Infectious Disease

Question 1

Drug of choice for bacterial vaginosis

Answer 1

Metronidazole

Question 2

Treatment of syphilis in pregnancy

Answer 2

Benzathine Pen G IM single dose

Question 3

Green yellow frothy discharge
Strawberry cervix
Metronidazole 2g single dose- until after 1st trimester; treat regardless if symptomatic
Partners should be treated

Answer 3

Trichomonas

Question 4

In trichomonas infection, breastfeeding must be withheld up to how many hours after the last dose?

Answer 4

12-24 hours

Question 5

Most common manifestation of vulvovaginal candidiasis

Answer 5

Vulvar priritus

Question 6

Recommended treatment for candiasis for pregnant women

Answer 6

TOPICAL azole creams

Fluconazole contraindicated

Question 7

Drug of choice for chlamydia in pregnancy

Answer 7

Azithromucin 1g PO single dose

Question 8

Ophthalmia neonatorum
Septic aborion
PROM
Chorioamnionitis

May be seen in what infection

Answer 8

Gonorrhea

Question 9

Treatment for gonorrhea

Answer 9

Ceftriaxone 250mg IM single plus treatment for chlamydia ( azith 1g PO single dose)

Question 10

Appears after penicillin treatment of syphilis characterized by uterine contractions accompanied by late fetal heart deceleration

Answer 10

Jarisch-Herxheimer reaction

Question 11

Can women with HSV infection breastfeed?

Answer 11

Yes as long as there are no active lesions in the breast

Question 12

Fetal immunity begins to develop during what age of gestation?

Answer 12

9-15 weeks AOG

Question 13

What immunoglobulin is the primary fetal response to infection?

Answer 13

IgM

Question 14

If given varicella and MMR vaccine, how long till you can get pregnant?

Answer 14

1 month after vaccination

Question 15

Pregnant women without history should receive varicella zoster Ig if with significant exposure to a person infected within

Answer 15

96 hours of exposure

Question 16

Varicella zoster Ig must be given to neonates if mother has clinical evidence when?

Answer 16

5 days before and up to 2 days after delivery

Question 17

How many weeks AOG has a 90% chance of developing congenital rubella syndrome?

Answer 17

First 12 weeks

Question 18

Most common single defect in congenital rubella

Answer 18

Sensorineural deafness

Question 19

Heart defect in congenital rubella

Answer 19

PDA

Question 20

Most common perinatal infection

Answer 20

CMV

Question 21

Clostridium infection due to this species can cause septic abortion

Answer 21

C. perfringens

Question 22

This bacterial infection can cause preterm labor, PROM and chorioamnionitis

Answer 22

Group B strep

Question 23

Universal vaginal and rectal GBS screening culture is done at

Answer 23

35-37 weeks

Question 24

Intrapartum Antimicrobial prophylaxis for GBS

Answer 24

Pen G

Question 25

``` Amniotic fluid brownish in color Stillbirth Disseminated granulomatous lesions Chorioamnionitis Macroabscess in placenta ```

Answer 25

Listeriosis

Question 26

Treatment for listeria monocytogenes

Answer 26

Ampicillin gentamicin | Prevention of food borne transmission

Question 27

Raw undercooked meat Cat feces with oocysts Endemic in PH

Answer 27

Toxoplasmosis

Question 28

Toxoplasmosis triad

Answer 28

Chorioretinitis Intracranial calcifications Hydrocephalus

Question 29

This drug prevents congenital infection of toxoplasmosis

Answer 29

Spiramycin

Question 30

This drug for toxoplasmosis eradicates parasites in placenta and fetus Given after 18 weeks or suspected fetal infection

Answer 30

Pyrimethamine, sulfonamides and folinic acid

Question 31

Gold standard for diagnosis of malaria

Answer 31

Blood smear

Question 32

Contraindicated for malaria in pregnancy

Answer 32

Primaquine and doxycycline

Question 33

Drug of choice for amebiasis in pregnancy

Answer 33

Metronidazole

Question 34

Metronidazole targets what stage of the amoeba

Answer 34

Trophozoite stage

Question 35

If with exposure to Zika, delaying conception should be done for how many weeks?

Answer 35

Women- 8 weeks | Men- 6 months