STD

Question 1

Describe ttt regimen of gonorrhea for the follwing cases:
1. Uncomplicated
2. Disseminated
3. Un in child
4. Conjunctivitis in adult
5. Ophthalmia neonatorum

Answer 1

1. Ceftriaxone 250 mg IM + azithromycin 1g once PO or doxycycline 100gm for 7 days
2. Ceftriaxone 24-48 hs then cefixime (7 days)
3. Ceftriaxone 125 mg once IM
4. Ceftriaxone 1g once IM
5. Ceftriaxone 25-50 mg/kg IV/IM once

Question 2

Ttt of gonorrhea with severe cephalosporin allergy

Answer 2

Azithromycin 2g PO once

Question 3

…….is used to prevent ophthalmia neonatorum

Answer 3

Erythromycin (0.5%) ophthalmic oinment

Question 4

…….is effective for single dose therapy in syphilis

Answer 4

Benzathine penicillin G

Question 5

In case of pregnant woman with syphilis, to ensure ttt success & prevent transmission to fetus………

Answer 5

IM dose of benzathin penicillin G 1 wk after completion of recommended ttt

Question 6

Jarisch-Herxheimer reaction ttt is……

Answer 6

Analgesics, antipyretics & rest

Question 7

Mention ttt of syphilis in following cases:
1. Late latent >1yr
2. Neurosyphilis
3. Congenital

Answer 7

1. Benzathine penicillin once/wk for 3 successive wks
2. Penicillin G megadose
3. Penicillin G every 8hr for 10 days

Question 8

Penicillin allergic patient with syphilis should recieve……

Answer 8

Doxycycline

Question 9

Desctibe management of syphilis in pregnant woman with syphilis

Answer 9

Desensitization then penicillin administration

Question 10

Drug therapy of Chlmaydia is…..

Answer 10

1-dose azithromycin or 7-day doxycycline

Question 11

Describe intial ttt in case of trichomonas & in case of failure

Answer 11

Metro 2g PO once
Failed: metro 500 mg twice PO 7 days

Question 12

Metronidazole & tinidazole are CI in….

Answer 12

1st trimester of pregnancy