Which of the following is NOT recommended as an alternative treatment for bacterial vaginosis?
Intramuscular ceftriaxone (Rocephin)
Clindamycin (
... [Show More] Cleocin) vaginal cream
Metronidazole (Flagyl) vaginal cream
Tinidazole (Tindamax) orally
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).
metronidazole (Flagyl) plus ofloxacin (Floxin).
Question:
For the treatment of chlamydia, azithromycin (Zithromax) should be given:
as one-time dose.
daily for 3 days.
daily for 5 days.
daily for 7 days.
.
Question:
Clindamycin (Cleocin) to treat bacterial vaginosis should NOT be used in combination with:
atorvastatin.
prednisone.
estradiol.
ibuprofen.
Question:
When treating latent syphilis, treatment outcomes do NOT include the prevention of:
asymptomatic progression of the disease.
neurosyphilis.
sexual transmission.
transfer to a fetus in pregnancy.
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.
dry mouth and tachycardia.
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.
lack of test-of-cure and follow-up after treatment.
Question:
The recommended treatment for chlamydia infection when azithromycin (Zithromax) or doxycycline (Doryx) is contraindicated is:
clindamycin (Cleocin).
erythromycin (Ery-Tab).
metronidazole (Flagyl).
tetracycline (Sumycin).
Question:
An alternative intramuscular medication for ceftriaxone (Rocephin) in the treatment of pelvic inflammatory disease is:
cefoxitin.
penicillin G benzathine (Bicillin).
gentamicin.
streptomycin.
Question:
The generic name for Flagyl is:
fluconazole.
methazolamide.
metronidazole.
tinidazole.
Question:
Tinidazole (Tindamax), used in the treatment of trichomoniasis, is classified as an:
antiprotozoal and antiviral.
antifungal and antiparasitic.
antifungal and antibacterial.
antiparasitic and antibacterial.
Question:
When treating trichomoniasis, tinidazole (Tindamax) compared to metronidazole (Flagyl):
is more cost effective.
reaches higher drug concentrations in the urinary tract.
has a shorter-half life.
has more gastrointestinal side effects.
Question:
Treatment of gonococcal urethritis in a child who weighs less than 45 kg is:
azithromycin (Zithromax).
ceftriaxone (Rocephin).
doxycycline (Vibramycin).
erythromycin (Ery-Tab).
.
Question:
Topical regimens for treatment of herpes simplex are:
safer and less expensive than oral treatment.
less efficacious than oral treatment.
only recommended for herpes labialis.
not effective for reducing pain or viral shedding.
Question:
The recommended treatment of neonatal chlamydia infection is:
amoxicillin (Amoxil).
cefotaxime (Claforan).
erythromycin base (PCE).
metronidazole (Flagyl).
Question:
To prevent gonococcal ophthalmia neonatorum in the neonate, the recommended treatment is:
bacitracin ophthalmic.
ciprofloxacin (Ciloxan) ophthalmic.
erythromycin (Ilotycin) ophthalmic ointment.
gentamicin (Garamycin) ophthalmic ointment.
Question:
Sinecatechins 15% (Veregen) ointment for treatment of condyloma acuminata:
is safe for use in children 6-12 years of age.
must be applied three times daily and washed off within an hour to prevent irritation.
should be washed off prior to sexual intercourse or application of a tampon.
must be applied by the provider to prevent contact with normal skin.
Question:
The most commonly reported side effect in the short- and long-term administration of acyclovir for genital herpes is:
anhedonia.
nausea.
malaise.
paresthesia.
Question:
In the treatment of syphilis caused by Treponema pallidum, the preparation, dose and length of treatment are most likely to be determined by:
diagnostic confirmation and ability to follow-up.
disease stage and clinical manifestations.
cost of medication and ability to follow-up.
disease stage and diagnostic confirmation.
Question:
Valacyclovir, used in the suppression of genital herpes, is:
a prodrug of acyclovir.
an oral form of penciclovir.
not well tolerated.
less bioavailable than acyclovir.
Question:
Metronidazole (Flagyl) is used to eradicate infections with:
Escherichia coli.
Haemophilus influenzae.
Pseudomonas aeruginosa.
Trichomonas vaginalis.
Question:
Ceftriaxone (Rocephin) is classified as a:
first-generation cephalosporin.
second-generation cephalosporin.
third-generation cephalosporin.
fifth-generation cephalosporin.
Question:
First-line therapies for the treatment of chlamydia infection include:
azithromycin (Zithromax) or doxycycline (Doryx).
azithromycin (Zithromax) or clindamycin (Cleocin).
clindamycin (Cleocin) or metronidazole (Flagyl).
clindamycin (Cleocin) or doxycycline (Doryx).
Question:
The mechanism of action of acyclovir (Zovirax), an antiviral used in the treatment of genital herpes, is to:
block the viral attachment and prevent entry into the host cell.
prevent the release of the virus's nucleic acid into the host cell.
block nucleic acid synthesis to prevent replication of the virus.
block the neuraminidase enzyme to prevent viral release from the host cell.
Question:
Podofilox (Condylox) topical gel causes wart necrosis by:
arresting cell division in mitosis.
chemical coagulation.
photochemotherapy.
thermal-induced cytolysis.
Explanation:
Podofilox (C
Question:
Tinnitus and vertigo may indicate ototoxicity, a drug-drug interaction, in the patient who is taking gentamicin and:
amlodipine (Norvasc).
furosemide (Lasix).
metformin (Glucophage).
phenytoin (Dilantin).
Question:
The recommended treatment for syphilis in a patient with HIV is:
a single, one-time dose of penicillin G benzathine (Bicillin).
penicillin G benzathine (Bicillin) given as 3 doses over 2 weeks.
penicillin G benzathine-procaine (Bicillin C-R) given as 3 intramuscular doses over 2 weeks.
single, one-time dose of benzathine penicillin-G (Bicillin) and sulfamethoxazole/trimethoprim (Bactrim DS) x 14 days.
Question:
Gentamicin, used as an alternative treatment for gonorrhea,:
is an aminoglycoside.
is safe to administer during pregnancy.
covers gram-positive and gram-negative organisms.
is not likely to be nephrotoxic.
Question:
The addition of oral probenecid to parenteral penicillin:
inhibits cell wall synthesis.
binds to beta-lactamase, hindering enzymatic activity.
prolongs serum penicillin levels.
reduces the risk of penicillin hypersensitivity.
Question:
Two serious adverse reactions that may occur with the administration of metronidazole (Flagyl) include:
esophageal ulcer and pericarditis.
myalgia and hyperesthesia.
peripheral neuropathy and seizures.
spontaneous tendinitis and tendon rupture.
Question:
Patients receiving metronidazole (Flagyl) for the treatment of bacterial vaginosis should be advised:
to avoid all alcohol consumption.
that partners should be treated.
to avoid further sexual activity until asymptomatic.
to stop the medication as soon as symptoms resolve.
Question:
The recommended treatment for Trichomonas vaginalis is:
single dose of azithromycin 2 g orally.
doxycycline 100 mg orally twice daily x 14 days.
erythromycin base 1000 mg orally twice daily x 10 days.
metronidazole 2 g orally in a single dose.
Question:
Which of the following statements is NOT true about the treatment of herpes simplex virus (HSV)?
Acyclovir is recommended in the treatment of oral HSV disease in children 2-11 years of age.
Duration of therapy should not extend beyond 7 days, despite unresolved lesions.
Therapy is most effective when started within 48 to 72 hours of onset.
Treatment of the first episode of genital herpes reduces the risk of neurologic complications.
Question:
When administered concurrently with penicillin, which medication diminishes the bactericidal effect?
Aspirin
Buspirone (BuSpar)
Clindamycin (Cleocin)
Tetracycline (Sumycin)
Question:
A woman is being treated for pelvic inflammatory disease (PID). Her male partners should be evaluated and presumptively treated with:
penicillin G benzathine (Bicillin) intramuscularly plus ceftriaxone (Rocephin) intramuscularly.
metronidazole (Flagyl) plus ciprofloxacin (Cipro).
azithromycin (Zithromax) plus ceftriaxone (Rocephin) intramuscularly.
azithromycin (Zithromax) plus doxycycline (Vibramycin).
Question:
In the presence of ceftriaxone (Rocephin) allergy, the alternative medication to combine with azithromycin for the treatment of uncomplicated gonococcal infection is:
clarithromycin (Biaxin).
doxycycline (Vibramycin).
erythromycin (Erythrocin).
intramuscular gentamicin.
Question:
Ofloxacin (Floxin), for the treatment of chlamydia, is classified as a:
cephalosporin.
fluoroquinolone.
penicillin.
tetracycline.
Question:
Metronidazole (Flagyl) should not be administered in conjunction with:
disulfiram (Antabuse).
lamotrigine (Lamictal).
olanzapine (Zyprexa).
prednisolone (Prelone).
Question:
Azithromycin (Zithromax), a macrolide antibiotic, is NOT effective against:
Chlamydia trachomatis.
Neisseria gonorrhoeae.
methicillin-resistant Staphylococci.
Streptococcus pneumoniae.
Question:
A test-of-cure to assure resolution of gonococcal infection is NOT needed:
in a 33-year-old man with uncomplicated rectal gonorrhea treated with first-line medications.
a 24-year-old pregnant woman treated with first-line medications.
a 28-year-old woman with pharyngeal gonorrhea with a macrolide allergy.
an 18-year-old man treated one month ago and who now has urethritis.
Question:
Metronidazole (Flagyl), used in the treatment of bacterial vaginosis, is NOT appropriate for use in:
older adults.
nursing mothers.
tetracycline-hypersensitive patients.
patients with renal disease.
Question:
Imiquimod (Aldara) 5% cream, for the treatment of genital warts,:
must be applied by the provider to prevent contact with normal skin.
produces a T-cell mediated, cytotoxic immune response.
is associated with high rates of recurrence.
is a standardized extract of green tea.
Question:
The brand name of ceftriaxone is:
Cedax.
Cefotan.
Rocephin.
Suprax.
Question:
Imiquimod (Aldara) is indicated for the treatment of:
acne.
condyloma acuminata.
erysipelas.
keloids.
Question:
To prevent an iatrogenic procaine reaction from the accidental intravenous administration of penicillin-G procaine, administer:
bolus fluids.
Benadryl.
corticosteroid therapy.
epinephrine.
Question:
The recommended first-line treatment for bacterial vaginosis caused by Gardnerella vaginalis is:
azithromycin (Zithromax).
ciprofloxacin (Cipro).
doxycycline (Vibramycin).
metronidazole (Flagyl).
Question:
A side effect of gentamicin for the treatment of gonorrhea is:
oral candidiasis.
ototoxicity.
otomycosis.
pharyngitis.
Question:
Patients using imiquimod (Aldara) 5% cream as a self-treatment option for condyloma acuminata should be advised:
that the goal of treatment is to eradicate the virus.
to avoid sexual contact for at least 1 hour after application.
to expect scarring from the healing process.
to avoid the use of sunlamps while using the cream.
Question:
When prescribing oral clindamycin (Cleocin) for the treatment of bacterial vaginosis, caution should be used for the patient with:
psoriasis.
ulcerative colitis.
diabetes.
hypothyroidism.
Question:
In the treatment of syphilis, symptoms of Jarisch-Herxheimer reaction may occur after the initiation of penicillin-G benzathine (Bicillin) and include:
anasarca, hypotension and diarrhea.
fever, chills, headache and myalgia.
severe abdominal pain, vomiting and diarrhea.
lethargy, bradycardia and rash.
Question:
Acyclovir (Zovirax), an antiviral,:
cures genital herpes.
is only indicated for acute outbreaks of herpes.
is not effective against varicella.
requires a dosage adjustment in renally impaired patients.
Question:
Which medication is indicated for the treatment of trichomoniasis?
Intramuscular ceftriaxone (Rocephin)
Clindamycin (Cleocin) vaginal cream
Metronidazole (Flagyl) vaginal cream
Metronidazole (Flagyl) oral
Question:
Patients applying imiquimod (Aldara) for the treatment of genital condyloma acuminata should be advised to:
avoid vaginal use.
avoid rubbing the cream into the affected area.
apply thick layers of the cream to affected areas.
reapply the cream if it rubs off on underwear.
Question:
Partner therapy for a patient diagnosed with primary, secondary or early latent syphilis should be completed presumptively for all partners in the past:
30 days if serologic testing is positive.
60 days if serologic testing is positive.
90 days, even if serologic testing is negative.
year, even if serologic testing is negative.
Question:
The brand name for penicillin G benzathine is:
Bicillin C-R.
Bicillin L-A.
Cuprimine.
Pfizerpen.
Question:
The goal of daily suppressive therapy in the treatment of genital herpes is to:
prevent recurrence and reduce the risk of transmission.
decrease the number of, and shorten the duration, of outbreaks.
decrease the number of outbreaks and reduce the risk of transmission.
shorten the duration of the outbreak and reduce the risk of transmission.
Question:
The first-line treatment for late latent, tertiary and gummatous syphilis (without neurosyphilis) is:
single, one-time dose of penicillin G benzathine (Bicillin)
penicillin G benzathine (Bicillin L-A) given as 3 intramuscular doses over 2 weeks.
penicillin G benzathine-procaine (Bicillin C-R) given as 3 intramuscular doses over 2 weeks.
single, one-time dose of penicillin G procaine plus ceftriaxone (Rocephin) intramuscularly.
Question:
The treatment of choice, in combination with ceftriaxone (Rocephin), for uncomplicated gonococcal infection in the patient allergic to azithromycin (Zithromax) is:
clarithromycin (Biaxin).
doxycycline (Vibramycin).
erythromycin (Erythrocin).
gemifloxacin (Factive).
Question:
The brand name of azithromycin, a macrolide, is:
Erythrocin.
Moxatag.
Zithromax.
Zovirax.
Question:
Women who are treated with triple therapy for pelvic inflammatory disease should be considered for intravenous therapy if no response is seen within:
3 days.
7 days.
10 days.
14 days.
Question:
The alternative first-line treatment for primary, secondary and early latent syphilis (without neurosyphilis) in the presence of IgE-mediated penicillin allergy is:
amphotericin B (Abelcet).
azithromycin (Zithromax).
doxycycline (Vibramycin).
sulfamethoxazole/trimethoprim (Bactrim DS).
Question:
The recommended patient-delivered expedited partner therapy (EPT) for the treatment of Neisseria gonorrhoeae is:
azithromycin (Zithromax) 1 gram orally plus doxycycline (Vibramycin) 100 mg twice daily x 7 days.
azithromycin (Zithromax) 1 g orally plus cefixime (Suprax) 400 mg orally.
azithromycin (Zithromax) 1 gram orally plus ofloxacin (Floxin) 300 mg PO twice daily x 7 days.
azithromycin (Zithromax) 1 gram orally plus metronidazole (Flagyl) 500 mg PO twice daily x 7 days.
Question:
Preferred self-treatment of anogenital warts caused by human papillomavirus is:
acyclovir (Zovirax) ointment.
azithromycin (Zithromax) orally.
gemifloxacin (Factive) orally.
imiquimod (Aldara) cream.
Question:
The recommended treatment for neurosyphilis in the outpatient setting is:
a single, one-time dose of penicillin-G benzathine (Bicillin).
procaine penicillin given daily x 7 doses.
IV aqueous penicillin G.
single, one-time intramuscular dose of benzathine penicillin-G plus ceftriaxone.
.
Question:
The generic name of Valtrex is:
acyclovir.
famciclovir.
penciclovir.
valacyclovir.
Question:
The brand name of acyclovir, used in the treatment of genital herpes, is:
Famvir.
Valtrex.
Zithromax.
Zovirax.
Question:
The goal of episodic treatment of genital herpes is to:
prevent recurrence.
decrease the number of outbreaks.
reduce the risk of transmission.
shorten the duration of the outbreak.
Question:
The first-line treatment of primary, secondary and early latent syphilis (without neurosyphilis) is:
penicillin G benzathine (Bicillin).
penicillin G potassium (Pfizerpen).
penicillin G procaine.
penicillin V potassium.
Question:
Patients who receive a prescription for oral clindamycin (Cleocin) should be instructed to:
use an antidiarrheal medication if diarrhea occurs.
take with a full glass of water.
stop the medication once the symptoms subside.
double the dose if a dose is missed.
Question:
In the treatment of pelvic inflammatory disease, the best medication to cover anaerobic organism activity is:
azithromycin (Zithromax).
doxycycline (Vibramycin).
erythromycin (PCE).
metronidazole (Flagyl).
Question:
Confirmed gonococcal conjunctivitis in a child should be treated with:
azithromycin (Zithromax) intravenously.
ceftriaxone (Rocephin) intravenously.
erythromycin (Ilotycin) ophthalmic ointment.
gentamicin (Garamycin) ophthalmic ointment.
Question:
The recommended treatment for uncomplicated urethral gonorrhea is:
azithromycin (Zithromax) 1 gram orally.
ceftriaxone (Rocephin) 250 mg intramuscularly.
azithromycin (Zithromax) 1 gram orally plus ceftriaxone (Rocephin) 250 mg intramuscularly.
azithromycin (Zithromax) 1 gram orally plus doxycycline (Doryx) 100 mg orally.
Question:
A serious adverse reaction related to azithromycin (Zithromax) is:
essential tremors.
pancytopenia.
renal failure.
QT prolongation.
Question:
Aqueous penicillin G, for the treatment of syphilis,:
is a second-generation penicillin.
may be used orally or intravenously.
should not be administered to patients weighing less than 70 kilograms.
is more active than penicillin V against gram-negative bacteria.
Question:
Which of the following treatments for condyloma acuminata must be applied by a healthcare provider?
Imiquimod 5% (Aldara) cream
Podofilox 5% (Condylox) cream
Sinecatechins 15% (Veregen) ointment
Trichloroacetic acid 80% (Tri-Chlor) solution
Question:
Imiquimod (Aldara) 5% cream is NOT indicated for the treatment of:
actinic keratoses (AK) on the face or scalp.
condyloma acuminata in patients 12 years and older.
external perianal warts, human papillomavirus-related.
intravaginal warts, human papillomavirus-related.
Question:
The most commonly reported side effects with the use of metronidazole (Flagyl) for the treatment of trichomoniasis are:
hypotension and nausea.
nausea and metallic taste.
photosensitivity and tooth discoloration.
pruritus and urticaria.
Question:
Podofilox (Condylox) topical gel for the treatment of condyloma acuminata:
must be applied by the provider to prevent contact with normal skin.
may cause localized itching and pain.
is safe for use in pregnancy.
is NOT recommended for treatment of urethral meatus warts.
Question:
Tinidazole (Tindamax) is NOT indicated in the treatment of:
bacterial vaginosis.
giardiasis.
trichomoniasis.
vaginal candidiasis.
Question:
For the treatment of genital condyloma acuminata, imiquimod (Aldara) should be applied:
daily and removed in 6 hours.
twice daily, removing after 6-10 hours.
three times weekly, removing after 8 hours.
weekly, removing after 8 hours.
Question:
Azithromycin (Zithromax) is classified as a:
cephalosporin.
fluoroquinolone.
macrolide.
tetracycline.
Question:
Patients receiving tinidazole (Tindamax) for the treatment of trichomoniasis should be advised:
to avoid prolonged ultraviolet exposure due to photosensitivity.
that it is not necessary to treat partners.
that they should be tested for cure within 3 months.
to stop the medication as soon as symptoms resolve. [Show Less]