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GUM Flashcards

1
Q

How might chlamydia present?

A
  • Urethral/ cervical discharge (white/ yellow/ grey, may have a smell)
  • Bleeding
  • Dysuria
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2
Q

How is chlamydia diagnosed?

A

NAAT on first pass urine (males) or vulvovaginal swab (females)

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3
Q

How is chlamydia managed? (Normally vs if pregnant)

A

Doxycycline 7 days

1g stat azithromycin if pregnant

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4
Q

What is the characteristic discharge in BV?

A

Thin, grey, ‘fishy’ smell

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5
Q

What 3 findings are used in the diagnosis of BV?

A

Vaginal pH > 4.5
Positive whiff test
Stippled vaginal epithelial cells on microscopy

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6
Q

What organisms cause BV?

A

Anaerobic organisms such as Garnerella vaginalis

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7
Q

How is BV managed?

A

Oral metronidazole for 5-7 days

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8
Q

What is the characteristic discharge in trichomoniasis?

A

Offensive, yellow/ green, frothy

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9
Q

What symptoms (other than discharge) are involved in trichomoniasis?

A

Strawberry cervix, vulvovaginitis

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10
Q

What 2 findings can diagnose trichomoniasis?

A

Vaginal pH < 4.5
Wet mount microscope shows motile trophozoites

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11
Q

How is trichomoniasis managed?

A

Oral metronidazole 5-7 days or 2g stat

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12
Q

What is the characteristic discharge in bacterial candidiasis (thrush)?

A

‘Cottage cheese’

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13
Q

What symptoms other than discharge can thrush present with?

A

Dyspareunia
Dysuria
Itch

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14
Q

How is Candida managed?

A

Oral fluconazole 150mg stat

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15
Q

How does gonorrhoea present in males vs females?

A

Males - dysuria, urethral discharge, epididymitis,
Females - dysuria, discharge (from cervicitis)

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16
Q

What is the discharge like in gonorrhoea?

A

Thick yellow/ green

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17
Q

What organism causes gonorrhoea?

A

Neisseria gonorrhoeae (a gram-negative diplococci)

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18
Q

How is gonorrhoea managed?

A

Ceftriaxone 1g IM

19
Q

How does genital herpes present?

A
  • Painful genital ulceration
  • Tender inguinal lymph nodes
20
Q

How is genital herpes diagnosed?

A

NAAT, HSV serology

21
Q

How is genital herpes managed?

A
  • Supportive management (e.g. analgesia and saline bathing)
  • Oral aciclovir
22
Q

How does syphilis present?

A
  • Chancre - painless ulcer at site
  • Local non-tender lymphadenopathy
23
Q

What organism causes syphilis?

A

Treponema pallidum (a spirochaete)

24
Q

How is syphilis managed?

A

IM benzathin benzylpenicillin

25
Q

Which infection causes a white/ yellow smelly discharge, vaginal/ urethral bleeding and dysuria?

A

Chlamydia

26
Q

Which infection causes a thin, grey, ‘fishy’ smelling discharge?

A

Bacterial vaginosis

27
Q

Which infection causes an offensive frothy discharge that’s yellow or green in colour?

A

Trichomoniasis

28
Q

Which infection has a classical ‘cottage cheese’ discharge?

A

Candida

29
Q

Which infection causes a thick yellow/ green discharge?

A

Gonorrhoea

30
Q

Which infection can cause a strawberry cervix?

A

Trichomoniasis

31
Q

Which infection can present with dyspareunia, dysuria and an itch?

A

Candida

32
Q

Which infection can present with epididymitis in males?

A

Gonorrhoea

33
Q

Which infection would show stippled vaginal epithelial cells on microscopy and a vaginal pH of >4.5

A

Bacterial vaginosis

34
Q

Which infection would show motile trophozoites on a wet mount microscopy and a vaginal pH of >4.5

A

Trichomoniasis

35
Q

Which infection is caused by anaerobic organisms such as Gardnerella vaginalis?

A

Bacterial vaginosis

36
Q

Which infection is caused by spirochaete such as Treponema pallidum?

A

Syphilis

37
Q

Which infection is managed with 7 days of doxycycline (or stat azithromycin if pregnant)?

A

Chlamydia

38
Q

Which infection is managed with 5-7 days of oral metronidazole?

A

Bacterial vaginosis

39
Q

Which infection can be managed with oral metronidazole either for 5-7 days or a 2g stat dose?

A

Trichomoniasis

40
Q

Which infection is managed with oral fluconazole or PV clotromazole?

A

Candida

41
Q

Which infection is managed with a single dose of IM ceftriaxone?

A

Gonorrhoea

42
Q

Which infection can be managed supportively or with oral aciclovir?

A

Genital herpes

43
Q

Which infection is managed with IM benzathine benzylpenicillin?

A

Syphilis

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