CMN 568 FINAL FULL QUESTIONS AND
CORRECT ANSWERS ALREADY PASSED
STUDY SHEET
●● transmission of chlamydia
Answer: sexual, vertical
incubation - 7-21 days
C. trachomatis
●● risk factors for chlamydia
Answer: adolescence
new/multiple partners
hx of STD
presence of STD
OC user
no barrier contraception
●● first line treatment for chlamydia - uncomplicated, >8yo
Answer: azithromycin 1g PO x 1 OR doxy BID x 7 days
●● first line treatment for chlamydia - pregnant patients
,Answer: azithromycin PO x 1
●● first line treatment for chlamydia - neonatal
conjunctivitis/pneumonia, children <45kg
Answer: erythromycin base or ethylsuccinate 4 doses x 14 days
●● first line treatment for chlamydia - children >45kg AND <8yo
Answer: azithromycin 1g PO x 1
●● first line treatment for chlamydia - LGV
Answer: doxy BID x 21 days
●● labs tests for chlamydia
Answer: culture - vaginal/penis, gold standard
NAAT - urine, co-testing for GC
serology
●● need for test for cure with chlamydia in non-pregnant patients?
Answer: not necessary unless questionable compliance or re-infection
suspected; screen at next healthcare visit
●● need for test for cure with chlamydia in adolescents?
Answer: retest 3-4 months after treatment
,●● need for test for cure with chlamydia in pregnant patients?
Answer: repeat NAAT 3 weeks after therapy, then again in 3 months
●● screening for chlamydia reduces risk for?
Answer: PID-NAAT
●● screening guidelines for chlamydia
Answer: sexually active, <25yo - annual
sexually active, >25yo - if RF present
pregnancy - first prenatal visit; if 25yo with increased risk, screen again
at third trimester
●● is chlamydia reportable?
Answer: yes, in all states
●● partner treatment - chlamydia
Answer: evaluate/tx all partners within 60 days preceding diagnosis
evaluate/tx most recent partner, even if last sexual contact >60 days
●● patient education - chlamydia
Answer: no sex until partner is treated
, abstain from sex until 7 days post treatment
use latex condoms
●● signs and symptoms - chlamydia
Answer: may be asymptomatic
mucopurulent endocervical discharge, dysuria
conjunctivitis, urethritis, proctitis, cervicitis
●● signs/symptoms of chlamydia in infants
Answer: conjunctivitis, pneumonitis, pharyngitis, rhinitis
●● complications of chlamydia
Answer: PID, salpingitis, endometritis, Fitz-Hugh-Curtis syndrome
●● transmission of gonorrhea
Answer: sexual/vertical
N. gonorrhoeae
●● risk factors - gonorrhea
Answer: new/multiple partners
no condoms
adolescents
CORRECT ANSWERS ALREADY PASSED
STUDY SHEET
●● transmission of chlamydia
Answer: sexual, vertical
incubation - 7-21 days
C. trachomatis
●● risk factors for chlamydia
Answer: adolescence
new/multiple partners
hx of STD
presence of STD
OC user
no barrier contraception
●● first line treatment for chlamydia - uncomplicated, >8yo
Answer: azithromycin 1g PO x 1 OR doxy BID x 7 days
●● first line treatment for chlamydia - pregnant patients
,Answer: azithromycin PO x 1
●● first line treatment for chlamydia - neonatal
conjunctivitis/pneumonia, children <45kg
Answer: erythromycin base or ethylsuccinate 4 doses x 14 days
●● first line treatment for chlamydia - children >45kg AND <8yo
Answer: azithromycin 1g PO x 1
●● first line treatment for chlamydia - LGV
Answer: doxy BID x 21 days
●● labs tests for chlamydia
Answer: culture - vaginal/penis, gold standard
NAAT - urine, co-testing for GC
serology
●● need for test for cure with chlamydia in non-pregnant patients?
Answer: not necessary unless questionable compliance or re-infection
suspected; screen at next healthcare visit
●● need for test for cure with chlamydia in adolescents?
Answer: retest 3-4 months after treatment
,●● need for test for cure with chlamydia in pregnant patients?
Answer: repeat NAAT 3 weeks after therapy, then again in 3 months
●● screening for chlamydia reduces risk for?
Answer: PID-NAAT
●● screening guidelines for chlamydia
Answer: sexually active, <25yo - annual
sexually active, >25yo - if RF present
pregnancy - first prenatal visit; if 25yo with increased risk, screen again
at third trimester
●● is chlamydia reportable?
Answer: yes, in all states
●● partner treatment - chlamydia
Answer: evaluate/tx all partners within 60 days preceding diagnosis
evaluate/tx most recent partner, even if last sexual contact >60 days
●● patient education - chlamydia
Answer: no sex until partner is treated
, abstain from sex until 7 days post treatment
use latex condoms
●● signs and symptoms - chlamydia
Answer: may be asymptomatic
mucopurulent endocervical discharge, dysuria
conjunctivitis, urethritis, proctitis, cervicitis
●● signs/symptoms of chlamydia in infants
Answer: conjunctivitis, pneumonitis, pharyngitis, rhinitis
●● complications of chlamydia
Answer: PID, salpingitis, endometritis, Fitz-Hugh-Curtis syndrome
●● transmission of gonorrhea
Answer: sexual/vertical
N. gonorrhoeae
●● risk factors - gonorrhea
Answer: new/multiple partners
no condoms
adolescents
