Genitourinary

Question 1

Symptoms of PID

Answer 1

Abdo pain, Dyspareunia, Dysmenorrhoea, Post coital bleeding, Discharge, Fever, Nausea, Vomiting

Question 2

Signs of PID

Answer 2

Suprapubic tenderness, Cervical excitation, Tender fornices, Discharge

Question 3

Investigations for PID

Answer 3

Bloods (FBC, CRP, Culture), Urine dip, Urine NAAT, High vaginal swab, Abdominal USS

Question 4

Management of PID

Answer 4

Cefriaxone 500mg IM STAT
OR Doxycycline 100mg BD 14/7
OR Metronidazole 400mg BD 14/7

Question 5

Sequelae of PID

Answer 5

Infertility, Ectopic pregnancy, Sepsis, Abscess, Fitz-Hugh-Curtis syndrome

Question 6

Symptoms of gonorrhoea

Answer 6

Asymptomatic, Urethral discharge, Vaginal discharge, Proctitis, Dysuria, Pharyngitis

Question 7

Investigations for gonorrhoea

Answer 7

High vaginal swab, Urethral swab

Question 8

Management of gonorrhoea

Answer 8

Ceftriaxone 250mg IM

Question 9

Sequelae of gonorrhoea

Answer 9

PID, Sepsis, Reactive arthritis, Urethral stricture

Question 10

Incubation period for gonorrhoea

Answer 10

2-10 days

Question 11

Causative organism for chlamydia

Answer 11

Chlamydia tractomatis

Question 12

Incubation period for chlamydia

Answer 12

1-3 weeks

Question 13

Symptoms of chlamydia

Answer 13

Asymptomatic, Dysuria, Discharge (white, watery)

Question 14

Investigations for chlamydia

Answer 14

High vaginal swab, Urethral swab, First void urine sample

Question 15

Management of chlamydia

Answer 15

Azithromycin 1g IM

Question 16

Causative organism in syphillis

Answer 16

Treponema pallidum

Question 17

Symptoms of primary syphillis

Answer 17

Chancre (painless ulcer)

Question 18

Presentation of secondary syphillis

Answer 18

Rash, Genital papules, Optic neuritis, Uveitis, Fever, Lymphadenopathy, Hepatosplenomegaly, Glomerulonephritis, Meningism

Question 19

Symptoms of cardiovascular syphillis

Answer 19

Aortic aneurysm, Aortic regurgitation

Question 20

Presentation of neurosyphilis

Answer 20

Dementia, Ataxia, Numbness, Areflexia, Cranial nerve palsy

Question 21

Investigations for syphillis

Answer 21

Bloods (cardiolipin antibody, Treponeme specific antibody), HIV serology, Swabs of lesions

Question 22

Management of syphillis

Answer 22

Benzanthine penicillin G 1.8g IM once a week for 3 weeks

Question 23

Symptoms of HIV

Answer 23

Lymphadenopathy, Opportunistic infections, Fever, Night sweats, Weight loss, Diarrhoea

Question 24

Symptoms of HIV acute seroconversion

Answer 24

Fever, Malaise, Lymphadenopathy, Headache, Sore throat

Question 25

Investigations for HIV

Answer 25

Bloods (HIV PCR, CD4 count, U+Es, Glucose)

Question 26

Management of HIV

Answer 26

HAART, Vaccinations

Question 27

AIDS defining infections

Answer 27

Pneumocystis jirovecii, Aspergillosis, Mycobacterium avium intracellulare, Cerebral toxoplasmosis, CMV retinopathy, Oral candidiasis

Question 28

Risk factors for vaginal candidiasis

Answer 28

Pregnancy, Immune deficiency, Recent ABx, DM, OCP

Question 29

Symptoms of vaginal candidiasis

Answer 29

Discharge (thick, white), Vulval irritation

Question 30

Investigations for vaginal candidiasis

Answer 30

High vaginal swab

Question 31

Management of vaginal candidiasis

Answer 31

Clotrimazole 500mg pessary OR Fluconazole 150mg PO STAT

Question 32

Causative organism for bacterial vaginosis

Answer 32

Gardenella vaginalis

Question 33

Symptoms of bacterial vaginosis

Answer 33

Discharge (thin, fishy)

Question 34

Investigations for bacterial vaginosis

Answer 34

High vaginal swab, Vaginal pH

Question 35

Management of bacterial vaginosis

Answer 35

Metronidazole 400mg PO 5/7