==== Front Indian J Sex Transm Dis AIDSIndian J Sex Transm Dis AIDSIJSTDIndian Journal of Sexually Transmitted Diseases and AIDS2589-05572589-0565Medknow Publications & Media Pvt Ltd India IJSTD-38-19710.4103/ijstd.IJSTD_82_17QuizPG quiz: STD and pregnancy! Baxi Reema Rajesh Marfatia Yogesh S. Department of Skin-VD, Medical College, Baroda, Gujarat, IndiaAddress for correspondence: Dr. Reema Rajesh Baxi, Department of Skin-VD, Medical College, Baroda, Gujarat, India. E-mail: reema_baxi@yahoo.inJul-Dec 2017 38 2 197 199 Copyright: © 2017 Indian Journal of Sexually Transmitted Diseases and AIDS2017This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. ==== Body Bony lesions of early congenital syphilis consist of all except: Pseudoparalysis Pseudoarthrosis Periostitis Osteochondritis False about mulberry molars is: These are lower first molars These are peg-shaped They are more prone to caries Cusps are ill-developed One of the following is not a sign of congenital syphilis: Wimberger's sign Hutchison's sign Higoumenaki's sign None of the above In a case of an asymptomatic infant having titer of 1:4 and normal CSF findings, born to a mother, having a VDRL titer of 1:64, who has no documentation of being treated during pregnancy, The preferred regimen would be: Benzathine penicillin 50,000 U/kg/dose IM single dose Procaine penicillin G 50,000 U/kg/dose IM single dose Aqueous crystalline penicillin G 1 lac-1.5 lac U/kg/day single dose None of the above All of the following can cause postpartum endometritis except: Neisseria gonorrhoeae Group-B Streptococci Gardnerella vaginalis Treponema pallidum Chorioamnionitis is not caused by: HSV Neisseria gonorrhoeae Mycoplasma hominis Gardnerella vaginalis TORCH syndrome does not include: HSV CMV HBV HIV Most common complication of gonorrhea infection in pregnancy is: Perinatal mortality Premature rupture of membranes Spontaneous abortions Postpartum endometritis The recommended treatment for Ophthalmia neonatorum caused by gonococcal infection is: Cefotaxime 25 mg/kg IV single dose Ceftriaxone 25-50 mg/kg IV single dose Spectinomycin 2 g IM single dose Benzathine penicillin G 50,000 U/kg single dose IM The recommended current CDC guidelines for the treatment of Chlamydial infection during pregnancy is: Azithromycin 1 g oral single dose Amoxicillin 500 mg TDS for 5 days Erythromycin 500 mg TDS for 7 days None of the above The FDA category of Acyclovir is: A B C D Neonate having jaundice, petechiae microcephaly, hepatosplenomegaly, and hemolytic jaundice is most likely to suffer from: Neonatal herpes infection Neonatal CMV infection Chlamydial infection Gonococcal infection For a neonate born to a mother with genital herpes presenting with irritability, seizures, respiratory distress, jaundice, and vesicular rash, the treatment will be: Acyclovir 10 mg/kg IV 8 h for 21 days Acyclovir 20 mg/kg IV 8 h for 21 days Acyclovir 20 mg/kg IV 8 h for 14 days Acyclovir 15 mg/kg IV 8 h for 14 days One of the following is not a treatment modality for HPV infection during pregnancy: Excision Cryotherapy Topical imiquimod Trichloroacetic acid application The FDA category of Fluconazole is: A B C D The treatment of a pregnant woman with malodorous nonviscous thin homogenous vaginal discharge is: Metronidazole 500 mg BD for 7 days Metronidazole 250 mg BD for 7 days Clindamycin 300 mg BD for 7 days None of the above The risk of transmission of HIV during intrapartum period is estimated to be approximately: 20%–30% 30%–40% 40%–50% 60%–80% False about Clutton's joints is: Occurs in late congenital syphilis Painless swelling of knee joints Responds well to antisyphilitic therapy Mobility of the joints is preserved Frei's test is used in: Bacterial vaginosis LGV Nongonococcal urethritis Trichomoniasis A pregnant lady with malodorous discharge, dyspareunia, and yellow-green frothy discharge on per speculum examination with inflammation of vaginal walls should be treated with: Tinidazole 2 g single dose Metronidazole 2 g single dose Clindamycin orally 300 mg Azithromycin 1 g single dose Local application of TCA is: Contraindicated in pregnancy Safe in pregnancy Can be used if benefits outweigh the risk None of the above Neonatal conjunctivitis is not seen with: Gardnerella vaginalis Chlamydia trachomatis Ureaplasma urealyticum Treponema pallidum A neonate suffering from multiple abscesses over scalp, rectum, vagina, and conjunctivitis is most likely to suffer from: Chlamydial infections Gonorrhea CMV infection Congenital syphilis The law stating that severity of disease is more in more recent infections and less is long-standing disease is: Colles' law Kassowitz's law Profeta's law None of the above The side-effects of aminoglycosides in pregnancy are: Bony abnormalities Ototoxicity Malformations in fetus Phocomelia One of the viruses will not cross placenta: HSV CMV HBV Varicella-zoster virus Keys Reference: Textbook on STD and HIV/AIDS by Dr. V. K. Sharma, 2nd edition Publisher: Anshan Ltd; 2nd edition (28 February 2009) B) Pseudoarthrosis – it is a feature of late congenital syphilis and classically occurs in Clutton's joints. Refer Ch 15; Pg 295 B) They are peg-shaped. Peg-shaped teeth are characteristic of Hutchinson's teeth, Refer Pg 294; Ch 15 congenital syphilis B) Hutchinson's sign. It is characteristically found in Herpes zoster ophthalmicus. Vesicles at the tip of the nose indicate ophthalmic involvement A) Benzathine penicillin 50,000 u/: kg IM single dose. Infant is asymptomatic and having titer <4 fold the maternal titer. Refer to Ch 15; pg 297 D. Treponema pallidum Refer to Ch 34; pg 576, Table 34.1 A) HSV Refer to Ch 34; pg 576, Table 34.1 D) HIV D) Postpartum endometritis Refer to Ch 34; pg 579 B) Ceftriaxone 25–50 mg/kg IM/IV single dose Refer to Ch 34; pg 580 A) Azithromycin 1 g oral single dose Refer Ch 22; pg 382; Table 22.5 B) Acyclovir Refer to Ch 34; pg 592; Table 34.6 B) CMV infection Refer to Ch 34; pg 593; Table 34.6 C) Acyclovir 20 mg/kg IV 8 h for 14 days Refer to Ch 34; pg 587 C) Topical imiquimod. All others are safe Refer to Ch 34; pg 592; Table 34.6 C) Fluconazole Refer to Ch 34; pg 592; Table 34.6 A) Metronidazole 500 mg BD for 7 days. Patient is most likely to suffer from Bacterial vaginosis Refer to Ch 24; pg 403; Table 24.2 D) 60%–80% Refer to Ch 8; pg 174 C) Responds well to antisyphilitic therapy. Clutton's joints are a type of hypersensitivity reaction so does not respond to antisyphilitic therapy Refer to Ch 15; pg 295 B) LGV Refer to Ch 23 B) Metronidazole 2 g single dose. The patient is most likely to suffer from Trichomoniasis Refer to Ch 29; pg 495 B) Safe in pregnancy Refer to Ch 34; pg 592; table 34.6 A) Gardnerella vaginalis Refer to Ch 34; pg 576; table 34.1 B) Gonorrhea Refer to Ch 34; pg 592; Tab; e 34.6 B) Kassowitz's law Refer to Ch 15; pg 290 B) Ototoxicity A) HSV Financial support and sponsorship Nil. Conflicts of interest There are no conflicts of interest.