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G.I.t > Genitourinary > Flashcards

Genitourinary Flashcards

1
Q

Fishy vaginal discharge
Grey white vaginal discharge
Ph :5.8

A

Metronidazole
(Bacterial vaginosis)

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2
Q

Cauliflower like growth vulva
HPV type 6,11
Spain
Sexual intercouse

A

Cryotherapy

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3
Q

Vaginal discharge 3 weeks
Post coital bleeding
Combined oral contraceptive pill
Ex-Vulva ,cervix red ,inflamed
Pelvis tenderness

A

Chlamydia cervicitis (young women new sexual partner)

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4
Q

Urethral discharge
Dysuria
Sexually active
4 sexual partner
Urethral swabs + Chlamydia

A

Epididymo -orchitis

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5
Q

Urethral discharge
Chlamydia infection
Young male 27yrs
Complication

A

Epididymo - orchitis

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6
Q

Painful ulcers vulva and vagina
Painful urination

A

Herpes simplex virus (HSV)
Viral culture of the lesion.
D/Dvhaemophilus ducreyi

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7
Q

Frothy green yellow discharge (flagellated protozoa)
Fishy smell
Strawberry cervix
Vaginal ph -4.5
Vulvovaginitis
Pruritis
Vulval erythema
Wet mount - flagellated protozoa

A

Trichomoniasus
Causative organism :Trichomonas vaginalis

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8
Q

Vaginal itch
Whitish grey offensive discharge
Fishy odour
Positive whiff test
Clue cells+
Vaginal ph > 4.5
Rx- metronidazole

A

Bacterial vaginosis
Causative organism -Gardenella vaginalis

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9
Q

Painful multiple ulcers penis
Dysuria
Tender ulcers on glans penis 1-2mm

A

Herpes simplex infection

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10
Q

Maculopapular rash soles and palms
Mouth ulcers
Painless Penile ulcer 6 weeks ago healed

A

Syphillis
Treponema pallidum

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11
Q

Dysuria
Tender penile ulcers multiple
2 weeks ago
Spain

A

Herpes infection

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12
Q

Painless vulval lesions
Sexually active
Combined Oral contraceptive pill

A

Human papillomavirus

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13
Q

Maculopapular rash
Oral ulcers
Penile ulcers resolved

A

Serology for syphillis

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14
Q

Numerous painful ulcers vulva

A

Herpes simplex virus

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15
Q

Offensive vaginal discharge
Ph 5.6

A

Gardenella vaginalis
Bacterial vaginosis

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16
Q

Maculopapular palms,soles mouth Rash
Ulcer penis resolved

A

Syphillis
Swab Mouth ulcer for pcr

17
Q

Heterosexuals
Urethral discharge
Chlamydial infection (Chlamydia trachomatis)

A

Complication
Epididymitis

18
Q

Offensive
Homogeneous grey white vaginal discharge
Clue cells

A

Bacterial vaginosis ( Gardenella vaginalis)

19
Q

Recurrent Painful ulcers vulva
Viral culture negative
PCR negative

A

Anti -HSV antibodies

20
Q

Pregnant women
Yellowish foul smelling discharge (vaginal discharge)
Erythematous cervix
Purulent discharge
Penicillin resistance

A

Azithromycin

21
Q

Peno anal intercouse

A

Rectal screening
Chlamydial trachomatis
Neisseria gonorrhoeal NAAT

22
Q

Intercouse sexual partner
S T.I
No internenstrual bleed
Deep dyspareunia
Most sensitive Chlamydia and Gomorrahea

A

Self collected vulvovaginal swab for NAAT

23
Q

Abdominal pain
Dyspareunia
Increased vaginal discharge
Positive pregnancy test
LMP- 10 weeks ago
Allergy cephalosporins
Yellow discharge

A

Azithromycin

24
Q

Increased vaginal discharge risk of ST D

A

Vulvovaginal swab for NAAT
High vaginal swab in charcoal medium

25
Q

Vaginal candidiasis
White thick discharge

A

Topical clotrimazole

26
Q

Anal warts

A

Human papillomavirus

27
Q

Neisseria gonorrhoea positive

A

Ceftriaxone 1g IM

G.I.t (5 decks)

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