solution.
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
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
