What can a wet mount identify? - Answer presence of Gardnerella-clue cells,
Trichomonas, or atrophic vaginitis.
What is a KOH wet mount used to identify? - Answer for presence of Candida
What is a gram stain used to test for? - Answer the presence of gonorrhea.
What do you use a urinalysis for? - Answer to rule out UTI.
What is the treatment for Chlamydia? - Answer azithromycin 1 g in a single dose or
doxycycline 100 mg BID x 7 days.
What is the treatment for Gonorrhea? - Answer ceftriaxone 250 mg IM x1, or cefixime
400 mg x1, or ciprofloxacin 500 mg x1
What is the treatment for genital herpes? - Answer suppressive: acyclovir 400 mg BID
or valcyclovir 500 mg daily.
episodic: acyclovir 400 mg TID x 5 days or valcyclovir 500 mg BID x 3 days
What is the treatment of primary and secondary syphilis? - Answer Penicillin G- 2.4
million units IM or doxycycline 100 mg BID x 14 days (if PCN allergy).
What is the treatment of tertiary syphilis? - Answer Penicillin G 7.2 million units total
administered as 3 doses of 2.4 million units IM at 1 week intervals.
What is the treatment for Trichomoniasis and bacterial vaginosis? - Answer
metronidazole 500 mg PO 2 times daily for 7 days.
What is the treatment for Candidiasis? - Answer vaginal creams ending in azole. Can
also take fluconazole 150 mg PO x1 for uncomplicated and 150 mg every 72 hours x2
doses; or 150 mg weekly x 6 months.
What are the S&S of Candidiasis? - Answer pruritus, dyspareunia, vulvar erythem and
edema, thick whit floccular nonadherent vaginal discharge, pH < 4.5, no amine odor,
KOH exam: pseudohyphae.
What are the S&S of bacterial vaginosis caused by Gardnerella? - Answer malodorous,
gray-yellow-green watery or thick adherent vaginal discharge. Burning with urination, no
dyspareunia, pH > 4.5, amine odor present, KOH exam is positive, clue cells on
microscopy.
What are S&S of Trichomoniasis? - Answer homogeneous, malodorous purulent, green-
yellow, thick, frothy vaginal discharge. Strawberry cervix, vulvovaginal erythem, itching,