GUM Flashcards

1
Q

Bacteria most commonly associated with bacterial vaginosis

A

Gardnerella vaginalis

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2
Q

Risk factors for bacterial vaginosis

A

Multiple sexual partners
Excessive vaginal cleaning
Recent antibiotics
Smoking
Copper coil

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3
Q

Presentation of bacterial vaginosis

A

Fishy-smelling watery grey discharge
50% asymptomatic

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4
Q

Diagnosis of bacterial vaginosis

A

High vaginal swab - clue cells

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5
Q

Management of bacterial vaginosis

A

Metronidazole

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6
Q

Complications of bacterial vaginosis

A

Increased risk of catching STIs
Miscarriage
Pre-term delivery
Premature rupture of membranes
Chorioamnionitis
Low birth weight
Postpartum endometriosis

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7
Q

Risk factors for vaginal candidiasis

A

Increased oestrogen
Poorly controlled diabetes
Immunosuppression
Broad-spectrum antibiotics

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8
Q

Symptoms of severe candidiasis

A

Erythema
Fissures
Oedema
Painful intercourse
Dysuria
Excoriation

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9
Q

Management options for vaginal candidiasis

A

Clotrimazole cream
Clotrimazole pessary
Fluconazole tablets

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10
Q

What type of bacteria is chlamydia trachomatis

A

Gram-negative

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11
Q

Presentation of chlamydia in women

A

Abnormal vaginal discharge
Pelvic pain
Abnormal vaginal bleeding
Painful sex
Painful urination

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12
Q

Presentation of chlamydia in men

A

Urethral discharge or discomfort
Painful urination
Epididymo-orchitis
Reactive arthritis

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13
Q

What test is used to diagnose chlamydia

A

NAAT

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14
Q

Management for chlamydia

A

Doxycycline for 7 days

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15
Q

Management of chlamydia in pregnant women

A

Erythromycin 7 days
Amoxicillin 7 days

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16
Q

Complications of chlamydia infection

A

PID
Chronic pelvic pain
Infertility
Ectopic pregnancy
Epididymo-orchitis
Conjunctivitis
Lymphogranuloma venereum
Reactive arthritis

17
Q

Complications of chlamydia infection during pregnancy

A

Preterm delivery
Premature rupture of membranes
Low birth weight
Postpartum endometritis
Neonatal conjunctivitis/pneumonia

18
Q

What type of bacteria is Neisseria gonorrhoeae

A

Gram-negative diplococcus

19
Q

Presentation of gonorrhoea in women

A

Odourless purulent discharge (green/yellow)
Dysuria
Pelvic pain

20
Q

Presentation of gonorrhoea in men

A

Odourless purulent discharge (green/yellow)
Dysuria
Testicular pain/swelling

21
Q

Management of gonorrhoea

A

IM ceftriaxone
Test of cure

22
Q

Symptoms of disseminated gonococcal infection

A

Various non-specific skin lesions
Polyarthralgia
Migratory polyarthritis
Tenosynovitis
Fever
Fatigue

23
Q

Complications of mycoplasma genitalium

A

Urethritis
Epididymitis
Cervicitis
Endometritis
PID
Reactive arthritis
Preterm delivery
Tubal infertility

24
Q

Management of mycoplasma genitalium

A

Doxycycline 7 days then Azithromycin 2 days

25
Q

Complications of PID

A

Sepsis
Abscess
Infertility
Chronic pelvic pain
Ectopic pregnancy
Fitz-Hugh-Curtis syndrome

26
Q

Potential complications of trichomoniasis

A

HIV
Bacterial vaginosis
Cervical cancer
PID
Preterm delivery

27
Q

Presentation of trichomoniasis

A

Vaginal discharge (frothy yellow green)
Itching
Dysuria
Painful sex
Balantitis

28
Q

Cervical appearance in trichomoniasis

A

Strawberry cervix due to haemorrhages

29
Q

Diagnostic investigation for trichomoniasis

A

Charcoal swab taken from posterior fornix of cervix

30
Q

Management of trichomoniasis

A

Metronidazole

31
Q

What type of bacteria is Treponema pallidum

A

Spirochete

32
Q

Incubation period of Syphilis

A

21 days

33
Q

Transmission of Syphilis

A

Sexual contact
Vertical transmission
IVDU
Blood transfusion

34
Q

Stages of Syphilis

A

Primary
Secondary
Latent
Tertiary

35
Q

Presentation of primary syphilis

A

Painless genital ulcer (Chancre)
Local lymphadenopathy

36
Q

Presentation of secondary syphilis

A

Maculopapular rash
Condylomata lata
Low grade fever
Lymphadenopathy
Alopecia
Oral lesions

37
Q

Presentation of tertiary syphilis

A

Gummatous lesions
Aortic aneurysms
Neurosyphilis

38
Q

Presentation of neurosyphilis

A

Headache
Altered behaviour
Dementia
Tabes dorsalis
Ocular syphilis
Paralysis
Sensory impairment
Argyll-Robertson pupil

39
Q

Management of Syphilis

A

IM benzathine benzylpenicillin