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Chapter 31. Sexually Transmitted Diseases
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IT is a patient who reports to her primary care provider for evaluation of a vaginal discharge, dysuria, and vaginal bleeding. The provider orders several labs and cultures. A Gram stain reveals gram-negative diplococci. The presence of gram-negative diplococci on Gram stain is suggestive of which organism?
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c. Herpes simplex virus-2
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Answer d is correct. N. gonorrhoeae is a gram-negative diplococcus.
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Answer a is incorrect. T. pallidum is a spiral-shaped organism that is invisible on light microscopy.
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Answer b is incorrect. C. trachomatis is an obligate intracellular pathogen.
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Answer c is incorrect. Herpes is a viral organism.
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TE is a 33-year-old patient with genital herpes simplex virus (HSV) herpes. Which of the following describes a current goal of therapy for genital herpes infection? Select all that apply.
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c. Transmission prevention
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d. Decrease recurrence frequency
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Answer b is correct. Viral suppression is a goal of therapy for genital herpes.
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Answer c is correct. Prevention of disease transmission is a goal of therapy for genital herpes.
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Answer d is correct. Decreasing the frequency of recurrence (outbreaks) is a goal of therapy for genital herpes.
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Answer a is incorrect. Since genital herpes cannot currently be eradicated, this is not a goal of therapy.
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Select the answer that correctly ranks the diseases from those that require the least total number of doses of penicillin to the most.
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a. Late latent syphilis, secondary syphilis, neurosyphilis
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b. Neurosyphilis, late latent syphilis, secondary syphilis
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c. Secondary syphilis, late latent syphilis, neurosyphilis
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d. Secondary syphilis, neurosyphilis, late latent syphilis
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Answer c is correct. Secondary syphilis is treated with benzathine penicillin G 2.4 MU IM × one dose. Late latent syphilis is treated with benzathine penicillin G 2.4 MU IM once weekly × three doses. Neurosyphilis is treated with aqueous crystalline penicillin G 18 to 24 MU IV daily (3-4 MU IV every 4 hours or by CI) × 10 to 14 days.
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Answers a, b, and d are incorrect. Secondary syphilis is treated with benzathine penicillin G 2.4 MU ...