Exam- sexual health and contraception

Question 1

Treatment of candidiasis (2)

Answer 1

Clotrimazole cream/pessary

Oral fluconazole

Question 2

Thin, watery, fishy-smelling discharge. What is this and what is the causative organism?

Answer 2

Bacterial vaginosis.

Gardnerella

Question 3

Raised vaginal pH and clue cells are a feature of…

Answer 3

Bacterial vaginosis

Question 4

Yellow/green discharge, raised vaginal pH and “strawberry cervix” are a feature of….

Answer 4

Trichomonas vaginalis

Question 5

Treatment of trichomonas and bacterial vaginosis?

Answer 5

Oral metronidazole

Question 6

Treatment of acute bacterial prostatitis?

Answer 6

Ciprofloxacin 28 days

Question 7

Causative agent of genital warts?

Answer 7

Human papillomairus (HPV) mainly serotypes 6 and 11

Question 8

When is the HPV vaccine given?

Answer 8

To girls between 11-13; contains 6, 11, 16 and 18

Question 9

Treatment of genital warts (2)

Answer 9

Podophyllin cream (non-keratinsied)
Cryotherapy (keratinised)

Question 10

Gram -ve obligate intraceullular organism

Answer 10

Chlamydia

Question 11

Urethritis, conjunctivitis and arthritis- diagnosis?

Answer 11

Reiters syndrome

Question 12

Fitz-Hugh and Curtis syndrome is…

Answer 12

Parahepatitis caused by chlamydia

Question 13

Diagnosis of chlamydia

a) female
b) male
c) receptive anal sex

Answer 13

a) NAAT on self taken VVS
b) first void urine
c) rectal swab

Question 14

Treatment of chlamydia

Answer 14

1g azithromycin stat

Question 15

Gram -ve intracellular diplococcus

Answer 15

Gonorrhoea

Question 16

Treatment of gonorrhoea (2)

Answer 16

1g azithromycin stat

Ceftriaxome 500mg IM

Question 17

What needs to be carried out following a course of gonorrheoa treatment, and when?

Answer 17

Test of cure
2 weeks (for NAAT)

Question 18

Symptoms of genital herpes

a) prodromal (2)
b) during the illness

Answer 18

a) fever, myalgia

b) blisters, lymphadenopathy, dysuria

Question 19

Diagnosis of HSV

Answer 19

PCR swab on ulcer

Question 20

Management of genital herpes (2)

Answer 20

Oral aciclovir

Pain relief e.g. with lidocaine

Question 21

Which serotype of herpes is most likely to cause anogenital disease?

Answer 21

HSV-2

Question 22

Four main stages of HIV infection

Answer 22

1. Seroconversion illness
2. Asymptomatic
3. Symptomatic infection
4. AIDS

Question 23

How does seroconversion in HIV present? (5)

Answer 23

Rash, fever, myalgia, headache, pharyngitis

Question 24

Opportunistic infections in AIDS:

a) multiple cerebral abscesses
b) reduced visual acuity, floaters
c) progressive multifocal leucencephalopathy

Answer 24

a) toxoplasmosis gondii
b) cytomegalovirus
c) John Cunnigham virus

Question 25

What is Slim disease?

Answer 25

HIV-associated wasting

Question 26

Cancers associated with AIDS (3)

Answer 26

Kaposi sarcoma
Non-Hodgkins lymphoma
Cervical cancer

Question 27

Prophylaxis of pneuomycystis pneumonia

Answer 27

Co-trimoxazole

Question 28

What is HAART?

Answer 28

Combination of three drugs from at least two anti-viral classes

Question 29

Delivery options in HIV to prevent mother to child transmission?

Answer 29

undetectable viral load- vaginal

detectable- c-section + post exposure prophylaxis with HAART for baby

Question 30

Trichomonas vaginalis is what type of organism?

Answer 30

Protozoa