CMN 572 - FINAL EXAM REVIEW
QUESTIONS & ANSWERS
most frequently reported infectious disease in US - Correct Answers -chlamydia
transmission of chlamydia - Correct Answers -sexual, vertical
incubation - 7-21 days
C. trachomatis
risk factors for chlamydia - Correct Answers -adolescence
new/multiple partners hx of STD presence of STD OC
user
no barrier contraception
first line treatment for chlamydia - uncomplicated, >8yo - Correct Answers -azithromycin
1g PO x 1 OR doxy BID x 7 days
first line treatment for chlamydia - pregnant patients - Correct Answers -azithromycin
PO x 1
first line treatment for chlamydia - neonatal conjunctivitis/pneumonia, children <45kg -
Correct Answers -erythromycin base or ethylsuccinate 4 doses x 14 days
first line treatment for chlamydia - children >45kg AND <8yo - Correct Answers -
azithromycin 1g PO x 1
first line treatment for chlamydia - LGV - Correct Answers -doxy BID x 21 days
labs tests for chlamydia - Correct Answers -culture - vaginal/penis, gold standard
NAAT - urine, co-testing for GC
serology
need for test for cure with chlamydia in non-pregnant patients? - Correct Answers -not
necessary unless questionable compliance or re-infection suspected; screen at next
healthcare visit
need for test for cure with chlamydia in adolescents? - Correct Answers -retest 3-4
months after treatment
,need for test for cure with chlamydia in pregnant patients? - Correct Answers -repeat
NAAT 3 weeks after therapy, then again in 3 months
screening for chlamydia reduces risk for? - Correct Answers -PID-NAAT
screening guidelines for chlamydia - Correct Answers -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 Answers -yes, in all states
partner treatment - chlamydia - Correct Answers -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 Answers -no sex until partner is treated
abstain from sex until 7 days post treatment
use latex condoms
signs and symptoms - chlamydia - Correct Answers -may be asymptomatic
mucopurulent endocervical discharge, dysuria
conjunctivitis, urethritis, proctitis, cervicitis
signs/symptoms of chlamydia in infants - Correct Answers -conjunctivitis, pneumonitis,
pharyngitis, rhinitis
complications of chlamydia - Correct Answers -PID, salpingitis, endometritis, Fitz-Hugh-
Curtis syndrome
transmission of gonorrhea - Correct Answers -sexual/vertical
N. gonorrhoeae
risk factors - gonorrhea - Correct Answers -new/multiple partners
no condoms adolescents drug use
low socio-economic class
prostitution
African Americans
first line treatment of uncomplicated gonorrhea - Correct Answers -ceftriaxone IM x 1
PLUS azithromycin 1g PO x 1
first line treatment of gonorrhea - pregnant patients - Correct Answers -ceftriaxone IM x
, 1 PLUS azithromycin 1g PO x 1
first line treatment of gonorrhea - pencillin allergy (severe rx - anaphylaxis, SJS) -
Correct Answers -refer to ID
gemifloxacin PO PLUS azithromycin PO x 1
OR gentamycin IM x 1 PLUS azithromycin PO x 1
tests for gonorrhea - Correct Answers -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 Answers -not
recommended if regimen is administered
test for cure for gonorrhea - persistent s/s - Correct Answers -repeat culture to test for
antimicrobial susceptibility
when to retest for gonorrhea - Correct Answers -in 3 months, if risk of reinfection
screening guidelines for gonorrhea - Correct Answers -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
is gonorrhea reportable? - Correct Answers -yes, in all states
partner treatment - gonorrhea - Correct Answers -evaluate/tx all partners within 60 days
preceding diagnosis
evaluate/tx most recent partner even if last sexual contact >60 days
patient education - gonorrhea - Correct Answers -no sex until partner treated
abstain until 7 days post treatment
HIV transmission - higher risk
s/s gonorrhea - Correct Answers -males - symptomatic, females - asymptomatic
purulent discharge, inflammation of cervix/uterus anorectal infection,
conjunctivitis, DGI, pharyngeal infection men -urethritis, epididymitis, unilateral
testicular pain
women - cervicitis, vaginal d/c, intermenstrual bleeding, dysuria, lower AP, dyspareunia,
easily induced cervical bleeding
QUESTIONS & ANSWERS
most frequently reported infectious disease in US - Correct Answers -chlamydia
transmission of chlamydia - Correct Answers -sexual, vertical
incubation - 7-21 days
C. trachomatis
risk factors for chlamydia - Correct Answers -adolescence
new/multiple partners hx of STD presence of STD OC
user
no barrier contraception
first line treatment for chlamydia - uncomplicated, >8yo - Correct Answers -azithromycin
1g PO x 1 OR doxy BID x 7 days
first line treatment for chlamydia - pregnant patients - Correct Answers -azithromycin
PO x 1
first line treatment for chlamydia - neonatal conjunctivitis/pneumonia, children <45kg -
Correct Answers -erythromycin base or ethylsuccinate 4 doses x 14 days
first line treatment for chlamydia - children >45kg AND <8yo - Correct Answers -
azithromycin 1g PO x 1
first line treatment for chlamydia - LGV - Correct Answers -doxy BID x 21 days
labs tests for chlamydia - Correct Answers -culture - vaginal/penis, gold standard
NAAT - urine, co-testing for GC
serology
need for test for cure with chlamydia in non-pregnant patients? - Correct Answers -not
necessary unless questionable compliance or re-infection suspected; screen at next
healthcare visit
need for test for cure with chlamydia in adolescents? - Correct Answers -retest 3-4
months after treatment
,need for test for cure with chlamydia in pregnant patients? - Correct Answers -repeat
NAAT 3 weeks after therapy, then again in 3 months
screening for chlamydia reduces risk for? - Correct Answers -PID-NAAT
screening guidelines for chlamydia - Correct Answers -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 Answers -yes, in all states
partner treatment - chlamydia - Correct Answers -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 Answers -no sex until partner is treated
abstain from sex until 7 days post treatment
use latex condoms
signs and symptoms - chlamydia - Correct Answers -may be asymptomatic
mucopurulent endocervical discharge, dysuria
conjunctivitis, urethritis, proctitis, cervicitis
signs/symptoms of chlamydia in infants - Correct Answers -conjunctivitis, pneumonitis,
pharyngitis, rhinitis
complications of chlamydia - Correct Answers -PID, salpingitis, endometritis, Fitz-Hugh-
Curtis syndrome
transmission of gonorrhea - Correct Answers -sexual/vertical
N. gonorrhoeae
risk factors - gonorrhea - Correct Answers -new/multiple partners
no condoms adolescents drug use
low socio-economic class
prostitution
African Americans
first line treatment of uncomplicated gonorrhea - Correct Answers -ceftriaxone IM x 1
PLUS azithromycin 1g PO x 1
first line treatment of gonorrhea - pregnant patients - Correct Answers -ceftriaxone IM x
, 1 PLUS azithromycin 1g PO x 1
first line treatment of gonorrhea - pencillin allergy (severe rx - anaphylaxis, SJS) -
Correct Answers -refer to ID
gemifloxacin PO PLUS azithromycin PO x 1
OR gentamycin IM x 1 PLUS azithromycin PO x 1
tests for gonorrhea - Correct Answers -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 Answers -not
recommended if regimen is administered
test for cure for gonorrhea - persistent s/s - Correct Answers -repeat culture to test for
antimicrobial susceptibility
when to retest for gonorrhea - Correct Answers -in 3 months, if risk of reinfection
screening guidelines for gonorrhea - Correct Answers -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
is gonorrhea reportable? - Correct Answers -yes, in all states
partner treatment - gonorrhea - Correct Answers -evaluate/tx all partners within 60 days
preceding diagnosis
evaluate/tx most recent partner even if last sexual contact >60 days
patient education - gonorrhea - Correct Answers -no sex until partner treated
abstain until 7 days post treatment
HIV transmission - higher risk
s/s gonorrhea - Correct Answers -males - symptomatic, females - asymptomatic
purulent discharge, inflammation of cervix/uterus anorectal infection,
conjunctivitis, DGI, pharyngeal infection men -urethritis, epididymitis, unilateral
testicular pain
women - cervicitis, vaginal d/c, intermenstrual bleeding, dysuria, lower AP, dyspareunia,
easily induced cervical bleeding
