CMN 572 STD ACTUAL QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS)
ALREADY GRADED A+ (NEWEST VERSION)
What is the partner management of chlamydia? - Answer-Evaluate, test, and treat if
sexual contact has occurred during 60 days
Gonorrhea may cause what genital infection in men? - Answer-Urethritis, Epididymitis
Male Urethritis - Answer-SXS: purulent, mucopurulent urethral discharge, dysuria,
discharge may be clear or cloudy
Incubation Period may be 1-14 days
Epididymitis: - Answer-SXS: unilateral testicular pain/swelling
Gonorrhea may cause what genital infections in females? - Answer-Cervicitis, Urethritis
Cervicitis: - Answer-SXS: abnormal vaginal discharge, intermenstrual bleeding, dysuria,
lower abd. pain, dyspareunia
Clinical Findings: Mucupurulent or purulent cervical discharge, easily induced cervical
bleeding
Female Urethritis - Answer-SXS: dysuria, (most are asymptomatic)
Complications of Gonorrhea in women: - Answer-Accessory gland infection (Bartholins,
Skene)), PID, Fitz-Hugh Curtis Syndrome
How do we diagnose gonorrhea? - Answer-Culture tests (urethra in men, cervix in
women)
Non-Culture tests- NAAT's, Gram Stain
Treatment for uncomplicated Gonorrhea? - Answer-Ceftriaxone 250mg IM in single
dose PLUS Azithromycin 1 g orally in single dose
Treatment of Gonorrhea in pregnancy? - Answer-Ceftriaxone 250 mg IM in single dose
PLUS azithromycin 1 g po in single dose
(if cephalosporin allergy, consult with ID)
Follow up for Gonorrhea? - Answer-Test of CURE is NOT recommended, but repeat
testing in 3 months d/t increased risk of reinfection
, Partner Management of Gonorrhea - Answer-Evaluate and treat all partners if contact
was w/in 60 days
What is Syphilis? - Answer-STI, etiologic agent is Treponema Pallidum, disease
progresses in stages, and it can become chronic if untreated
Syphilis is most contagious to sex partners during the PRIMARY and SECONDARY
stages
Clinical manifestations of primary syphilis? - Answer-Chancre develop at site of
inoculation and progress to ulcers, typically painless, indurated, and highly infectious
Regional Lymphadenopathy: classically rubbery, painless, bilateral
**Serologic tests for syphilis may not be positive during early primary syphilis**
Secondary Syphilis: - Answer-Secondary lesions occur several wks after primary
appears; Mucocutaneous lesions most common- SXS include: palmar/plantar rash,
lymphadenopathy, malaise, mucous patches, etc...
**Serologic tests are usually highest in titer during this stage**
Latent Syphilis - Answer-Host suppresses infection, but positive serologic tests. May
occur between primary/secondary stages, between secondary relapses, and after
secondary stage
Early Latent: < 1 year
Late Latent: >/= 1 year
How do we diagnose syphilis? - Answer-Darkfield microscopy= identification of
Treponema Pallidum
Serologic tests- Allow a presumptive diagnosis; The use of one type of serologic test is
INSUFFICIENT for diagnosis
What is the tx for primary, secondary, and early latent syphilis? - Answer-PCN G 2.4
million Units IM in Single Dose
*If NON-PREGNANT, and allergic to PCN, use Doxy OR Tetracycline
Therapy for late latent syphilis? - Answer-PCN G 2.4 million Units IM x 3 doses (1 wk
intervals)
Therapy for syphilis in pregnancy? - Answer-PCN
Syphilis Follow Up? - Answer-Primary/Secondary: Reexamine at 6 and 12 months
Latent: Reexamine at 6,12,24 months
HIV infected: 3,6,9,12,24 months (primary/secondary) and 6,12,18,24 months (latent)
Management of Sex Partners in syphilis - Answer-Contact w/ in 90 days should be
tested and treated presumptively
