CMN 572 - Final Exam Review questions and answers A+ Grade
most frequently reported infectious disease in US
- correct answer chlamydia
transmission of chlamydia
- correct answer sexual, vertical
incubation - 7-21 days
C. trachomatis
risk factors for chlamydia
- correct answer adolescence
new/multiple partners
hx of STD
presence of STD
OC user
no barrier contraception
first line treatment for chlamydia - uncomplicated, >8yo
- correct answer azithromycin 1g PO x 1 OR doxy BID x 7 days
first line treatment for chlamydia - pregnant patients
- correct answer azithromycin PO x 1
first line treatment for chlamydia - neonatal conjunctivitis/pneumonia, children <45kg
- correct answer erythromycin base or ethylsuccinate 4 doses x 14 days
first line treatment for chlamydia - children >45kg AND <8yo
- correct answer azithromycin 1g PO x 1
,first line treatment for chlamydia - LGV
- correct answer doxy BID x 21 days
labs tests for chlamydia
- correct answer culture - vaginal/penis, gold standard
NAAT - urine, co-testing for GC
serology
need for test for cure with chlamydia in non-pregnant patients?
- correct answer not necessary unless questionable compliance or re-infection suspected; screen at next
healthcare visit
need for test for cure with chlamydia in adolescents?
- correct answer retest 3-4 months after treatment
need for test for cure with chlamydia in pregnant patients?
- correct answer repeat NAAT 3 weeks after therapy, then again in 3 months
screening for chlamydia reduces risk for?
- correct answer PID-NAAT
screening guidelines for chlamydia
- correct 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?
- correct answer yes, in all states
partner treatment - chlamydia
- correct 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
- correct answer no sex until partner is treated
abstain from sex until 7 days post treatment
use latex condoms
signs and symptoms - chlamydia
- correct answer may be asymptomatic
mucopurulent endocervical discharge, dysuria
conjunctivitis, urethritis, proctitis, cervicitis
signs/symptoms of chlamydia in infants
- correct answer conjunctivitis, pneumonitis, pharyngitis, rhinitis
complications of chlamydia
- correct answer PID, salpingitis, endometritis, Fitz-Hugh-Curtis syndrome
transmission of gonorrhea
- correct answer sexual/vertical
N. gonorrhoeae
risk factors - gonorrhea
- correct answer new/multiple partners
no condoms
adolescents
drug use
low socio-economic class
prostitution
African Americans
, first line treatment of uncomplicated gonorrhea
- correct answer ceftriaxone IM x 1 PLUS azithromycin 1g PO x 1
first line treatment of gonorrhea - pregnant patients
- correct answer ceftriaxone IM x 1 PLUS azithromycin 1g PO x 1
first line treatment of gonorrhea - pencillin allergy (severe rx - anaphylaxis, SJS)
- correct answer refer to ID
gemifloxacin PO PLUS azithromycin PO x 1
OR gentamycin IM x 1 PLUS azithromycin PO x 1
tests for gonorrhea
- correct answer culture - urethral for men, cervical for women
must do culture if sexual abuse suspected
NAAT - urine
gram stain - highly specific/sensitive
test for cure for gonorrhea needed for non-pregnant patients?
- correct answer not recommended if regimen is administered
test for cure for gonorrhea - persistent s/s
- correct answer repeat culture to test for antimicrobial susceptibility
when to retest for gonorrhea
- correct answer in 3 months, if risk of reinfection
screening guidelines for gonorrhea
- correct answer pregnancy - first prenatal visit; if increased risk, screen again at third trimester
at-risk MWM - at least annual, rectal/pharyngeal GC
sexually active women - all who are at risk
most frequently reported infectious disease in US
- correct answer chlamydia
transmission of chlamydia
- correct answer sexual, vertical
incubation - 7-21 days
C. trachomatis
risk factors for chlamydia
- correct answer adolescence
new/multiple partners
hx of STD
presence of STD
OC user
no barrier contraception
first line treatment for chlamydia - uncomplicated, >8yo
- correct answer azithromycin 1g PO x 1 OR doxy BID x 7 days
first line treatment for chlamydia - pregnant patients
- correct answer azithromycin PO x 1
first line treatment for chlamydia - neonatal conjunctivitis/pneumonia, children <45kg
- correct answer erythromycin base or ethylsuccinate 4 doses x 14 days
first line treatment for chlamydia - children >45kg AND <8yo
- correct answer azithromycin 1g PO x 1
,first line treatment for chlamydia - LGV
- correct answer doxy BID x 21 days
labs tests for chlamydia
- correct answer culture - vaginal/penis, gold standard
NAAT - urine, co-testing for GC
serology
need for test for cure with chlamydia in non-pregnant patients?
- correct answer not necessary unless questionable compliance or re-infection suspected; screen at next
healthcare visit
need for test for cure with chlamydia in adolescents?
- correct answer retest 3-4 months after treatment
need for test for cure with chlamydia in pregnant patients?
- correct answer repeat NAAT 3 weeks after therapy, then again in 3 months
screening for chlamydia reduces risk for?
- correct answer PID-NAAT
screening guidelines for chlamydia
- correct 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?
- correct answer yes, in all states
partner treatment - chlamydia
- correct 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
- correct answer no sex until partner is treated
abstain from sex until 7 days post treatment
use latex condoms
signs and symptoms - chlamydia
- correct answer may be asymptomatic
mucopurulent endocervical discharge, dysuria
conjunctivitis, urethritis, proctitis, cervicitis
signs/symptoms of chlamydia in infants
- correct answer conjunctivitis, pneumonitis, pharyngitis, rhinitis
complications of chlamydia
- correct answer PID, salpingitis, endometritis, Fitz-Hugh-Curtis syndrome
transmission of gonorrhea
- correct answer sexual/vertical
N. gonorrhoeae
risk factors - gonorrhea
- correct answer new/multiple partners
no condoms
adolescents
drug use
low socio-economic class
prostitution
African Americans
, first line treatment of uncomplicated gonorrhea
- correct answer ceftriaxone IM x 1 PLUS azithromycin 1g PO x 1
first line treatment of gonorrhea - pregnant patients
- correct answer ceftriaxone IM x 1 PLUS azithromycin 1g PO x 1
first line treatment of gonorrhea - pencillin allergy (severe rx - anaphylaxis, SJS)
- correct answer refer to ID
gemifloxacin PO PLUS azithromycin PO x 1
OR gentamycin IM x 1 PLUS azithromycin PO x 1
tests for gonorrhea
- correct answer culture - urethral for men, cervical for women
must do culture if sexual abuse suspected
NAAT - urine
gram stain - highly specific/sensitive
test for cure for gonorrhea needed for non-pregnant patients?
- correct answer not recommended if regimen is administered
test for cure for gonorrhea - persistent s/s
- correct answer repeat culture to test for antimicrobial susceptibility
when to retest for gonorrhea
- correct answer in 3 months, if risk of reinfection
screening guidelines for gonorrhea
- correct answer pregnancy - first prenatal visit; if increased risk, screen again at third trimester
at-risk MWM - at least annual, rectal/pharyngeal GC
sexually active women - all who are at risk
