100% Correct Answers | Graded A+
Why is prophylaxis indicated in the adolescent population? - ✔✔Because of risk
of ascending infection (like adults) & to prevent potential further transmission
of infection (consensual sex)
When should STI treatment occur in the prepubertal population? - ✔✔Not until
all STIs are tested for and not until confirmatory testing has been obtained.
For the prepubescent population who are receiving STI treatment, when do we
retest? - ✔✔Test for cure in 3 weeks
What is Ceftriaxone 500mg IM once given for? - ✔✔Gonorrhea
What is Doxycycline 100mg BID x 7days OR Azithromycin 1 gm once; OR
Levofloxacin 500mg QD x 7 days used to treat? - ✔✔Chlamydia
Your adult patient's pregnancy test is positive, what ABX would you provide for
prophylaxis treatment of Chlamydia? - ✔✔Azithromycin 1gm once
What is Metronidazole 500mg BID x 7 days used to treat? - ✔✔Trichomoniasis
in women
What is Metronidazole 2gm once used to treat? - ✔✔Trichomoniasis in men or
for those who might be noncompliant
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,What is Tinidazole 2gm once used to treat? - ✔✔Alternative treatment for
Trichomoniasis
What vaccine is indicated for ages 9-26 with the schedule of initial, 1-2 months
after the initial , & 6 months after ? - ✔✔HPV
What vaccine is administered at initial visit, 1-2 months after the initial & 4-6
months after the initial? - ✔✔HBV
For Hepatitis B, what would you provide for your unvaccinated patient whose
assailant was HBV+? - ✔✔HBIG and the 1st dose of the HBV vaccine w/referrals
for follow up at 1-2 months after and 4-6 months for the subsequent vaccines.
For Hepatitis B, what would you provide your previously vaccinated patient? -
✔✔Hepatitis B booster if needed
What medication do you need to be cautious of administering for a patient with
a penicillin or cephalosporin allergy? - ✔✔Ceftriaxone
Who is Doxycycline contraindicated in? - ✔✔Pregnant women and children
under 8 years (discolors teeth)
For you patient weighing > 150 kg, what dose of Ceftriaxone would you provide?
- ✔✔I gm
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,What is the preferred regimen for nPEP for adults & adolescents > 13 years
including pregnant women and those with a normal renal function (creatinine
clearance > 60ml/min)? - ✔✔3 drug regimen: tenofovir DF 300mg with
emtricitabine 200mg (Truvada QD)
AND
Raltegravir 400mg BID (Isentress)
OR
Dolutegravir 50mg QD
What is the alternative treatment for nPEP in adults/adolescents > 13 years
WITH renal dysfunction (creatinine clearance <59ml/min)? - ✔✔3 Drug regimen:
zidovudine & lamivudine (doses adjusted to degree of renal function)
WITH
Raltegravir 400mg BID (Isentress)
OR
Dolutegravir 50mg QD
What is the recommended treatment for Chlamydia for children < 45kg? -
✔✔Erythromycin base or ethyl succinate 50mg/kg/day divided QID x 14 days
What is the recommended treatment for Chlamydia in children > 8 years old or
> 45 kg? - ✔✔Azithromycin 1gm once
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, What is the treatment for Gonorrhea in the patient weighing < 45kg? -
✔✔Ceftriaxone 25-50 mg/kg IM once (max dose of 250mg IM)
What is the treatment for Trichomonas in the patient weighing < 45kg? -
✔✔Flagyl 45mg/kg/day divided TID x 7 days
What are the baseline labs needed for HIV nPEP? - ✔✔HIV antibody 1 & 2
(repeat at 6 weeks and 3 months)
HBV surface antigen
HCV antibody
AST
ALT
Creatinine
What information needs to be provided to patients regarding HIV nPEP? -
✔✔Risk of contracting HIV; potential benefit and risk of HIV nPEP; potential
toxicity of HIV nPEP; side effects and need for an antiemetic; importance of
adherence; safe sex practices while on HIV npep; s/s of primary HIV infection;
need for clinical & lab monitoring follow up
What are some factors that need to be considered for HIV nPEP administration?
- ✔✔Time since exposure (72hrs or less)
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