Sexually Transmitted infections
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Questions and Answers

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?

<p>Acyclovir (B)</p> Signup and view all the answers

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

<p>Famciclovir x5 days (A)</p> Signup and view all the answers

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

<p>Acyclovir, valacyclovir, or famciclovir continuously (C)</p> 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?

<p>&lt; 24 hours after symptom onset (D)</p> Signup and view all the answers

What can cause PID (Pelvic Inflammatory Disease)?

<p><strong>Bacterial infections</strong> like Chlamydia or Gonorrhea (B)</p> Signup and view all the answers

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

<p>Parenterally administered penicillin (A)</p> Signup and view all the answers

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

<p>Penicillin (D)</p> Signup and view all the answers

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

<p>Procaine penicillin involves a total of 7.2 million units. (C)</p> Signup and view all the answers

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

<p>Yellow-green discharge, itching, and odor (D)</p> Signup and view all the answers

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

<p>Metronidazole 2g PO in a single dose (A)</p> Signup and view all the answers

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

<p>Tertiary &amp; late latent (B)</p> Signup and view all the answers

What is the Jarisch-Herxheimer reaction associated with?

<p>Syphilis treatment initiation (D)</p> Signup and view all the answers

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

<p>Develops within 3 weeks of lymphadenopathy (D)</p> Signup and view all the answers

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

<p>Liver function tests (D)</p> Signup and view all the answers

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

<p>After excluding other diseases that may yield a false positive (B)</p> Signup and view all the answers

What is the recommended treatment for adults with neurosyphilis?

<p>IV Penicillin G X 10-14 million units daily (D)</p> Signup and view all the answers

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

<p>Frequency of administration (A)</p> Signup and view all the answers

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

<p>Doxycycline 100mg PO BID x7 days (A)</p> Signup and view all the answers

When should retesting occur for cure of chlamydia?

<p>3 months after treatment, irrespective of whether sex partner was treated (B)</p> Signup and view all the answers

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

<p>2.4 million units IM single dose (B)</p> Signup and view all the answers

What is the preferred drug of choice for syphilis?

<p>Benzathine penicillin G (C)</p> Signup and view all the answers

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

<p>Azithromycin 500mg PO TID x7 days (B)</p> Signup and view all the answers

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

<p>Chancre at site of infection, regional lymphadenopathy (A)</p> Signup and view all the answers

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