what is the length of treatment and dosage of treatment.
Women Metronidazole 500 mg BID x 7 days
Men - Metronidazole 2 grams once.
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)
Chlamydia does not usually require a test of cure unless
What is : the patient is pregnant
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
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)
Men at increased risk should be screened for these STIS per the USPSTF reccomendations
What is HIV and Syphilis
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)
The recommended treatment of multi drug resistant Gonorrhea
What is IM Ceftriaxone + PO Azithromycin
The name of vaginal epithelial cells that appear granulated due to be covered with bacterial
What is "Clue Cells"
The USPSTF recommends sexually active women of this age be screened for Chlamydia and Gonorrhea
What is 24 years old and younger
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
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
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
The three bacteria that are most commonly associated with Pelvic Inflammatory Disease
Neisseria gonorrhoeae
Chlamydia trachomatis
Mycoplasma Genitalium
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%)
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
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