Genito-Urinary

Question 1

Patient presents with a single painless genital ulcer in the GU clinic. Diagnostic?

Answer 1

Dark microscopy

Syphilis

Question 2

Patient presents with a single painless genital ulcer in the GP clinic. Diagnostic?

Answer 2

PCR

Question 3

Patient presents with history of a healed single painless genital ulcer.

Answer 3

Syphilis serology

Question 4

multiple painful genital ulcers
First line investigation?
Diagnosis?

Answer 4

HSV

NAAT testing

Question 5

Patient presents with recurrent painful genital ulcers. However, he tested negative by NAAT.

Answer 5

anti-HSV antibody

Question 6

Treatment for HSV

Answer 6

oral aciclovir

Question 7

Yellowish-greenish offensive vaginal discharge + pH > 4.5 + motile cells
Diagnosis
Treatment

Answer 7

Trichomonas vaginalis

Metronidazole

Question 8

A man had a receptive anal intercourse, what investigation should be done?

Answer 8

Rectal swab - for screening Chlamydia or N gonorrhoea NAAT is needed

Question 9

If a man had a penile sexual contact, what should be done in terms of investigation?

Answer 9

Urethral swab + first void - for culture and microscopy

Question 10

Pregnant woman presents with UTI. First line of treatment?

Answer 10

Cefalexin

Question 11

Yellow-greenish offensive discharge + itching + strawberry cervix
Diagnosis?
pH?
Treatment?

Answer 11

Trichomoniasis
>4.5
Metronidazole

Question 12

Offensive discharge without itching + fishy smell
Diagnosis?
pH?
Treatment?

Answer 12

Bacterial vaginosis (Gardeneralla vaginalis)
>4.5
Metronidazole

Question 13

Patient presents with painless penile ulcer chancre which has healed but there is still oral ulcers. Investigation?

Answer 13

Swab of mouth ulcer for PCR