Candidiasis Flashcards
Candidiasis, commonly known as thrush is NOT an STI. What is candidiasis caused by?
1 - bacterial infection
2 - viral infection
3 - fungal infection
4 - parasitic infection
3 - fungal infection
Which of the following are the most common causes of Candidiasis, commonly known as thrush?
1 - Candida albicans
2 - Candida glabrata
3 - Aspergillosis
4 - Pneumocystis pneumonia
1 - Candida albicans
- accounts for 80-92% of cases
Although Candidiasis, commonly known as thrush can cause a variety of symptoms, what patient of women can have detectable levels of Candidiasis, but remain asymptomatic?
1 - 1-2%
2 - 10-20%
3 - 20-30%
4 - >40%
2 - 10-20%
- typically presents in 30-40 year olds
Which of the following is NOT a risk factor for Candidiasis, commonly known as thrush?
1 - diabetes mellitus
2 - drugs: antibiotics, steroids
3 - pregnancy
4 - immunosuppression: HIV, iatrogenic
5 - gender
5 - gender
- essentially any thing that dampens the immune system
Candidiasis, commonly known as thrush typically causes inflammation and of the vulva and vagina. Which of the following is NOT a typical symptom of Candidiasis?
1 - Intramenstrul bleeding
2 - Vulval itching/soreness
3 - Vaginal discharge (thick curd-like discharge)
4 - Superficial dyspareunia
5 - External dysuria
1 - Intramenstrul bleeding
Candidiasis, commonly known as thrush typically causes inflammation and of the vulva and vagina. Which of the following is NOT a typical clinical sign of Candidiasis?
1 - Vulval/vaginal erythema
2 - Fissuring
3 - Vulval oedema
4 - Thick, adherent, non-offensive discharge
5 - Chancre on vulva
6 - Normal vaginal pH
5 - Chancre on vulva
Typically Candidiasis is diagnosed clinically, however, if it is cultured using gram staining, what culture is typically required?
1 - chocolate agar
2 - macConkey agar
3 - cetrimide agar
4 - sabouraud’s agar
4 - sabouraud’s agar
- spores and pseudohyphae detected in 65-68% of symptomatic cases
- nucleic acid amplification test (NAAT) will soon be the treatment of choice
Treatment for candidiasis is typically through general advice relating to avoiding local irritants (soaps, shower gels etc) and tight-fitting/synthetic clothing. However, if medication is used, what is the 1st line medication?
1 - Clotrimazole 500mg pessary /1% cream
2 - Ceftriaxone 1g pessary /1% cream
3 - Doxycycline 500mg pessary /1% cream
4 - Metronidazole 1g pessary /1% cream
1 - Clotrimazole 500mg pessary /1% cream
- classed as a topical Tpical anti-fungal
- Fluconazole 150mg single dose, which is an oral anti-fungal can also be used and is patient dependent