CMN 572 UPDATED EXAM SCRIIPT QUESTIONS AND
ANSWERS GRADED A+
✔✔What are the s/s of urethritis in men indicating that their may be an underlying
chlamydial or gonorrhea infection? - ✔✔dysuria & mucopurulent, mucoid, or clear
urethral discharge
✔✔What are s/s of cervicitis? - ✔✔mucopurulent discharge, cerivical erythema, friability,
✔✔What is the gold standard for testing for chlamydia? - ✔✔NAATs
✔✔Chlamydia and gonorrhea can both be tested with the same specimen using what
diagnostic test? - ✔✔NAATs
✔✔Where should a swab be obtained for a NAAT for chlamydia and gonorrhea? -
✔✔urethral for men, cervical for women, and urine from both men and women
✔✔What are the CDC recommended treatment regimens for chlamydia in all non-
pregnant adults and children > 8 years of age? - ✔✔Azithromycin single oral dose 1g or
doxycycline 100 mg bid for 7 days
✔✔What are CDC recommended alternative medicine treatments for chlamydia in non-
pregnant women? - ✔✔erythromycin, ofloxacin, and levofloxacin
✔✔What is the CDC recommended treatment for chlamydia in pregnant women? -
✔✔Azithromycin 1g x 1 (alternatives include erythromycin or amoxicillin)
✔✔What is LGV (lymphgranuloma venereum)? - ✔✔an STD caused by chlamydia
✔✔What is the recommended tx of LGV? - ✔✔doxycycline or erythromycin base
✔✔When should pregnant women be retested for chlamydia after tx? - ✔✔3 weeks
using NAAT and then again in 3 months
✔✔When should non-pregnant women be retested for chlamydia after tx? - ✔✔3-4
months esp. in adolescents
✔✔What are screening recommendations for chlamydia and gonorrhea? - ✔✔annually
for all sexually active women UNDER 25 and at first prenatal visit for ALL pregnant
women
✔✔When should women over 25 be screened for chlamydia and gonorrhea? - ✔✔new
partner or > 1 partner with STD
, ✔✔Pregnant women <25 and those at increased risk for chlamydia should be screened
at first prenatal visit and again when? - ✔✔3rd trimester
✔✔When should sex partners of patients with chlamydia and gonorrhea be tested and
treated? - ✔✔If had sex within 60 days preceding the onset of symptoms or diagnosis
✔✔How long should abstinence from sex be performed during tx of chlamydia and
gonorrhea? - ✔✔for 7 days after single dose tx or until completion of 7 day regimen
✔✔_____________ is associated with increased transmission of and susceptibility to
HIV infection - ✔✔Gonorrhea
✔✔genital infection of gonorrhea in men cause what symptoms? - ✔✔urethritis and
epididymitis
✔✔What is the incubation period for gonorrhea in men? - ✔✔1-14 days or longer
✔✔What is the most common local complication of gonorrhea infection in males and
what is it associated with? - ✔✔epididymitis; overt or subclinical urethritis
✔✔What are s/s of gonorrhea infection in women? - ✔✔Most are asymptomatic, but
most common is cervicitis and urethritis
✔✔The clinical standard for testing for testing for gonorrhea in suspicion of child abuse
is to do what? - ✔✔culture with multiple tests to confirm (NAAT, gram stain, etc...)
✔✔What class of abx are recommended by the CDC in the tx of gonorrhea? -
✔✔cephalosporins
✔✔What is the treatment for uncomplicated gonorrheal Infections of the Cervix, Urethra,
Rectum, Pharynx? - ✔✔IM Ceftriaxone 250mg x 1 PLUS Azithromycin 1gm orally x 1
✔✔When should repeat testing for gonorrhea be done after tx due to high risk of
reinfection? - ✔✔3 mths
✔✔For at risk MSM, when should screening for urethral and anal chlamydia and
gonorrhea, and pharyngeal gonorrhea be performed? - ✔✔annually
✔✔What is the etiologic agent in syphillis? - ✔✔treponema pallidum
✔✔At what stages is syphillis most contagious? - ✔✔primary and secondary stages
ANSWERS GRADED A+
✔✔What are the s/s of urethritis in men indicating that their may be an underlying
chlamydial or gonorrhea infection? - ✔✔dysuria & mucopurulent, mucoid, or clear
urethral discharge
✔✔What are s/s of cervicitis? - ✔✔mucopurulent discharge, cerivical erythema, friability,
✔✔What is the gold standard for testing for chlamydia? - ✔✔NAATs
✔✔Chlamydia and gonorrhea can both be tested with the same specimen using what
diagnostic test? - ✔✔NAATs
✔✔Where should a swab be obtained for a NAAT for chlamydia and gonorrhea? -
✔✔urethral for men, cervical for women, and urine from both men and women
✔✔What are the CDC recommended treatment regimens for chlamydia in all non-
pregnant adults and children > 8 years of age? - ✔✔Azithromycin single oral dose 1g or
doxycycline 100 mg bid for 7 days
✔✔What are CDC recommended alternative medicine treatments for chlamydia in non-
pregnant women? - ✔✔erythromycin, ofloxacin, and levofloxacin
✔✔What is the CDC recommended treatment for chlamydia in pregnant women? -
✔✔Azithromycin 1g x 1 (alternatives include erythromycin or amoxicillin)
✔✔What is LGV (lymphgranuloma venereum)? - ✔✔an STD caused by chlamydia
✔✔What is the recommended tx of LGV? - ✔✔doxycycline or erythromycin base
✔✔When should pregnant women be retested for chlamydia after tx? - ✔✔3 weeks
using NAAT and then again in 3 months
✔✔When should non-pregnant women be retested for chlamydia after tx? - ✔✔3-4
months esp. in adolescents
✔✔What are screening recommendations for chlamydia and gonorrhea? - ✔✔annually
for all sexually active women UNDER 25 and at first prenatal visit for ALL pregnant
women
✔✔When should women over 25 be screened for chlamydia and gonorrhea? - ✔✔new
partner or > 1 partner with STD
, ✔✔Pregnant women <25 and those at increased risk for chlamydia should be screened
at first prenatal visit and again when? - ✔✔3rd trimester
✔✔When should sex partners of patients with chlamydia and gonorrhea be tested and
treated? - ✔✔If had sex within 60 days preceding the onset of symptoms or diagnosis
✔✔How long should abstinence from sex be performed during tx of chlamydia and
gonorrhea? - ✔✔for 7 days after single dose tx or until completion of 7 day regimen
✔✔_____________ is associated with increased transmission of and susceptibility to
HIV infection - ✔✔Gonorrhea
✔✔genital infection of gonorrhea in men cause what symptoms? - ✔✔urethritis and
epididymitis
✔✔What is the incubation period for gonorrhea in men? - ✔✔1-14 days or longer
✔✔What is the most common local complication of gonorrhea infection in males and
what is it associated with? - ✔✔epididymitis; overt or subclinical urethritis
✔✔What are s/s of gonorrhea infection in women? - ✔✔Most are asymptomatic, but
most common is cervicitis and urethritis
✔✔The clinical standard for testing for testing for gonorrhea in suspicion of child abuse
is to do what? - ✔✔culture with multiple tests to confirm (NAAT, gram stain, etc...)
✔✔What class of abx are recommended by the CDC in the tx of gonorrhea? -
✔✔cephalosporins
✔✔What is the treatment for uncomplicated gonorrheal Infections of the Cervix, Urethra,
Rectum, Pharynx? - ✔✔IM Ceftriaxone 250mg x 1 PLUS Azithromycin 1gm orally x 1
✔✔When should repeat testing for gonorrhea be done after tx due to high risk of
reinfection? - ✔✔3 mths
✔✔For at risk MSM, when should screening for urethral and anal chlamydia and
gonorrhea, and pharyngeal gonorrhea be performed? - ✔✔annually
✔✔What is the etiologic agent in syphillis? - ✔✔treponema pallidum
✔✔At what stages is syphillis most contagious? - ✔✔primary and secondary stages
