CMN 572 Exam 1 – Questions With Applicable
Solutions
Save
Terms in this set (204)
First line treatment for chlamydia for 100mg doxycycline PO BID x 7 days
an adult/adolescent?
First line treatment for uncomplicated ceftriaxone 500mg IM x1 + azithromycin 1g POx1
gonorrhea? If patient is >/=150kg, give 1g ceftriaxone
We are giving azithromycin with the ceftriaxone b/c
of increased resistances that have developed.
First line treatment for chlamydia for a Azithromycin 1gm PO x1 or doxycycline BID x7 days
child that's older than 8?
What is the first line treatment for azithromycin PO x1 dose
chlamydia for a pregnant patient?
How do you treat neonatal erythromycin base or ethylsuccinate 4 doses x14
conjunctivitis 2/2 c. trachomatis? days
How do you treat c. trachomatis erythromycin (macrolide)
pneumonia?
How do you treat chlamydia in a child erythromycin (macrolide)
<45kg?
How do you treat a child that weighs azithromycin 1gm PO x1
>45kg or is <8 y/o for chlamydia?
How do you treat a pregnant pt with ceftriaxone IM x1 + azithromycin 1gm PO x1
gonorrhea?
,What do you do if your patient is refer to ID for consult; likely to Rx gemifloxacin PO +
allergic to PCNs and tests positive for azithro PO x1 or gentamycin IM x1 + azithromycin PO
gonorrhea? x1
How do you treat the primary and benzathine Penicillin G
secondary stages of syphilis?
What is the alternative tx to primary doxy or tetracycline x14 days
and secondary syphilis if your patient
is PCN allergic?
How do you treat neurosyphilis? penicillin G 3-4m units IV q4Hr or continuous IV
infusion x 10-14 days
What are the provider applied tx of cryotherapy, TCA, BCA, and surgical removal
warts 2/2 HPV? (4)
Pt presents w/ homogenous white, bacterial vaginosis; pt's must present with 3 out of
non-inflammatory discharge, fishy these 4 to dx
odor, clue cells on wet prep, vaginal
pH >4.5. What do you suspect they
have?
What is the gold standard for testing gram stain; positive results when you see clue cells
diagnosing bacterial vaginosis? on wet prep
You dx your patient with bacterial Metronidazole) BID x 7 days or
vaginosis. How do you treat them? Metronidazole Gel 1 dose x 5 days or
Clindamycin cream x 7 days
What education should you give your Flagyl + alcohol w/in 24 hrs of starting the med may
patient regarding treatment with cause a disulfiram-like reaction (nausea and
Flagyl (metronidazole) and alcohol vomiting); possible s/e include n/v/d and a metallic
intake and other possible side effects? taste in the mouth
Who is at higher risk for developing Pregnant women 2/2 hormone changes; Babies <1
candida? month; Ppl with HIV/AIDs
, Pt c/o white patches, soreness, and Esophageal Candidiasis/thrush; antifungal (nystatin
pain while eating/swallowing in their for swish and spit, e.g.)
mouth. They recently were prescribed
antibiotics for a UTI and have a PMH
of HIV. What do you suspect is the dx?
How would you treat it?
Pt complains of intense vulvar pruritis Vaginal culture.
and erythema with white vaginal
discharge. You suspect the patient has
overgrowth of candida. What is the
gold standard for diagnosis?
Your patient presents with complaints Pt is displaying s/s of acute cervicitis. During pelvic
of painful intercourse, spotting in exam, send off cotton swab and send for culture.
between periods, vaginal itching, and Treat with doxycycline 100mg PO BID x 7 days OR
yellow/pus-like discharge with an azithromycin 1gm PO single dose
unpleasant odor. You perform a pelvic
exam with the following findings: +
redness, inflammation on cervix w/
inflammation of the vaginal walls. Pt's
hx includes: recent STI. What is your
diagnosis and what is your plan (test,
treatment)?
Which STI is the most common among Chlamydia
ages 15-24 and more females than
males?
Women usually present asymptomatic chlamydia
(compared to men) with this STI.
S/s of chlamydia in men? Dysuria 2/2 urethritis; proctitis 2/2 inflammation of
the rectum leading to pain and bleeding;
epididymitis; penile discharge.
How do we diagnose chlamydia? nucleic acid amplificiation test (NAAT); (cx not usually
done due to high cost and technical expertise
required)
Solutions
Save
Terms in this set (204)
First line treatment for chlamydia for 100mg doxycycline PO BID x 7 days
an adult/adolescent?
First line treatment for uncomplicated ceftriaxone 500mg IM x1 + azithromycin 1g POx1
gonorrhea? If patient is >/=150kg, give 1g ceftriaxone
We are giving azithromycin with the ceftriaxone b/c
of increased resistances that have developed.
First line treatment for chlamydia for a Azithromycin 1gm PO x1 or doxycycline BID x7 days
child that's older than 8?
What is the first line treatment for azithromycin PO x1 dose
chlamydia for a pregnant patient?
How do you treat neonatal erythromycin base or ethylsuccinate 4 doses x14
conjunctivitis 2/2 c. trachomatis? days
How do you treat c. trachomatis erythromycin (macrolide)
pneumonia?
How do you treat chlamydia in a child erythromycin (macrolide)
<45kg?
How do you treat a child that weighs azithromycin 1gm PO x1
>45kg or is <8 y/o for chlamydia?
How do you treat a pregnant pt with ceftriaxone IM x1 + azithromycin 1gm PO x1
gonorrhea?
,What do you do if your patient is refer to ID for consult; likely to Rx gemifloxacin PO +
allergic to PCNs and tests positive for azithro PO x1 or gentamycin IM x1 + azithromycin PO
gonorrhea? x1
How do you treat the primary and benzathine Penicillin G
secondary stages of syphilis?
What is the alternative tx to primary doxy or tetracycline x14 days
and secondary syphilis if your patient
is PCN allergic?
How do you treat neurosyphilis? penicillin G 3-4m units IV q4Hr or continuous IV
infusion x 10-14 days
What are the provider applied tx of cryotherapy, TCA, BCA, and surgical removal
warts 2/2 HPV? (4)
Pt presents w/ homogenous white, bacterial vaginosis; pt's must present with 3 out of
non-inflammatory discharge, fishy these 4 to dx
odor, clue cells on wet prep, vaginal
pH >4.5. What do you suspect they
have?
What is the gold standard for testing gram stain; positive results when you see clue cells
diagnosing bacterial vaginosis? on wet prep
You dx your patient with bacterial Metronidazole) BID x 7 days or
vaginosis. How do you treat them? Metronidazole Gel 1 dose x 5 days or
Clindamycin cream x 7 days
What education should you give your Flagyl + alcohol w/in 24 hrs of starting the med may
patient regarding treatment with cause a disulfiram-like reaction (nausea and
Flagyl (metronidazole) and alcohol vomiting); possible s/e include n/v/d and a metallic
intake and other possible side effects? taste in the mouth
Who is at higher risk for developing Pregnant women 2/2 hormone changes; Babies <1
candida? month; Ppl with HIV/AIDs
, Pt c/o white patches, soreness, and Esophageal Candidiasis/thrush; antifungal (nystatin
pain while eating/swallowing in their for swish and spit, e.g.)
mouth. They recently were prescribed
antibiotics for a UTI and have a PMH
of HIV. What do you suspect is the dx?
How would you treat it?
Pt complains of intense vulvar pruritis Vaginal culture.
and erythema with white vaginal
discharge. You suspect the patient has
overgrowth of candida. What is the
gold standard for diagnosis?
Your patient presents with complaints Pt is displaying s/s of acute cervicitis. During pelvic
of painful intercourse, spotting in exam, send off cotton swab and send for culture.
between periods, vaginal itching, and Treat with doxycycline 100mg PO BID x 7 days OR
yellow/pus-like discharge with an azithromycin 1gm PO single dose
unpleasant odor. You perform a pelvic
exam with the following findings: +
redness, inflammation on cervix w/
inflammation of the vaginal walls. Pt's
hx includes: recent STI. What is your
diagnosis and what is your plan (test,
treatment)?
Which STI is the most common among Chlamydia
ages 15-24 and more females than
males?
Women usually present asymptomatic chlamydia
(compared to men) with this STI.
S/s of chlamydia in men? Dysuria 2/2 urethritis; proctitis 2/2 inflammation of
the rectum leading to pain and bleeding;
epididymitis; penile discharge.
How do we diagnose chlamydia? nucleic acid amplificiation test (NAAT); (cx not usually
done due to high cost and technical expertise
required)
