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3a > GUM > Flashcards

GUM Flashcards

1
Q

What is the treatment of HSV?

A

Acyclovir 200 mg 5 times a day for 5 days

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2
Q

What is the treatment of thrush?

A

Fluconazole 150 mg (orally) as a single dose

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3
Q

What criteria is used in BV? What are the components? What score indicates the diagnosis?

A

Amsel criteria (3/4 needed)
- White homogenous thin discharge
- Fishy odour
- Clue cells on microscopy
- pH >4.5

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4
Q

What are 3 complication of gonorrhoea?

A
  1. PID
  2. Bartholin/Skene’s abscess
  3. Disseminated gonorrhoea
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5
Q

What do you get in disseminated gonorrhoea?

A
  • Fever
  • Pustular rash
  • Migratory polyarthralgia septic arthritis
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6
Q

Give 4 causes of abnormal vaginal discharge

A
  • Bacterial vaginosis
  • Vaginal candidiasis
  • Trichomoniasis
  • Cervicitis/PID
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7
Q

Patient X complains of fishy-smelling, thin, grey discharge. They have no itching. What’s the dx?

A

Bacterial vaginosis

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8
Q

Patient X complains of white curdy discharge that doesn’t smell. They have superficial soreness. What’s the dx?

A

Vaginal candidiasis

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9
Q

Patient X complains of fishy-smelling, green frothy discharge. The also have pain on urinating. What’s the dx?

A

Trichomoniasis

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10
Q

Patient X complains of abnormal discharge along with post-coital bleeding. What’s the dx?

A

Cervicitis

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11
Q

What is the most common STI in the UK?

A

Chlamydia

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12
Q

What is the treatment of chlamydia?

A

Doxycycline (100mg) BD for 7 days

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13
Q

What is the treatment of Syphilis?

A

IM Benzathine benzylpenicillin

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14
Q

Which is more likely to be symptomatic gonorrhoea or chlamydia?

A

Gonorrhoea

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15
Q

Which STIs are detected by a high-vaginal charcoal media swab?

A

Bacterial vaginosis, trichomoniasis, candida and Group B streptococcus

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16
Q

Which STIs are detected by a Nuclei Acid Amplification Test (NAAT) swab?

A

Chlyamadia and gonorrhoea

17
Q

What 3 things increase someones STI risk?

A
  • <25
  • New sexual partner/>1 sexual partner in the last 12 months
  • Previous STI
18
Q

Gram -ve coil?

19
Q

Keratinocytes with ballooned nuclei with a ground glass appearance?

A

Herpes Zoster

20
Q

Gram +ve cocci in chains, beta haemolytic on blood agar plates?

A

Group B strep

21
Q

RNA virus?

22
Q

Management of GBS infection during labour?

A

IV penicillin in labour

23
Q

Ziehl-Neelson stain, gram -ve rod?

A

Mycobacterium TB

24
Q

Retrovirus?

25
Q

Gram -ve diplococcus?

A

Gonorrhoea

26
Q

Gram -ve, anaerobic cocci?

27
Q

Gram variable staining facultative anaerobic bacteria?

A

Gardnerella vaginalis (BV)

3a (34 decks)

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