NR 566 Final Study Guide
Chlamydia
(Among Adolescents and Adults) Treatment - Answer-Doxycycline 100 mg Orally BID for 7 day
**Alternative therapy:
- Azithromycin 1g Orally in a single dose
- Levofloxacin 500 mg orally daily for 7 days
Uncomplicated gonococcal urethritis Treatment - Answer-Chlamydial infection is excluded:
Ceftriaxone 500 mg IM single dose
If Chlamydial infection has not been excluded:
- Ceftriaxone 500 mg IM single dose
- Doxycycline 100 mg Orally BID for 7 day
**Alternative therapy:
-Gentamicin 240 mg IM in a single dose +
Azithromycin 2 g orally in a single dose
- Cefixime 800 mg orally in a single dose
Bacterial Vaginosis Treatment - Answer-- Metronidazole 500 mg orally BID for 7 days
, - Metronidazole gel 0.75% one full applicator intravaginal, once a day for 5 days
- Clindamycin vaginal cream 2% one full applicator intravaginal, at bedtime for 7 days
Herpes Simplex Virus
(First Clinical Episode) Treatment - Answer-- Acyclovir 400 mg orally TID for 7-10 days
- Famciclovir 250 mg orally TID for 7-10 days
- Valacyclovir 1 g orally twice a day for 7-10 days
Pelvic Inflammatory Disease (PID) (IM or Oral Regimens) Treatment - Answer-- Ceftriaxone 500 mg IM in
a single dose +
Doxycycline 100 mg orally BID for 14 days +
Metronidazole 500 mg orally BID of 14 days
- Cefoxitin 2g IM in a single dose +
Probenecid 1g orally in a single dose +
Doxycycline 100 mg orally BID for 14 days +
Metronidazole 500 mg orally BID for 14 days
- Other parenteral third generation Cephalosporin (Ceftizoxime or Cefotaxime) +
Doxycycline 100 mg orally BID for 14 days +
Metronidazole 500 mg orally BID for 14 days
Syphilis Treatment - Answer-Benzathine Penicillin G 2.4 million units IM in a single dose
Chlamydia
(Among Adolescents and Adults) Treatment - Answer-Doxycycline 100 mg Orally BID for 7 day
**Alternative therapy:
- Azithromycin 1g Orally in a single dose
- Levofloxacin 500 mg orally daily for 7 days
Uncomplicated gonococcal urethritis Treatment - Answer-Chlamydial infection is excluded:
Ceftriaxone 500 mg IM single dose
If Chlamydial infection has not been excluded:
- Ceftriaxone 500 mg IM single dose
- Doxycycline 100 mg Orally BID for 7 day
**Alternative therapy:
-Gentamicin 240 mg IM in a single dose +
Azithromycin 2 g orally in a single dose
- Cefixime 800 mg orally in a single dose
Bacterial Vaginosis Treatment - Answer-- Metronidazole 500 mg orally BID for 7 days
, - Metronidazole gel 0.75% one full applicator intravaginal, once a day for 5 days
- Clindamycin vaginal cream 2% one full applicator intravaginal, at bedtime for 7 days
Herpes Simplex Virus
(First Clinical Episode) Treatment - Answer-- Acyclovir 400 mg orally TID for 7-10 days
- Famciclovir 250 mg orally TID for 7-10 days
- Valacyclovir 1 g orally twice a day for 7-10 days
Pelvic Inflammatory Disease (PID) (IM or Oral Regimens) Treatment - Answer-- Ceftriaxone 500 mg IM in
a single dose +
Doxycycline 100 mg orally BID for 14 days +
Metronidazole 500 mg orally BID of 14 days
- Cefoxitin 2g IM in a single dose +
Probenecid 1g orally in a single dose +
Doxycycline 100 mg orally BID for 14 days +
Metronidazole 500 mg orally BID for 14 days
- Other parenteral third generation Cephalosporin (Ceftizoxime or Cefotaxime) +
Doxycycline 100 mg orally BID for 14 days +
Metronidazole 500 mg orally BID for 14 days
Syphilis Treatment - Answer-Benzathine Penicillin G 2.4 million units IM in a single dose
