orally single dose</p> Signup and view all the answers

    What is the first-line antibiotic choice for symptomatic bacterial vaginosis?

    <p>Metronidazole</p> Signup and view all the answers

    What is the usual dosage of oral metronidazole for bacterial vaginosis?

    <p>500 mg BID for 7 days</p> Signup and view all the answers

    What is the first-line antibiotic choice for gonococcal urethritis in adults?

    <p>Cefixime</p> Signup and view all the answers

    What is the usual dosage of cefixime for gonococcal urethritis in adults?

    <p>400 mg single dose</p> Signup and view all the answers

    What is the usual dosage of ceftriaxone IM for gonococcal urethritis in children < 9 years?

    <p>25-50 mg/kg single dose (Maximum: 125 mg)</p> Signup and view all the answers

    What is the first-line treatment for symptomatic VVC?

    <p>Clotrimazole</p> Signup and view all the answers

    What is the usual dosage of clotrimazole 1% cream for VVC?

    <p>One applicatorful intravaginally daily for 6 days</p> Signup and view all the answers

    What is the first-line antibiotic choice for nongonococcal urethritis in adolescents and adults?

    <p>Azithromycin</p> Signup and view all the answers

    What is the usual dosage of azithromycin for nongonococcal urethritis?

    <p>1 g single dose</p> Signup and view all the answers

    What is the first-line antibiotic choice for cervicitis?

    <p>Cefixime</p> Signup and view all the answers

    What is the usual dosage of cefixime for cervicitis?

    <p>400-800 mg single dose</p> Signup and view all the answers

    Which antibiotic is contraindicated during pregnancy for treating urethritis?

    <p>Doxycycline</p> Signup and view all the answers

    Study Notes

    • Acyclovir (Genital Herpes, Adults): 400 mg TID for 5 to 10 days.
    • Valacyclovir (Chronic Suppressive Therapy): 250 mg BID or 500 mg daily; 1000 mg daily for more than 9 episodes per year.
    • Imiquimod 3.75% Cream (External Genital Warts): Once daily for up to 8 weeks.
    • Acyclovir (Genital Herpes, Children): 80 mg/kg/day divided QID for 5 to 7 days.
    • Acyclovir (Genital Herpes, Pregnancy): 200 mg 5 times daily or 400 mg TID for 5 to 10 days (both a and b are correct).
    • Podofilox 0.5% Solution (External Genital Warts): 3 days on, 4 days off.
    • Sinecatechins 10% Ointment (External Genital Warts): Up to 16 weeks.
    • Famciclovir (Chronic Suppressive Therapy): 250 mg BID.
    • Cryotherapy (Genital Warts): Maximum 8 weeks.
    • TCA (Trichloroacetic Acid) (Genital Warts): 80-90% in ethyl alcohol.
    • Acyclovir (Acute Recurrent Herpes, Adults): 500 mg BID for 3 Days.
    • Acyclovir (Acute Recurrent Herpes, Children): 200 mg 5 times daily, or 400 mg TID for 5 days (either a or b is correct).
    • Metronidazole (Trichomoniasis): 2 g orally, single dose.
    • Metronidazole (Bacterial Vaginosis, Pregnancy): 500 mg BID for 7 days, Topical metronidazole.
    • Clindamycin Cream (Bacterial Vaginosis): 2% cream applied daily for 7 days.

    Other Important Information

    • Immunocompromised Individuals (Herpes): More aggressive therapies are usually recommended.
    • Herpes Prophylaxis (Pregnancy): 200 mg QID or 400 mg TID.
    • Genital Warts Treatment (Duration): 4 Cycles.
    • Valacyclovir (Acute Recurrent Herpes, Adults): Either 500 mg BID for 3 days or 1000 mg daily for 5 days (either a or b is correct).
    • Valacyclovir (Chronic Suppressive Therapy), pregnancy: Either 250 mg BID for 3 days or 500-1000 mg once daily.
    • Valacyclovir (Chronic Suppressive Therapy), adults: 500-750 mg single dose.

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    Description

    This quiz provides an overview of recommended dosages and treatment durations for various medications used in the treatment of genital herpes and warts. Participants will learn specific dosages for both adults and children, as well as guidelines for use during pregnancy. Test your knowledge on these important treatment protocols!

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