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Sexually Transmitted Diseases

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As part of our commitment to resident education, Cutis is excited to offer this monthly section with board-relevant, easy-to-review material.

Sexually transmitted diseases (STDs) are common. Some of them are related to sexual behavior. In general, there is correlation of STDs and human immunodeficiency virus. If STDs are not treated promptly and correctly, they can produce long-term complications, mainly when they occur in pregnancy. This fact sheet offers a comprehensive review of the etiology, clinical findings, and management of common STDs.

Practice Question Answers

1. A 44-year-old woman presents with fever, lymphadenopathy, and headaches. She has noticed a rash on her palms and soles that is not itchy. What is the diagnosis?

a. chancroid

,

b. gonorrhea

c. granuloma inguinale

d. lymphogranuloma venereum

e. secondary syphilis

2. A 37-year-old man presents with dysuria and purulent discharge. What is the appropriate test for diagnosis?

a. dark field microscopy

b. Giemsa staining

c. McCoy culture

d. porphyrin test (hemin [X factor]) culture

e. Thayer-Martin medium

3. Which disease in the neonate is preventable with silver nitrate drops?

a. chancroid

b. gonorrhea

c. granuloma inguinale

d. lymphogranuloma venereum

e. syphilis

4. A 22-year-old pregnant woman develops a painless indurated ulcer on the vagina. What is the treatment of choice?

a. azithromycin

b. ceftriaxone

c. doxycycline

d. penicillin G

e. TMP-SMX

5. What sexually transmitted disease facilitates the transmission of HIV?

a. chancroid

b. gonorrhea

c. lymphogranuloma venereum

d. syphilis

e. all of the above