Treatment
Microbiology/ Testing
Screening
Counseling
Physical Exam
100
the difference between male and female treatment for trichomonas 

what is the length of treatment and dosage of treatment. 

Women Metronidazole 500 mg BID x 7 days 

Men - Metronidazole  2 grams once. 

100

This HSV strain more commonly causes "Cold Sores" 

what is HSV1 


vs HSV which causes genital infection 

100

The following patients should get tested for HIV

What is everyone between the ages of 13 and 64 should get tested for HIV at least once as part of routine health care. ( CDC) 

100
This is what counsel patients on to prevent both STIs and Pregnancy 

What is condoms

100

The correct way to perfrom a vaginal self swab is? tions

1. LABEL TUBE 

2. Wash Hands

3. rub swab over labia  ( folds of skin on either side of vagina) amke sure to move the skin  to the swab in teh folds

4. Insert swab into the vagina about 2 inches, gently roate the swab ina circle for 10-30 seconds

5. remove swab and place in collection dutbe, make sure stick is broken off at indicator line adn does not touch any surface before placed in the tube. 

6. close tube 



200

The correct treatment for Gonorrhea is? 

What is IM ceftriaxone.  Should be given in the office. 500 mg for patients < 150 kg, 1000 mg for patients>150 kg

200
What preparation is needed to view yeast under the microscope 


100 BONUS points if you can describe what yeast look like under the microscope 

what is KOH ( Potassium Hydroxide) 

KOH helps detect fungal elements by dissolving cells/tissue material leaving Alki resistant fungi intact

 budding yeast cells and pseudo hyphae ( elongated filamentous structures formed by Candida structures) 

200

Men at increased risk should be screened for these STIS per the USPSTF reccomendations 

What is HIV and Syphilis 

200

Chlamydia does not usually require a test of cure unless 

What is : the patient is pregnant 

200

Amsel criteria include the following 

what is homogenous thin milk like discharge, clue cells, pH>4.5 and fishy odor after application of KOH ( whiff test) 

300

The recommended treatment of multi drug resistant Gonorrhea 

What is IM Ceftriaxone + PO Azithromycin 

300

The name of vaginal epithelial cells that appear granulated due to be covered with bacterial 



What is "Clue Cells"  


300

The USPSTF recommends sexually active women of this age  be screened for Chlamydia and Gonorrhea  

What is 24 years old and younger 

300

This Pharyngeal STI require counseling that a test of cure is recommended 

What is Pharyngeal Gonorrhea, at 7-14 days post treatment. Of note rectal and urogenital gonorrhea do not require TOC

300

These five exam findings are often associated with PID

what is: 

lower abdominal or pelvic pain,  vaginal discharge, dyspareunia , abnormal vaginal bleeding, Cervical Motion Tenderness 

400
A 2025 New England Journal of Medicine showed that treating the male partner of a women diagnosed with recurrent BV with this regimen resulted in a lower rate of recurrence of BV at 12 weeks compared to standard of care

What is Metronidazole 400 BID x 7 days AND topical 2% clindamycin cream BID x 7 days


Note: CDC current guidelines have not been updated to reflect this and DO NOT currently recommend male treatment 

400

The three bacteria that are most commonly associated with Pelvic Inflammatory Disease 

Neisseria gonorrhoeae

Chlamydia trachomatis

Mycoplasma Genitalium 

400
These STDs are screened for during first trimester of pregnancy 
What is Gonorrhea, Chlamydia, Syphilis, Hep C, and HIV
400

The precent effectives of  the "pull out" method for protecting against STDs 

what is 0% 


( what is 78% to prevent pregnancy or IF USED PREFECTLY 96%) 

400

The is the most common symptom of a sexually transmitted infection is ? 

What is ASYMTOPMATIC 

500

The recommend treatment for syphilis  

What is PCN G. Administered parenterally ( IM)  and depends on the stages of syphilis infection. 

Primary :  PCN G 2.4 million units IM once

Secondary: PCN G 2.4 million units IM once

Early Latent:  PCN G 2.4 million units IM once weekly for three weeks 

Late Latent: PCN G 2.4 million units IM once weekly for three weeks

Neurosyphilis: PCN G 3-4 Million units IV eery 4 hours for 10-14 days or Cextriaxone 2g daily for 14 days 

500
These are the test you order to diagnose genital HSV ( list three) 

What is Viral Culture ( sample from sore or blister, best if done within 48 hours of symptoms onset) AND  PCR ( PCR  looks for genetic material of the virus.) 

 Additionally you can check Antibodies ( igM  - short term / recent infection, IgG dectects long term antibodies) 

500

The following are recommended discussion points when  taking a patient's sexual history 

( Full points if hit 5 points) 

  • Reassure confidentiality.
  • Confirm symptoms or lack thereof.
  • Date of last sexual contact, and number of partners in the last three months “so that we know which tests to run – some have longer incubation periods than others”
  • Gender of partner(s),
  • Anatomic sites of exposure “So that I know where to swab”
  • Condom use with each partner mentioned.
  • Infection risk or symptoms in partners,if known
  • Previous STIs, and any treatments received
  • For women: last menstrual period (LMP), contraceptive and cervical cytology history.
  • Blood borne virus risk assessment and vaccination history for those at risk
  • Establish a method for providing results
  • Establish competency, safeguarding children/vulnerable adults.
  • Recognition of gender-based violence/intimate partner violence,
  • Alcohol and recreational drug history.
  • Travel history regarding sex tourism will become increasingly important eg “super gonorrhoea” and consideration of alternative antibiotic regimes
500

The medication commonly referred to as "PREP" stands for what and whom is it recommended for ? 

PrEP (pre-exposure prophylaxis) is the use of antiretroviral medication to prevent HIV. PrEP is for people without HIV who may be exposed to HIV through sex or injection drug use

 Anyone who is sexually active

500

The following describes the physical exam findings for Primary, Secondary, and Tertiary Syphilis 

What is  : 

Primary Syphilis: Painless Chancre ( Ulcer)  often with inguinal lymphadenopathy


Secondary : Maculopapular Rash, Generalized Lymphadenopathy, Condyloma Lata ( muscoal lesions)  


Tertiary Syphilis - Gummatos lesion, neurological symptoms , cardiovascular syphilis, meningitis 

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