STI

Question 1

Syphilis

Answer 1

1. 1°, 2°, early latent
   Standard Current Treatment ▪︎Benzathine penicillin G 2.4 million ut IM ▪︎Non-pregnant, penicillin-allergic
   Doxycycline
   Tetracyclin
   Ceftriaxone
   Azithromycin
   ▪︎HIV-infected persons
   Benzathine penicillin G 2.4 million units IM/wk for 3 weeks
2. Late latent, unknown duration, 3° without neuro cxn
   ▪︎Benzathine penicillin G 2.4 million units IM weekly for 3 consecutiveweeks. ▪︎Non-pregnant, penicillin-allergic
   Doxycycline
   Tetracycline
3. Neurosyphilis
   ▪︎Aqueous crystalline penicillin
   ▪︎Procaine penicillin plus probenecid
   ▪︎Patients who are allergic to penicillin ideally should be hospitalized,
   desensitized, and treated with penicillin
4. Syphilis in pregnancy
   ▪︎Treat with penicillin according to stage of infection.
   ▪︎Erythromycin is not an acceptable alternative drug in penicillin-allergic patients.
   ▪︎Patients who are allergic to penicillin should be desensitized in the hospital and treated with penicillin.
5. Epidemiologic treatment
   ▪︎Sexual contacts to 1°, 2° or early latent syphilis or syphilis of unknown duration should be treated as cases of primary syphilis

Question 2

Gonorrhea

Answer 2

Ceftriaxone
Cefixime
Ciprofloxacin

Question 3

Chancroid

Answer 3

Azithromycin
Ceftriaxone
Ciprofloxacin
Erythromycin

Question 4

Genital herpes

Answer 4

Acyclovir
Has no cure

Question 5

Genital wart

Answer 5

Cryosurgery
Podophyllin
Tricholoroacetic acid
Electrodesiccation/cautery
Intralesional interferon

Question 6

Lymphoglandular venerum

Answer 6

Antibiotic Treatment
• First Line Treatment:
- Doxycycline
- Erythromycin
• Possible Regimen
- Azithromycin
•Treatment of partners
Sexual partners from the last 60 days prior to symptom onset or date of diagnosis
-Azithromycin
-Doxycycline
•Follow up
Patients should be followed until
chlamydial tests are negative (test of cure) and the patient has clinically recovered.
O

Question 7

Granulomatis inguinale

Answer 7

Azithromycin