EXPERT PREMIUM UPDATE(2025-
2026)BRAND NEW EXAM QUESTIONS
WITH 100% CORRECT ANSWERS,ALL
GRADED A+, GUARANTEED SUCCESS.
these STIs love the cervix - ANSWER✅✅- gonorrhea
- chlamydia
gonorrhea & chlamydia can lead to - ANSWER✅✅- PID --> cxing tube
scarring/infertility
chlamydia testing - ANSWER✅✅- NAAT
chlamydia on exam - ANSWER✅✅- mucopurulent endocervical d/c
- spontaneous or easily-induced endocervical bleeding
chlamydia Sx - ANSWER✅✅- asymptomatic in most cases
,- vague discomfort
- post-coital spotting
- dysuria
- pyuria --> pus in urine
- mucopurulent endocervical d/c
chlamydia differential Dx - ANSWER✅✅- gonorrhea
- PID
- vaginitis
- trich
- endometriosis
- ectopic preg
- ovarian cyst
chlamydia not preg Tx - ANSWER✅✅- azithromycin 1 gram PO x1
or
- doxycycline 100 mg PO BID x7 days
partner Tx is a must for chlamydia & gonorrhea - ANSWER✅✅- anyone in last 60
days
gonorrhea & chlamydia screening - ANSWER✅✅- annual for < 25 yrs
or
- with new or multiple partners in those > 25 yrs
- at 1st prenatal visit & 3rd trimester if increased risk or < 25 yrs
BV & trich can lead to - ANSWER✅✅- increased risk for HIV --> d/t inflammation &
irritation of mucosa
- active infection with trich confers a 2-3 fold risk of acquiring HIV infection
gonorrhea - ANSWER✅✅- looks & acts the same as chlamydia
- loves cervix but also loves pharynx & rectum
gonorrhea testing - ANSWER✅✅- NAAT
or
- culture on Thayer Martin media --> reserve for Tx failure
gonorrhea on exam - ANSWER✅✅- mucopurulent or purulent cervical d/c
- cervix easily bleeds with minimal contact
- bartholin's glands or skene's glands maybe infected
gonorrhea Sx - ANSWER✅✅- nonspecific vaginal d/c
- intermenstrual bleeding
- dysuria
- low abd pain
- dyspareunia
, gonorrhea Tx - ANSWER✅✅- ceftriaxone 250 mg IM x1
&
- azithromycin 1 gram PO x1
trich - ANSWER✅✅- infection with a protozoan, T. vaginalis --> is motile,
ovalshaped, anaerobic, & flagellated
- organism attaches to cells & lactobacilli disappear
trich d/c is - ANSWER✅✅- yellow/green
- frothy
- mucopurulent
- copious
- malodorous
trich testing - ANSWER✅✅- wet mount --> fastest
- NAAT
- OSOM
trich incubation period - ANSWER✅✅- 5-28 days
trich Sx is often - ANSWER✅✅- sudden onset
- may occur during or after menses
- can come & go
trich Sx - ANSWER✅✅- often asymptomatic
- frothy, green yellow, copious mucopurulent d/c
- fishy & malodorous odor
- vaginal & cervical erythema
- inflammation
- irritation
- vaginal/vulvar itching
- dysuria
- dyspareunia
- strawberry cervix
trich differential Dx - ANSWER✅✅- BV
- vulvovaginal candidiasis
- chlamydia
- gonorrhea
trich Tx - ANSWER✅✅- metronidazole 2 grams PO x1
or
- tinidazole 2 grams PO x1
- *NO* topicals
trich lives in - ANSWER✅✅- vagina
- bladder
, - mucsal glands
- *NOT* the uterus
retesting 3 months after Tx for - ANSWER✅✅- trich
- chlamydia
- gonorrhea
syphilis testing - ANSWER✅✅- RPR
or
-VDRL
syphilis Tx - ANSWER✅✅- benzathin PCN G 2.4 million units IM x1
syphilis - ANSWER✅✅- painless well circumscribed ulcer/chancre with clean base
- persists for 1-6 wks
syphilis screening - ANSWER✅✅- in preg
- in high risk women --> history of incarceration, history of commercial sex work,
someone on prophylaxis for being pre-exposed to HIV
reportable diseasea - ANSWER✅✅- chlamydia
- gonorrhea
- syphilis/chancroid
- HIV
- hep B
primary syphilis Sx - ANSWER✅✅- chancre on penis, labia, or oral mucosa
- usually painless
- regional firm, raised, non-tender, lymphadenopathy in proximity to primary
syphilitic lesions
secondary syphilis Sx - ANSWER✅✅- rash
- fever
- malaise
- mucous patches
- lymphadenopathy
latent syphilis - ANSWER✅✅- refers to infecction of at least 1 yr
approximately _______ of people infected with HSV-2
are unaware of their status - ANSWER✅✅- 85%
HSV-2 differential Dx - ANSWER✅✅- contact dermatitis
- chancre
- apthous ulcers
- behcet's disease