AGNP Board Exam – Sexually Transmitted Diseases Prescription
1. Question:
Which of the following is NOT recommended as an alternative treatment for bacterial vaginosis?
Intramuscular ceftriaxone (Rocephin) Correct
Clindamycin (Cleocin) vaginal cream
Metronidazole (Flagyl) vaginal...
agnp board exam – sexually transmitted diseases prescription 1 question which of the following is not recommended as an alternative treatment for bacterial vaginosis intramuscular ceftriaxone r
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AGNP Board Exam – Sexually Transmitted Diseases
Prescription
1. Question:
Which of the following is NOT recommended as an alternative treatment for bacterial
vaginosis?
Intramuscular ceftriaxone (Rocephin) Correct
Clindamycin (Cleocin) vaginal cream
Metronidazole (Flagyl) vaginal cream
Tinidazole (Tindamax) orally
Explanation:
Intramuscular ceftriaxone (Rocephin) is not indicated in the treatment of bacterial
vaginosis. Metronidazole (Flagyl) vaginal cream may be used if metronidazole oral is
ineffective or not well tolerated. Alternative regimens include several tinidazole
regimens or clindamycin (oral or intravaginal).
2. Question:
The recommended empiric treatment of pelvic inflammatory disease is:
penicillin G benzathine (Bicillin) intramuscularly plus ceftriaxone (Rocephin)
intramuscularly.
azithromycin (Zithromax) orally plus ceftriaxone (Rocephin) intramuscularly.
ceftriaxone (Rocephin) intramuscularly plus doxycycline (Vibramycin). Correct
metronidazole (Flagyl) plus ofloxacin (Floxin).
Explanation:
The recommended empiric treatment for mild to moderate symptoms of pelvic
inflammatory disease (PID) is ceftriaxone (Rocephin) 250 mg intramuscularly plus
doxycycline (Vibramycin) 100 mg twice daily x 14 days with or without metronidazole
(Flagyl) 500 mg PO twice daily x 14 days. All regimens used to treat PID should also be
effective against Neisseria gonorrhoeae and Chlamydia trachomatis because negative
endocervical screening for these organisms does not rule out upper-reproductive tract
infection.
3. Question:
For the treatment of chlamydia, azithromycin (Zithromax) should be given:
as one-time dose. Correct
daily for 3 days.
daily for 5 days.
daily for 7 days.
Explanation:
,For the treatment of chlamydia, azithromycin (Zithromax) should be given as a single
dose, 1 gram orally. Azithromycin (Zithromax) is classified as a macrolide. It is active
against most isolates of Chlamydia trachomatis, Neisseria gonorrhoeae, and
Streptococcus pneumoniae.
4. Question:
Clindamycin (Cleocin) to treat bacterial vaginosis should NOT be used in combination
with:
atorvastatin.
prednisone.
estradiol. Correct
ibuprofen.
Explanation:
Clindamycin (Cleocin) may decrease hormonal contraceptive efficacy and should not be
coadministered with estradiol. The other choices are not known to cause drug-drug
interactions when administered with clindamycin.
5. Question:
When treating latent syphilis, treatment outcomes do NOT include the prevention of:
asymptomatic progression of the disease.
neurosyphilis.
sexual transmission. Correct
transfer to a fetus in pregnancy.
Explanation:
Because latent syphilis is not transmitted sexually, the objective of treating patients in
this stage of disease is to prevent complications (neurosyphilis and progression of
disease) and transmission from a pregnant woman to her fetus.
6. Question:
The most commonly reported side effects of azithromycin (Zithromax) for treatment of
chlamydia are:
alopecia and headache.
blurred vision and tinnitus.
diarrhea and nausea. Correct
dry mouth and tachycardia.
Explanation:
The most common treatment-related side effects of azithromycin (Zithromax) are
related to the gastrointestinal system with diarrhea/loose stools, nausea, and
abdominal pain. Most of the adverse reactions leading to discontinuation were related
, to the gastrointestinal tract. Potentially serious adverse reactions of angioedema and
cholestatic jaundice have been reported.
7. Question:
The most common reason for persistent gonococcal infections is:
inappropriate prescribing of the correct treatment regimen.
treatment failure due to high resistance rates.
failure of the patient to abstain from unprotected sexual intercourse. Correct
lack of test-of-cure and follow-up after treatment.
Explanation:
A high prevalence of Neisseria gonorrhoeae infection has been observed among men
and women previously treated for gonorrhea. Rather than signaling treatment failure,
most of these infections result from reinfection caused by failure of sex partners to
receive treatment or the initiation of sexual activity with a new infected partner. This
indicates a need for improved patient education and treatment of sex partners. If the
patient’s last potential sexual exposure was >60 days before onset of symptoms or
diagnosis, the most recent sex partner should be treated. To avoid reinfection, sex
partners should be instructed to abstain from unprotected sexual intercourse for 7 days
after they and their sexual partner(s) have completed treatment and after resolution of
symptoms.
8. Question:
The recommended treatment for chlamydia infection when azithromycin (Zithromax)
or doxycycline (Doryx) is contraindicated is:
clindamycin (Cleocin).
erythromycin (Ery-Tab). Correct
metronidazole (Flagyl).
tetracycline (Sumycin).
Explanation:
First-line therapies for the treatment of chlamydia infection include azithromycin
(Zithromax) or doxycycline (Doryx). Alternative therapies include levofloxacin
(Levaquin), erythromycin base, erythromycin ethylsuccinate, or ofloxacin (Floxin).
9. Question:
An alternative intramuscular medication for ceftriaxone (Rocephin) in the treatment of
pelvic inflammatory disease is:
cefoxitin. Correct
penicillin G benzathine (Bicillin).
gentamicin.
streptomycin.
Explanation:
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