Trichomoniasis & BV

Question 1

Trich Etiology

Answer 1

Trichomonas vaginalis – protozoan

Question 2

1st line treatment for Trich (including pregnancy)

Answer 2

Flagyl 2g PO x 1 dose

Question 3

Tx of Trich in HIV patients

Answer 3

Flagyl 500mg PO BID x 7 days

Question 4

Clinical diagnosis of BV requires 3 of the following 4 criteria:

Answer 4

1. Presence of thin, white vaginal discharge
2. “Clue cells” on microscopy
3. Vaginal fluid pH > 4.5
4. Positive “whiff test” - fishy odor of vaginal discharge

Question 5

1st line treatment for BV

Answer 5

Flagyl 500mg PO BID x 7 days
Flagyl 0.75% gel - 5g applicator intravaginally QD x 5 days
Clindamycin 2% cream - 5g applicator intravaginally QHS x 7 days