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Bacterial Vaginosis
Chlamydia
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CDC STD Guidelines

1. What other infection is commonly found with gonorrhea?

A. Trichomonas
B. Bacterial vaginosis
C. Syphilis
D. Chlamydia

2. Which of the following tests are approprite to do in RESPECT Clinic? (More than one answer may be correct.)

A. Pap test
B. Pregnancy test
C. Urinalysis
D. Hepatitis C
E. HIV
F. Syphilis

3. A 26-year-old male presents for dysuria without discharge or any other symptoms. A urinalysis is normal. Which of the following are true statements? (More than one answer may be correct.)

A. Tests should be done for GC and Chlamydia.
B. He should be treated with ceftriazone.
C. He should be treated with azithromycin.
D. He should be treated with ciprofloxacin.
E. He should return the following week for test results and additional treatment, if indicated.

4. A 32-year-old female comes in without symptoms but tells you that her male partner was recently treated for gonorrhea. You should:

A. Not test but give ceftriazone and azithromycin.
B. Test and give azithromycin.
C. Test and give ceftriazone.
D. Test but do not treat until get test results.

5. What is the treatment of choice for Chlamydia in patients for whom adherence is in question?

A. Azithromycin 1g PO x 1
B. Metronidazole 500mg PO BID x 7 days
C. Doxycycline 100 mg PO BID x 7 days
D. Ceftriaxone 250 mg IM x 1

6. Skin rash, mucocutaneous lesions, and lymphadenopathy are signs of:

A. Primary syphilis infection
B. Secondary syphilis infection
C. Tertiary syphilis infection

7. A 22-year-old female presents to RESPECT Clinic with the concern of vaginal discharge and malodor. On vaginal exam, you notice a fishy odor. You then
check the pH of the vaginal fluid, and it turns the pH paper blue (pH>4.5). What is your assessment based on what you observe on microscopic exam? (See image below)

A. Gonorrhea
B. Yeast
C. Trichomonas
D. Bacterial vaginosis

8. After you make the correct diagnosis of the patient in the above question, you want to treat her. What do you prescribe?

A. Metronidazole 2 gm X 1
B. Ceftriaxone 250 mg IM x 1
C. Fluconazole 150 mg PO x 1
D. Benzathine penicillin G 2.4 million units IM x 1
E. All of the above are acceptable options

9. She asks if her partner needs to be treated as well. You tell her…

A. Yes, her partner needs to be treated.
B. No, her partner does not need to be treated.

10. A 31-year-old female presents to RESPECT Clinic with vaginal discharge and pruritis. On exam, you note no odor and the vaginal pH is >4.5. What is your assessment based on what you observe on microscopic exam? (See image below)

A. Gonorrhea
B. Yeast
C. Trichomonas
D. Bacterial vaginosis



11. After you make the correct diagnosis of the patient in the above question, you want to treat her. What do you prescribe?

A. Metronidazole 500 mg PO BID x 7 days
B. Ceftriaxone 250 mg IM x 1
C. Fluconazole 150 mg PO x 1
D. Benzathine penicillin G 2.4 million units IM x 1
E. All of the above are acceptable options

12. After you make the correct diagnosis of the patient in the above question, you prescribe the appropriate treatment. This is her first vaginal infection. She asks if her partner needs to be treated as well. You tell her…

A. Yes, her partner needs to be treated.
B. No, her partner does not need to be treated.

13. A 17-year-old female has a purulent cervical discharge. You should:

A. Not test but give ceftriazone.
B. Test and give azithromycin.
C. Test and give ceftriazone and azithromycin.
D. Test but do not treat until get test results.

14. A 20-year-old male who has sex with other men comes in for routine annual screening. He states he has receptive oral and anal sex. What is(are) appropriate test(s) to recommend?

A. Test pharynx, urethra/urine, and rectum for GC/Chlamydia
B. HIV testing
C. Syphilis testing
D. All of the above are recommended.

15. A 27-year-old male comes to clinic worried about a high risk unprotected sexual exposure 1 week ago. His HIV screening test is negative. Based on your knowledge of HIV antibody development and the “window” period, you advise him to have another test in:

A. 1-2 weeks
B. 2-4 weeks
C. 4-6 weeks
D. 6-12 weeks
E. No additional testing is needed

16. For patients who do not want to wait to receive the results of HIV blood testing or are concerned about confidentiality, their best option regarding quick HIV testing is:

A. Have test done through the RESPECT Clinic.
B. Get quick testing from NAP the same night.
C. Go to the UNMC AIDS Clinic.
D. Go to Douglas County Health Department STD Clinic.

17. The initial symptoms of HIV infection may include:

A. No symptoms
B. Non-specific flu like symptoms
C. Fever, headache, fatigue, and swollen glands
D. All of the above are true

18. The preferred method for screening men for urethral GC/Chlamydia if they have not voided in past 1 hour is:

A. Urine DNA test
B. Jembec plate inoculation using alginate or dacron swabs
C. Viral/Chlamydia/Mycoplasma Transport Media
D. Urethral DNA swab

19. Which of the following is(are) true about GC/Chlamydia testing for patients with oral or rectal exposure?

A. The DNA swabs used for urethral/cervical specimens can be used to collect pharyngeal samples.
B. The DNA swabs used for urethral/cervical specimens can be used to collect rectal samples.
C. Rectal and pharyngeal samples are generally done only on those at high risk for infections in those sites.
D. All of the above are true.

20. True statement(s) about STD screening at RESPECT include:

A. Free condoms and educational handouts are available and should be distributed liberally.
B. Patients are provided free treatments for GC and Chlamydia while paying for written prescriptions is the responsibility of the patients.
C. All STD lab testing is done at no additional charge to patients.
D. All of the above are true

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