Posttest on Epidemiology and Clinical Care

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You need to answer all questions correctly to earn continuing medical education credit.

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1. In San Francisco, which of the following demographic groups had disproportionately high rates of STDs in 2011?

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a Men who have sex with men (MSM) only

b. Seniors over 55 only

c. Adolescents and young adults under age 26 only

d. Both MSM and adolescents

2. In a patient with a positive RPR and no signs or symptoms of syphilis, which of the information below would NOT help stage the patient as early latent vs. late latent disease?

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a. A documented negative syphilis titer in the past 12 months

b. Age of the patient

c. Patient report of a painless genital ulcer three months prior, that spontaneously resolved without treatment

d. Report from the local health department that the patient has been named as a sexual contact in the past two months to another individual diagnosed with secondary syphilis

3. Which of the following is no longer an indication for lumbar puncture to rule out neurosyphilis in a patient with a positive serum RPR or VDRL?

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a. Neurological findings in patients with syphilis including visual or hearing abnormalities

b. Syphilis treatment failure

c. Tertiary syphilis-cardiovascular, skeletal, etc.

d. Late latent or unkown duration syphilis in HIV-infected patients

4. The majority of rectal gonorrhea infections in men who have sex with men (MSM) are asymptomatic.

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True

False

5. What is the current recommended treatment regimen for uncomplicated urogenital gonorrhea infection?

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a. Ceftriaxone 250mg IM x 1

b. Ceftriaxone 250 mg IM x 2 and Azithromycin 1 g PO once

c. Cefixime 400 mg PO once and Azithromycin 1 g PO on

d. Azithromycin 2 g PO once

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Please enter your horse's name:

1. In San Francisco, which of the following demographic groups had disproportionately high rates of STDs in 2011?

2. In a patient with a positive RPR and no signs or symptoms of syphilis, which of the information below would NOT help stage the patient as early latent vs. late latent disease?

3. Which of the following is no longer an indication for lumbar puncture to rule out neurosyphilis in a patient with a positive serum RPR or VDRL?

4. The majority of rectal gonorrhea infections in men who have sex with men (MSM) are asymptomatic.

5. What is the current recommended treatment regimen for uncomplicated urogenital gonorrhea infection?