6.1 Infections of the Reproductive Tract Flashcards

1
Q

What is a sexually transmitted infection?

A

Infection spread by sexual activity

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2
Q

What is a sexually transmitted disease?

A

Symptomatic diseases spread by sexually activity

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3
Q

What is the most common type of STI in the UK?

A

Chlamydia

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4
Q

Name some at risk groups

A

Young people
Certain ethnic groups
Low socioeconomic groups
Many sexual partners

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5
Q

What is contact tracing?

A

Contact tracing is following up with a patient suffering from an STI’s past sexual partners to check they do not also have an STI

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6
Q

How does a HPV infection present?

A

Benign, painless, verrucous cutaneous/anogenital/mucosal warts

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7
Q

What are the 2 high risk types of HPV?

A

16 and 18

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8
Q

How can a diagnosis be made for a HPV infection?

A

Biopsy
Genome analysis
Hybrid culture

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9
Q

How can HPV infections be treated?

A

Spontaneously resolved

Cryotherapy

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10
Q

What bacteria causes chlamydia?

A

Chlamydia trachomatis

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11
Q

What does a chlamydia trachomatis infection cause?

A

Urethritis, salpingitis, epididymitis, prostatitis, perihepitis

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12
Q

What can a chlamydial trachomatis infection cause in a neonate?

A

Conjunctivitis or pneumonia

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13
Q

How is chlamydia diagnosed?

A

NAAT to 1st void urine

Endocervical and urethral swabs

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14
Q

How does primary genital herpes present?

A

Extensive painful ulceration
Dysuria
Fever

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15
Q

How is a diagnosis of primary genital herpes made?

A

PCR of vesicle fluid

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16
Q

How is genital herpes treated?

A

Aciclovir

17
Q

What organism causes gonorrhoae?

A

Neisseria gonorrhoea

18
Q

How can gonorrhoea be diagnosed?

A

Swab from urethra, cervix or urine

19
Q

How is gonorrhoea treated?

A

Ceftriaxone and azithromycin

20
Q

How is chlamydia treated?

A

Azithromycin

21
Q

What is the causative organism of syphilis?

A

Treponema pallidum

22
Q

Describe the pathophysiology of syphilis

A

1st- indurated, painless ulcer
2nd- 6-8 weeks later= rash, fever, lymphadenopathy
Latent for years
3rd- neurosyphilis, cardiovascular syphilis

23
Q

How is syphilis treated?

A

Penicillin

24
Q

How does a trichomonas vaginalis infection present?

A

Thin, frothy, foul-smelling discharge
Irritation
Dyuria
Inflammation

25
Q

How is a trichomonas vaginalis infection treated?

A

Metronidazole

26
Q

How does a vulvovaginal candidiasis present?

A

Whity, itchy, thick discharge

27
Q

What organism causes vulvovaginal candidiasis?

A

Candida albicans

28
Q

How is vulvovaginal candidiasis treated?

A

Topical azole or nystatin

Oral fluconazole

29
Q

How does bacterial vaginosis present?

A

Fishy discharge

30
Q

How is bacterial vaginosis treated?

A

Metronidazole

31
Q

How can bacterial vaginosis be diagnosed?

A

KOH wiff test

Vaginal ph>5