Assortment

Question 1

What is most common STI in HIV?

Answer 1

HSV

Question 2

what bacteria causes donovanosis and what respiration does it do?

Answer 2

Kleibsella Granulomatosis; facultative aerobe

Question 3

Causes of high vagina pH

Answer 3

Blood - recent menses
Semen - in past 12 hours 
Recent antibiotics 
Reduced estroogen
BV 
TV

Question 4

What is treatment of molluscum?

Answer 4

Avoid hair removal
1A Evidence for no treatmemnt
Podophyllotoxin and imiquimod 1b
Cryotherapy worse evidence

Question 5

A 65 year old man presents to your clinic with a 5 day hx of a penile ulcer, it began as a an itchy red/purple lesion then ulcerated. He has never had anything similar. He has a history of BPH and had a recent course of co-trimoxazole for a UTI but no otehr medications. He lives with his husband but reports they have not been sexually active for 2 years. What is most likely cause ?

1. HSV
2. STS
3. Erythroplasia of Queyra
4. Fixed drug eruption
5. Chancroid

Answer 5

Fixed drug eruption

Cotrimoxazole seems frequent culprit

Question 6

A 25 year old female presents distressed with a outbreak of ulcers. She was diagnosed with HSV2 last year and reports she has had outbreaks almost every month that she has takes a short course of aciclovir for. She has a RMP and they are considering pregnancy
She wants to discuss other options what can you tell her?
a) She should continue Patient initiated antivirals
b) She can start supressive therapy if desired at 400mg aciclovir bd
c) She can start supressive therapy at 200mg aciclovir bd
d) She can start supressive therapy at 400mg tds
e) She should be counselled given she may become pregant she should not take additionsal medication

Answer 6

b) If breakthrough occurs can increase to tds

Maximum 1 year

Question 7

What lymph nodes do testes drain to?

a) inguinal nodes
b) Para aortic nodes
c) Femoral nodes
d) iliac nodes
e) Hilar nodes

Answer 7

Para aortic - only part of genitals probs something embryonic to read about

Question 8

What is highest risk of HIV acquisition from known HIV + not in tx ?

a) Oral sex receptive
b) Kissing
c) Human bite
d) Needlestick
e) Oral sex given with ejaculatoin

Answer 8

needlestick

Question 9

Which test has the highest sensitive for diagnosing TV?

a) Wet slide microscopy taken from speculum examination
b) Posterior fornix swab for culture
c) Urine sample for culture
d) NAAT test
e) Clinical diagnosis

Answer 9

NAAT is most sensitive although not commercially available

Question 10

A 40 year old man with known HIV undetectable presents with hearing loss and tinnitus his STS is positive and a diagnosis of otosyphilis is made and he is referred for LP. LP is normal.

a) Ben pen x3 1 week apart
b Procaine and probenacid 
c) Procaine & probenacid for 14 days & prednisolone 3 days 
d) Ben Pen x 1 
e) Ceftriaxone 1gram x1

Answer 10

I think you still treat for neurosyphilis maybe good to run through

Question 11

Which of the following blood tests is compatible with neonatal STS infection. Mum results RPR 4 IgG + IGM

a) Baby RPR 8 IgG +
b) Baby RPR 4 IGM+

Answer 11

IgM+ = congenital infection

Question 12

What HPV type causes high risk changes?

a) 6
b) 16
c) 36

Answer 12

16

Question 13

What of the following i strue regarding neonatal CT infection.

a) It can be contracted by neonate following c-section
b) Those who develop pnemonia are unlikely to have had preceeding conjunctivitis
c) Eye swab should be taken from eye discharge
d) If afebrile and well mild conjunctivitis can be treated with topical antibiotic

Answer 13

a)