Sexually Transmitted infections

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What is the typical presentation of HSV-2?

Painless red bumps on the genital area

Yellow patches on the feet

Cluster of painful, red genital vesicles/ulcers (correct)

Itchy, burning rash on the face

Why might the asymptomatic nature of many HSV-2 infections impact transmission?

Only symptomatic individuals are contagious

People tend to avoid sexual contact when symptomatic

Asymptomatic individuals may unknowingly transmit the infection (correct)

The virus is not present in asymptomatic carriers

What are the common symptoms of an outbreak of genital herpes?

Abdominal pain and vomiting

Chest pain and shortness of breath

Itching, burning, tingling, groin lump (correct)

Fever and cough

Which medication is typically used for the first episode of genital herpes?

Acyclovir Signup and view all the answers

What is the duration of episodic treatment for patients with recurrent genital herpes episodes?

Famciclovir x5 days Signup and view all the answers

Which therapy is used to reduce spread to partners in patients with recurrent episodes of genital herpes?

Acyclovir, valacyclovir, or famciclovir continuously Signup and view all the answers

According to FDA labeling for valacyclovir, what is the recommended time frame for initiation related to initial episodes of genital herpes?

< 24 hours after symptom onset Signup and view all the answers

What can cause PID (Pelvic Inflammatory Disease)?

Bacterial infections like Chlamydia or Gonorrhea Signup and view all the answers

What is the drug of choice for ANY stage of syphilis?

Parenterally administered penicillin Signup and view all the answers

What is the drug of choice for the treatment of syphilis?

Penicillin Signup and view all the answers

What is the primary difference between benzathine and procaine penicillin in terms of dosing?

Procaine penicillin involves a total of 7.2 million units. Signup and view all the answers

What are the symptoms of T. vaginalis infection in women?

Yellow-green discharge, itching, and odor Signup and view all the answers

What regimen is recommended for the treatment of T. vaginalis in men?

Metronidazole 2g PO in a single dose Signup and view all the answers

Which stage of syphilis presents with gummas and neurological manifestations such as memory loss and personality changes?

Tertiary & late latent Signup and view all the answers

What is the Jarisch-Herxheimer reaction associated with?

Syphilis treatment initiation Signup and view all the answers

What are the symptoms of secondary syphilis in terms of rashes and fatigue manifestation?

Develops within 3 weeks of lymphadenopathy Signup and view all the answers

Which parameter should be monitored for patients receiving metronidazole for T. vaginalis?

Liver function tests Signup and view all the answers

When should patients with an initial positive screening test for syphilis be offered treatment?

After excluding other diseases that may yield a false positive Signup and view all the answers

What is the recommended treatment for adults with neurosyphilis?

IV Penicillin G X 10-14 million units daily Signup and view all the answers

What distinguishes benzathine penicillin from procaine penicillin in terms of dosing?

Frequency of administration Signup and view all the answers

What is the first-line treatment regimen for chlamydial infection in adolescents and adults?

Doxycycline 100mg PO BID x7 days Signup and view all the answers

When should retesting occur for cure of chlamydia?

3 months after treatment, irrespective of whether sex partner was treated Signup and view all the answers

What is the dosing regimen for benzathine penicillin G in the treatment of syphilis?

2.4 million units IM single dose Signup and view all the answers

What is the preferred drug of choice for syphilis?

Benzathine penicillin G Signup and view all the answers

Which medication is the alternative preferred regimen for chlamydial infection in pregnancy?

Azithromycin 500mg PO TID x7 days Signup and view all the answers

What are the symptoms associated with the primary stage of syphilis?

Chancre at site of infection, regional lymphadenopathy Signup and view all the answers