Inquire through: | Professional | Confidential Support
Pharm Quiz 3 - STIs, HIV, & Thyroid Verified
and Updated Questions and Answers (100%
Correct Answers)
Review considerations regarding Expedited Partner Therapy (EPT)
Answer: • Treatment of sexual partner of patient without exam
• Most States allow EPT
• CDC treatment guidelines
• Rx for Gonorrhea: ceftriaxone 500 mg 1M x 1 or cefixime 800mg PO x 1
• Rx for Chlamydia + Gonorrhea: cefixime 800 mg PO + doxycycline 100 mg PO 2 BID
x 7 days
What is the first line treatment for Uncomplicated Gonorrhea?
Answer: Ceftriaxone IM 1x
What is the first line treatment for Chlamydia?
Answer: Doxycycline PO BID x7 days
What is the first line treatment for Trichomoniasis?
Answer: Women: Metronidazole 500 mg BID x7 days, Men: Metronidazole 2g PO 1x
What is the first line treatment for Primary Syphilis?
Answer: • Primary, secondary, and early latent infection - penicillin G benzathine
(Bicillin) 2.4 million U IM x1
• Late latent, unknown, tertiary infection - penicillin G benzathine (Bicillin) 2.4
million U 1M x3, 1 week apart
Syphillis Stages
Answer: • Primary: painless ulcer (chancre)
• Secondary: generalized symptoms, rash, throat complaints
• Tertiary: multiple organ systems and/or benign tumor-like lesions
, Inquire through: | Professional | Confidential Support
What is the first line treatment for First Clinical Episode of Genital Herpes Simplex
Virus?
Answer: • First clinical episode - acyclovir TID, famciclovir TID, valacyclovir BID
(each 7-10 d)
• Episodic - recurrent: acyclovir BID, famciclovir BID, valacyclovir BID (each for 5 d)
• Suppressive - daily: acyclovir BID, famciclovir BID, valacyclovir once daily (6 yrs)
**There isn't a cure but these medications help to manage it**
What is the first line treatment for Human Papilloma Virus with clinical signs of
genital warts (note route of administration; patient-administered vs. provider
administered; goals of successful treatment)?
Answer: • Self-treatment:
- Podofilox solution BID x 3 d, repeat after 4 d
- Imiquimod 5% cream 3x/week for 16 weeks
• Provider treatment:
- Cryotherapy every 1-2 weeks
- Podophyllin resin 10% to 25% (compound) weekly x 6 weeks
- TCA or BCA to acids (low systemic absorption) weekly PRN - safe in pregnancy
What is the first line treatment for Uncomplicated Vulvovaginal Candidiasis?
Answer: Fluconazole 150 mg PO x 1 dose or topical options
What is the first line treatment for Bacterial Vaginosis?
Answer: Metronidazole BID PO or intravaginally x7 days
Truvada + Tivicay
Answer: Truvada (emtricitabine + tenofovir), a combination of two NRTIs + Tivicay
(dolutegravir), an INSTI
• Can reduce the risk of HIV transmission by > 90% in patients who are at high risk
for acquiring HIV, depending on level of adherence
Pharm Quiz 3 - STIs, HIV, & Thyroid Verified
and Updated Questions and Answers (100%
Correct Answers)
Review considerations regarding Expedited Partner Therapy (EPT)
Answer: • Treatment of sexual partner of patient without exam
• Most States allow EPT
• CDC treatment guidelines
• Rx for Gonorrhea: ceftriaxone 500 mg 1M x 1 or cefixime 800mg PO x 1
• Rx for Chlamydia + Gonorrhea: cefixime 800 mg PO + doxycycline 100 mg PO 2 BID
x 7 days
What is the first line treatment for Uncomplicated Gonorrhea?
Answer: Ceftriaxone IM 1x
What is the first line treatment for Chlamydia?
Answer: Doxycycline PO BID x7 days
What is the first line treatment for Trichomoniasis?
Answer: Women: Metronidazole 500 mg BID x7 days, Men: Metronidazole 2g PO 1x
What is the first line treatment for Primary Syphilis?
Answer: • Primary, secondary, and early latent infection - penicillin G benzathine
(Bicillin) 2.4 million U IM x1
• Late latent, unknown, tertiary infection - penicillin G benzathine (Bicillin) 2.4
million U 1M x3, 1 week apart
Syphillis Stages
Answer: • Primary: painless ulcer (chancre)
• Secondary: generalized symptoms, rash, throat complaints
• Tertiary: multiple organ systems and/or benign tumor-like lesions
, Inquire through: | Professional | Confidential Support
What is the first line treatment for First Clinical Episode of Genital Herpes Simplex
Virus?
Answer: • First clinical episode - acyclovir TID, famciclovir TID, valacyclovir BID
(each 7-10 d)
• Episodic - recurrent: acyclovir BID, famciclovir BID, valacyclovir BID (each for 5 d)
• Suppressive - daily: acyclovir BID, famciclovir BID, valacyclovir once daily (6 yrs)
**There isn't a cure but these medications help to manage it**
What is the first line treatment for Human Papilloma Virus with clinical signs of
genital warts (note route of administration; patient-administered vs. provider
administered; goals of successful treatment)?
Answer: • Self-treatment:
- Podofilox solution BID x 3 d, repeat after 4 d
- Imiquimod 5% cream 3x/week for 16 weeks
• Provider treatment:
- Cryotherapy every 1-2 weeks
- Podophyllin resin 10% to 25% (compound) weekly x 6 weeks
- TCA or BCA to acids (low systemic absorption) weekly PRN - safe in pregnancy
What is the first line treatment for Uncomplicated Vulvovaginal Candidiasis?
Answer: Fluconazole 150 mg PO x 1 dose or topical options
What is the first line treatment for Bacterial Vaginosis?
Answer: Metronidazole BID PO or intravaginally x7 days
Truvada + Tivicay
Answer: Truvada (emtricitabine + tenofovir), a combination of two NRTIs + Tivicay
(dolutegravir), an INSTI
• Can reduce the risk of HIV transmission by > 90% in patients who are at high risk
for acquiring HIV, depending on level of adherence
