EXAM 2026 TEST PAPER
◉ Urethritis. Answer: One cause of non-gonococcal urethritis (NGU)
Majority (>50%) asymptomatic
Symptoms/signs if present: mucopurulent, mucoid or clear urethral
discharge, dysuria
Incubation period unknown (probably 5-10 days in symptomatic
infection)
◉ associated complications of chlamydia infections in men. Answer:
Urethritis
Epididymitis (inflammation of tube located at the back of the
testicles that stores and carries sperm, causing cause pain and
swelling)
Reiter's Syndrome (conjunctivitis, urethritis, and arthritis post
infection GI or urogenital)
*can lead to infertility & chronic arthritis
,◉ symptoms of local infections caused by chlamydia in women:.
Answer: Cervicitis-Majority are asymptomatic
Local signs of infection, when present, include:
Mucopurulent endocervical discharge
Edematous cervical ectopy with erythema and friability
Urethritis-Usually asymptomatic
Signs/symptoms, when present, include dysuria, frequency, pyuria
*can lead to infertility, ectopic preg,
Pelvic Inflammatory Disease (PID)
Salpingitis (inflammation of the fallopian
)tubes
Endometritis
Perihepatitis (Fitz-Hugh-Curtis Syndrome)
Reiter's Syndrome
◉ testing for chlamydia. Answer: cultures (used in legal
investigations, not suitable for widespread screening)
or nonculture:
NAAT (Nucleic Acid Amplification Test),NAT, serology- amplify and
detect organism-specific genomic or plasmid DNA or rRNA
,Can detect N. gonorrhoeae in the same specimen
Significantly more sensitivity than other tests
◉ Treatment of Uncomplicated Genital Chlamydial Infections.
Answer: CDC-recommended regimens
Azithromycin OR Doxycycline
Alternative regimens: Erythromycin or fluroquinolones
◉ Treatment of Chlamydial Infection in Pregnant Women. Answer:
CDC-recommended regimen
Azithromycin
◉ Treatment of Neonatal Conjunctivitis and/or Pneumonia from
Chlamydia infection. Answer: CDC-recommended regimen:
Erythromycin base or ethylsuccinate
◉ Treatment of Chlamydial Infection in Children. Answer: Children
who weigh <45 kg: treat same at neonatal regimen
Erythromycin base or ethylsuccinate
Children who weigh ≥45 kg, but are <8 years of age:
, Azithromycin
Children ≥8 years of age: treat as adult
Azithromycin OR Doxycycline
◉ Treatment of Lymphogranuloma Venereum (LGV). Answer:
caused by C. trachomatis:The most common clinical manifestation of
LGV among heterosexuals is tender inguinal and/or femoral
lymphadenopathy that is typically unilateral.
CDC-recommended regimen
Doxycycline
◉ Repeat Testing after Chlamydia Treatment. Answer: Pregnant
women: Repeat testing, preferably by NAAT, 3 weeks after
completion of recommended therapy & again in 3 mo.
Non-pregnant women:Test of cure not recommended unless
compliance is in question, symptoms persist, or re-infection is
suspected
Repeat testing recommended 3-4 months after treatment, especially
adolescents due to high prevalence of repeated infection