141.2 📚 國考版

141.2.0.1 必背 — Empirical for Urethritis/Cervicitis

Ceftriaxone 500 mg IM × 1 + Doxycycline 100 BID × 7 d

141.2.0.2 必背 — Syphilis Tx

• Early (1°, 2°, early latent): Benzathine PCN 2.4 MU IM single
• Late: weekly × 3
• Neuro: Aqueous PCN IV × 10-14 d

141.2.0.3 必背 — Painless vs Painful Ulcer

• Painless = syphilis 1°, LGV early, granuloma inguinale
• Painful = HSV, chancroid

141.2.0.4 必背 — Screening (CDC 2024)

• Women < 25: annual CT + GC
• MSM: annual / q3-6 mo (HIV+ q3 mo)
• All adults at least once: HIV
• Pregnant: HIV, HBV, HCV, syphilis, CT/GC

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