Sexually Transmitted Infections

Question 1

Difference between STD and STI

Answer 1

• STI: pathogen that causes infection through sexual contact
• STD: recognizable disease state that has developed from an infection

Question 2

Chlamydia infects columnar ____________ cells of eye, throat, GU tract and rectum

Answer 2

Epithelial

Question 3

People infected with chlamydia are often (symptomatic/asymptomatic)

Answer 3

Asymptomatic

Question 4

Chlamydia modes of transmission

Answer 4

Sexual and vertical (mom to baby)

Question 5

True or false: Chlamydia is diagnosed via culture

Answer 5

False. NAAT of bodily fluid (first catch urine)

Question 6

Chlamydia treatment for partners with exposure before symptom onset and before diagnosis

Answer 6

Regimen: doxycycline 100 mg po BID x7 d (nonpregnant) –or- azithromycin 1
g x1 (pregnant

Question 7

Chlamydia and gonorrhea may cause PID in women.
a) True
b) False

Answer 7

a) True

Question 8

Gonorrhea treatment for an individual weighing 160kg

Answer 8

Ceftriaxone 1000mg IM once

Question 9

Which agent should be added to gonorrhea regimen if chlamydia also present?

Answer 9

Doxycycline 100mg PO BID x 7 dys

Question 10

Select the preferred treatment for uncomplicated gonococcal infection
for a 70 kg transfemale w/NKDA.
a) Azithromycin 1 g PO x 1 + Doxycycline 100 mg PO BID x 7 d
b) Ceftriaxone 500 mg IM x 1
c) Ceftriaxone 1 g IM x 1 + Azithromycin 1 g PO x 1
d) Ceftriaxone 250 mg IM x 1 + Azithromycin 1 g PO x 1
e) Ceftriaxone 500 mg IM x 1 + Doxycycline 100 mg PO BID x 7 days

Answer 10

b) Ceftriaxone 500 mg IM x 1

Question 11

Which agents may be used to treat gonorrhea in patients with a cephalosporin allergy?

Answer 11

. Gentamicin 240mg IM once
. Azithromycin 2g PO once

Question 12

Syphilis modes of transmission

Answer 12

Sexual contact and transplacentally

Question 13

Select the stage when neurosyphilis can occur.
a) Primary
b) Secondary
c) Tertiary
d) Early latent
e) Any stage

Answer 13

e) Any stage

Question 14

RPR detects specific abs directed against T. pallidum.
a) True
b) False

Answer 14

b) False

Question 15

Preferred treatment for primary, secondary or early latent syphilis in adults

Answer 15

Benzathine PCN G (Bicillin L-A®) 2.4 million units IM once

Question 16

Preferred treatment for tertiary, or late latent syphilis in adults

Answer 16

Benzathine PCN G (Bicillin LA-®) 2.4 million units IM weekly x 3