Exam- sexual health and contraception Flashcards
Treatment of candidiasis (2)
Clotrimazole cream/pessary
Oral fluconazole
Thin, watery, fishy-smelling discharge. What is this and what is the causative organism?
Bacterial vaginosis.
Gardnerella
Raised vaginal pH and clue cells are a feature of…
Bacterial vaginosis
Yellow/green discharge, raised vaginal pH and “strawberry cervix” are a feature of….
Trichomonas vaginalis
Treatment of trichomonas and bacterial vaginosis?
Oral metronidazole
Treatment of acute bacterial prostatitis?
Ciprofloxacin 28 days
Causative agent of genital warts?
Human papillomairus (HPV) mainly serotypes 6 and 11
When is the HPV vaccine given?
To girls between 11-13; contains 6, 11, 16 and 18
Treatment of genital warts (2)
Podophyllin cream (non-keratinsied) Cryotherapy (keratinised)
Gram -ve obligate intraceullular organism
Chlamydia
Urethritis, conjunctivitis and arthritis- diagnosis?
Reiters syndrome
Fitz-Hugh and Curtis syndrome is…
Parahepatitis caused by chlamydia
Diagnosis of chlamydia
a) female
b) male
c) receptive anal sex
a) NAAT on self taken VVS
b) first void urine
c) rectal swab
Treatment of chlamydia
1g azithromycin stat
Gram -ve intracellular diplococcus
Gonorrhoea
Treatment of gonorrhoea (2)
1g azithromycin stat
Ceftriaxome 500mg IM
What needs to be carried out following a course of gonorrheoa treatment, and when?
Test of cure 2 weeks (for NAAT)
Symptoms of genital herpes
a) prodromal (2)
b) during the illness
a) fever, myalgia
b) blisters, lymphadenopathy, dysuria
Diagnosis of HSV
PCR swab on ulcer
Management of genital herpes (2)
Oral aciclovir
Pain relief e.g. with lidocaine
Which serotype of herpes is most likely to cause anogenital disease?
HSV-2
Four main stages of HIV infection
- Seroconversion illness
- Asymptomatic
- Symptomatic infection
- AIDS
How does seroconversion in HIV present? (5)
Rash, fever, myalgia, headache, pharyngitis
Opportunistic infections in AIDS:
a) multiple cerebral abscesses
b) reduced visual acuity, floaters
c) progressive multifocal leucencephalopathy
a) toxoplasmosis gondii
b) cytomegalovirus
c) John Cunnigham virus
What is Slim disease?
HIV-associated wasting
Cancers associated with AIDS (3)
Kaposi sarcoma
Non-Hodgkins lymphoma
Cervical cancer
Prophylaxis of pneuomycystis pneumonia
Co-trimoxazole
What is HAART?
Combination of three drugs from at least two anti-viral classes
Delivery options in HIV to prevent mother to child transmission?
undetectable viral load- vaginal
detectable- c-section + post exposure prophylaxis with HAART for baby
Trichomonas vaginalis is what type of organism?
Protozoa
