ANSWER ALL QUESTIONS IN THIS SECTION
QUESTION 1
When should antiviral therapy be initiated for a recurrent outbreak? - ANSWERS-
during prodrome symptoms or within one day of first lesion. Patient should be
provided with a prescription
QUESTION 2
What are the 2 most common causative organisms of PID? - ANSWERS-N.
gonorrhoeae and C. Thrachomatis
QUESTION 3
What are the minimum criteria in the dx of PID? - ANSWERS-uterine tenderness,
adnexal tenderness, or cervical motion tenderness
QUESTION 4
When should tx be instituted for PID? - ANSWERS-anytime a sexually active
young woman or those at risk for STDs present with pelvic or lower abdominal
pain and no cause for illness other than PID
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QUESTION 5
What is first-line tx for PID? - ANSWERS-Ceftriaxone 250mg IM + Doxycycline
100mg BID x 14 days with or without Metronidazole 500mg BID x 14 days
QUESTION 6
What is the tx of choice for late latent and tertiary syphilis? - ANSWERS-7.2 mill.
units total, administered as 2.4 mill units IM at 1 week intervals
QUESTION 7
Potential options for pcn allergic patients in treating gonorrhea include what? -
ANSWERS-gemifloxacin or gent plus azithromycin
QUESTION 8
What is the moa of combination oral contraceptives? - ANSWERS-1. inhibits
ovulation
2. cervical mucous becomes thicker
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QUESTION 9
What are common minor side effects of COC? - ANSWERS-breast tenderness
nausea
headache
break-through bleeding or changes in menses
QUESTION 10
When do most side effects of coc resolve? - ANSWERS-over the first 6 months
QUESTION 11
What are the advantages of using coc? - ANSWERS-improves acne and bone
density. decreases ovarian and endometrial cancer
QUESTION 12
What are contraindications to using coc? - ANSWERS-smoker 35 and older
hx of thrombosis (MI, stroke, dvt), breast cancer, uncontrolled htn or diabetes,
lupus
immobilization
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