NSFW Test Questions & Answers 2024/2025
Differentiate signs, symptoms, and management of selected bacterial infections. - ANSWERS
Chlamydia S/S - ANSWERSMost common bacteria STI.
*Asymptomatic* or cervicitis.
Chlamydia Management - ANSWERSScreen during first prenatal visit.
DX with v...
Differentiate signs, symptoms, and management of selected bacterial infections. - ANSWERS
Chlamydia S/S - ANSWERSMost common bacteria STI.
*Asymptomatic* or cervicitis.
Chlamydia Management - ANSWERSScreen during first prenatal visit.
DX with vaginal culture or urine screen.
May cause
*neonatal conjunctivitis or neonatal pneumonia*.
Use doxycylcine for 7 days (cheaper but less compliance).
or azithromycin for 1 day (More expensive, no need for compliance.)
If <25, screen annually for chlamydia.
Partner should also be treated.
Gonorrhea S/S - ANSWERSChlamydia's best friend. 45% have coexisting chlamydial infection.
Highly communicable high reinfection rate.
*Women are often asymptomatic*. May have purulent d/c.
Menstrual irregularities, pelvic pain, dysuria.
Gonorrhea Management - ANSWERSTreat with cefixime 400mgx1 or
ceftriazone 125mg IMx1.
Treat partner.
Syphilis S/S - ANSWERS3 stages.
, Primary (1-6 weeks) - painless chancre.
Secondary (2-6 months) - rash on palms and soles, alopecia, adenopathy, fever, fatigue. May develop
condylomata lata (broad, painless, pink-gray wart-like infectious lesions on the vulva, perineum, or anus.
There's a picture. You're welcome.)
Latency - no symptoms, positive serology.
Tertiary - cardiac and CNS dysfunction.
Syphilis Management - ANSWERSTransplacental at any time during pregnancy. Screen during 1st prenatal
visit.
Dx : +VDRL, +RPR.
Penicillin, doxyclycline.
Reevaluate after treatment.
Sexual abstinence during treatment.
*Jarisch-Herxheimer reaction may occur within 1st 24 hours - hypotension, HA, myalgias.*
May be necessary to rescreen because 1/3 of people in early primary syphilis may have noreactive
serologic tests. Rescreen in 1-2 months if suspicious lesions are present.
Lower abdominal, adnexal, and cervical motion tenderness.
Sub acute: dull, cramping, and intermittent.
Acute: severe, persistent, and incapacitating.
*Pain when touching cervix!*
May complain of intermenstrual bleeding.
Pelvic tenderness bilaterally.
PID Management - ANSWERSR/O ectopic pregnancy and appendicitis.
Endometrial biopsy.
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