Genitourinary

Question 1

Gram neg diplococcus
Lower abdo pain
Post coital bleeding
Green discharge

Answer 1

Neusseria gonorrhoea

Azithromycin and ceftriaxone

Question 2

Fishy smelling vaginal discharge

Clue cells

Answer 2

Bacterial vaginosis
Loss of lactobacillus
Metronidazole

Question 3

Usually asymptomatic
Can be yellow cloudy discharge
Test : NAAT
Gram neg

Answer 3

Chlamydia

Azithromycin or doxy

Question 4

Itchy burning inflammation / strawberry cervix
Green / grey discharge and frothy
High vaginal swab and urine test

Answer 4

Trichomonas = protozoan

Metronidazole

Question 5

Which think cheesy discharge

Itchy and inflammation

Answer 5

Thrush

Candidiasis

Question 6

Syphilis

Answer 6

Often 1 ulcer
Widespread rash rough and red and specifically on palms
Tx: IM benzylpen

Question 7

HPV

Answer 7

Genital warts - 6,11

Cancer: 16,18

Question 8

triad of symptoms – urethritis (inflammation of the urethra), uveitis (conjunctivitis), and arthritis.

Answer 8

Reiter’s syndrome
Reactive arthritis from chlamydia
Most common reactive arthritis