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Prep4USMLE Forum » USMLE Step 2 CK Forum » Ob-Gyn Forum

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bax
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01/01/08 - 11:11 AM

preg. 7 wk gestation pt with asymptomatic gonorrhea. 1 yr ago tt with pen. for gonorrhea but she got allergic reaction as rashes n gi upset..now drug of choice 4 asymptomatic gonorrhea

1.ampicillin

2.chloramohenicol

3. spectinomycin

4.tetracycline

5.ceftrioxone

Ivonne
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01/01/08 - 11:20 AM

Hi bax

Sorry but I have to change the answer, the treatment of pregnant woman with gonorrhea and allergics to penicilln is spectinomycin, they are at risk of developing disseminate gonorrhea.

Edited by Ivonne on 01/01/08 - 11:49 AM

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GOGETA
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01/01/08 - 11:20 AM

Azithromycin but the thing is that is not in the choices.
Fisher says that if the allegic reaction is just a little rash then you can give cephalosporin because is inly10% chance of allergies when you have PCN allergy.
THAT IS FISHER
so base on that I will go with 5 Ceftriaxone
1-ampicilin is also an PCN and she is allergic and is not good for gonorrhea
2 and4 cloran and tetra are contraindicated in pregnancy

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Ivonne
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01/01/08 - 11:47 AM

It is interesting because they say that spectinomycin is not available in US, so 3 or 5. Yup Gogeta i remember what Fischer said but he didn't say that specifically in pregnants?

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92/99/pass/ECFMG certified/4 US LoRs/GC/extensive USCE/2004 grad/appl 29 IM Prog, IV/Rej: 3/0 "I must, I can and I will"

GOGETA
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01/01/08 - 01:33 PM

Ivonne wrote:
It is interesting because they say that spectinomycin is not available in US, so 3 or 5. Yup Gogeta i remember what Fischer said but he didn't say that specifically in pregnants?

maybe a zebra grin

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arlete
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01/01/08 - 05:09 PM

5

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bax
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01/01/08 - 11:28 PM

hello Ivonne!!!!

you r right...ans is spectinomycin...

@ gogeta and arlete

i also thought ans sh'd be ceftriaxone. but i was not convinced by d explanation so i want others opinion regarding this...

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