Question 1

Treatment for chancroid in a nonpregnant patient would be:

Accepted Answer

A)  Oral azithromycin 
B)  IM ceftriaxone 
C)  Oral ciprofloxacin 
D)  Any of the above 
A)  Oral azithromycin 
B)  IM ceftriaxone 
C)  Oral ciprofloxacin 
D)  Any of the above D

Question 2

Sophie presents to the clinic with a malodorous vaginal discharge and is confirmed to have Trichomonas infection. Treatment for her would include:

Accepted Answer

A)  Metronidazole 2 grams PO x 1 dose 
B)  Topical intravaginal metronidazole daily x 7 days 
C)  Intravaginal clindamycin daily x 7 days 
D)  Azithromycin 2 grams PO x 1 dose 
A)  Metronidazole 2 grams PO x 1 dose 
B)  Topical intravaginal metronidazole daily x 7 days 
C)  Intravaginal clindamycin daily x 7 days 
D)  Azithromycin 2 grams PO x 1 dose A

Question 3

Demione is a 24-year-old patient who is 32 weeks pregnant and has tested positive for syphilis. The best treatment for her would be:

Accepted Answer

A)  IM ceftriaxone 
B)  IM benzathine penicillin G 
C)  Oral azithromycin 
D)  Any of the above 
A)  IM ceftriaxone 
B)  IM benzathine penicillin G 
C)  Oral azithromycin 
D)  Any of the above B

Question 4

Ongoing monitoring is essential after treating for gonorrhea. The patient should be rescreened for gonorrhea and chlamydia in:

Accepted Answer

A)  4 weeks 
B)  3 to 6 weeks 
C)  3 to 6 months 
D)  1 year 
A)  4 weeks 
B)  3 to 6 weeks 
C)  3 to 6 months 
D)  1 year

Question 5

Besides prescribing antimicrobial therapy, patients with bacterial vaginosis require education regarding the fact that:

Accepted Answer

A)  The most recent partners in the past 60 days should also be treated. 
B)  Alcohol should not be consumed during and for 1 day after metronidazole is taken. 
C)  Condoms should be used during intercourse if intravaginal clindamycin cream is used. 
D)  Co-treatment for chlamydia is necessary. 
A)  The most recent partners in the past 60 days should also be treated. 
B)  Alcohol should not be consumed during and for 1 day after metronidazole is taken. 
C)  Condoms should be used during intercourse if intravaginal clindamycin cream is used. 
D)  Co-treatment for chlamydia is necessary.

Question 6

Sydney presents to the clinic with vulvovaginal candidiasis. Appropriate treatment for her would be:

Accepted Answer

A)  OTC intravaginal clotrimazole 
B)  OTC intravaginal miconazole 
C)  Oral fluconazole one-time dose 
D)  Any of the above 
A)  OTC intravaginal clotrimazole 
B)  OTC intravaginal miconazole 
C)  Oral fluconazole one-time dose 
D)  Any of the above

Question 7

If a woman presents with recurrent vulvovaginal candidiasis she may be treated with:

Accepted Answer

A)  Weekly intravaginal butoconazole for 3 months 
B)  Fluconazole 150 mg PO daily x 7 doses then monthly for 6 months 
C)  Weekly fluconazole 150 mg PO x 6 months 
D)  Intravaginal tioconazole x 14 days 
A)  Weekly intravaginal butoconazole for 3 months 
B)  Fluconazole 150 mg PO daily x 7 doses then monthly for 6 months 
C)  Weekly fluconazole 150 mg PO x 6 months 
D)  Intravaginal tioconazole x 14 days

Question 8

The goals of treatment when prescribing for sexually transmitted infections include:

Accepted Answer

A)  Treatment of infection 
B)  Prevention of disease spread 
C)  Prevention of long-term sequelae from the infection 
D)  All of the above 
A)  Treatment of infection 
B)  Prevention of disease spread 
C)  Prevention of long-term sequelae from the infection 
D)  All of the above

Question 9

The drug of choice for treatment of early latent or tertiary syphilis is:

Accepted Answer

A)  Ceftriaxone IM 
B)  Benzathine penicillin G IM 
C)  Oral azithromycin 
D)  Oral ciprofloxacin 
A)  Ceftriaxone IM 
B)  Benzathine penicillin G IM 
C)  Oral azithromycin 
D)  Oral ciprofloxacin

Question 10

Helima presents with a complaint of vaginal discharge that when tested meets the criteria for bacterial vaginosis. Treatment of bacterial vaginosis in nonpregnant symptomatic women would be:

Accepted Answer

A)  Metronidazole 500 mg PO bid x 7 days 
B)  Doxycycline 100 mg PO bid x 7 days 
C)  Intravaginal tinidazole daily x 5 days 
D)  Metronidazole 2 grams PO x 1 dose 
A)  Metronidazole 500 mg PO bid x 7 days 
B)  Doxycycline 100 mg PO bid x 7 days 
C)  Intravaginal tinidazole daily x 5 days 
D)  Metronidazole 2 grams PO x 1 dose

Question 11

The drug of choice for treatment of primary or secondary syphilis is:

Accepted Answer

A)  Ceftriaxone IM 
B)  Benzathine penicillin G IM 
C)  Oral azithromycin 
D)  Oral ciprofloxacin 
A)  Ceftriaxone IM 
B)  Benzathine penicillin G IM 
C)  Oral azithromycin 
D)  Oral ciprofloxacin

Question 12

Jamie was treated for chancroid. Follow-up testing after treatment of chancroid would be:

Accepted Answer

A)  Syphilis and HIV testing at 3-month intervals 
B)  Chancroid-specific antigen test every 3 months 
C)  Urine testing for Haemophilus ducreyi in 3 to 6 months for test of cure 
D)  Annual HIV testing if engaging in high-risk sexual behavior 
A)  Syphilis and HIV testing at 3-month intervals 
B)  Chancroid-specific antigen test every 3 months 
C)  Urine testing for Haemophilus ducreyi in 3 to 6 months for test of cure 
D)  Annual HIV testing if engaging in high-risk sexual behavior

Question 13

Zoe presents with genital warts present on her labia. Patient-applied topical therapy for warts includes:

Accepted Answer

A)  Podofilox 0.5% gel 
B)  Podophyllin 10% resin 
C)  Trichloracetic acid 
D)  Any of the above 
A)  Podofilox 0.5% gel 
B)  Podophyllin 10% resin 
C)  Trichloracetic acid 
D)  Any of the above

Question 14

In addition to antimicrobial therapy, patients treated for Trichomonas infection should be educated regarding:

Accepted Answer

A)  Necessity of treating sexual partner simultaneously 
B)  Abstaining from intercourse until both partners are treated 
C)  Need for retesting in 3 months due to high reinfection rate 
D)  All of the above 
A)  Necessity of treating sexual partner simultaneously 
B)  Abstaining from intercourse until both partners are treated 
C)  Need for retesting in 3 months due to high reinfection rate 
D)  All of the above

Question 15

Treatment for suspected gonorrhea is:

Accepted Answer

A)  Ceftriaxone 250 mg IM x 1 
B)  Ceftriaxone 2 grams IM x 1 
C)  Ciprofloxacin 500 mg PO x 1 
D)  Doxycycline 100 mg bid x 7 days 
A)  Ceftriaxone 250 mg IM x 1 
B)  Ceftriaxone 2 grams IM x 1 
C)  Ciprofloxacin 500 mg PO x 1 
D)  Doxycycline 100 mg bid x 7 days

Question 16

A test of cure is recommended after treating chlamydia in which patient population?

Accepted Answer

A)  Men who have sex with men 
B)  Adolescent females 
C)  Pregnant patients 
D)  All of the above 
A)  Men who have sex with men 
B)  Adolescent females 
C)  Pregnant patients 
D)  All of the above

Question 17

When treating suspected gonorrhea in a nonpregnant patient, the patient should be concurrently treated for chlamydia with:

Accepted Answer

A)  Azithromycin 1 gram PO x 1 
B)  Amoxicillin 500 mg PO x 1 
C)  Ciprofloxacin 500 mg PO x 1 
D)  Penicillin G 2.4 million units IM x 1 
A)  Azithromycin 1 gram PO x 1 
B)  Amoxicillin 500 mg PO x 1 
C)  Ciprofloxacin 500 mg PO x 1 
D)  Penicillin G 2.4 million units IM x 1

Exam 44: Sexually Transmitted Infections and Vaginitis

Treatment for chancroid in a nonpregnant patient would be:

Sophie presents to the clinic with a malodorous vaginal discharge and is confirmed to have Trichomonas infection. Treatment for her would include:

Demione is a 24-year-old patient who is 32 weeks pregnant and has tested positive for syphilis. The best treatment for her would be:

Ongoing monitoring is essential after treating for gonorrhea. The patient should be rescreened for gonorrhea and chlamydia in:

Besides prescribing antimicrobial therapy, patients with bacterial vaginosis require education regarding the fact that:

Sydney presents to the clinic with vulvovaginal candidiasis. Appropriate treatment for her would be:

If a woman presents with recurrent vulvovaginal candidiasis she may be treated with:

The goals of treatment when prescribing for sexually transmitted infections include:

The drug of choice for treatment of early latent or tertiary syphilis is:

Helima presents with a complaint of vaginal discharge that when tested meets the criteria for bacterial vaginosis. Treatment of bacterial vaginosis in nonpregnant symptomatic women would be:

The drug of choice for treatment of primary or secondary syphilis is:

Jamie was treated for chancroid. Follow-up testing after treatment of chancroid would be:

Zoe presents with genital warts present on her labia. Patient-applied topical therapy for warts includes:

In addition to antimicrobial therapy, patients treated for Trichomonas infection should be educated regarding:

Treatment for suspected gonorrhea is:

A test of cure is recommended after treating chlamydia in which patient population?

When treating suspected gonorrhea in a nonpregnant patient, the patient should be concurrently treated for chlamydia with:

The Role of the Nurse Practitioner

Review of Basic Principles of Pharmacology

Rational Drug Selection

Legal and Professional Issues in Prescribing

Adverse Drug Reactions

Factors That Foster Positive Outcomes

Cultural and Ethnic Influences in Pharmacotherapeutics

An Introduction to Pharmacogenomics

Nutrition and Nutraceuticals

Herbal Therapy and Nutritional Supplements

Information Technology and Pharmacotherapeutics

Pharmacoeconomics

Over-The-Counter Medications

Drugs Affecting the Autonomic Nervous System

Drugs Affecting the Central Nervous System

Drugs Affecting the Cardiovascular and Renal Systems

Drugs Affecting the Respiratory System

Drugs Affecting the Hematopoietic System

Drugs Affecting the Immune System

Drugs Affecting the Gastrointestinal System

Drugs Affecting the Endocrine System

Drugs Affecting the Reproductive System

Drugs Affecting the Integumentary System

Drugs Used in Treating Infectious Diseases

Drugs Used in Treating Inflammatory Processes

Drugs Used in Treating Eye and Ear Disorders

Anemia

Chronic Stable Angina and Low-Risk Unstable Angina

Anxiety and Depression

Asthma and Chronic Obstructive Pulmonary Disease

Contraception

Dermatologic Conditions

Diabetes Mellitus

Gastroesophageal Reflux and Peptic Ulcer Disease

Headaches

Heart Failure

Human Immunodeficiency Virus Disease and Acquired Immunodeficiency Syndrome

Hormone Replacement Therapy and Osteoporosis

Hyperlipidemia

Hypertension

Hyperthyroidism and Hypothyroidism

Pneumonia

Smoking Cessation

Tuberculosis

Upper Respiratory Infections, Otitis Media, and Otitis Externa

Urinary Tract Infections

Women As Patients

Men As Patients

Children As Patients

Geriatric Patients

Pain Management: Acute and Chronic Pain

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