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Gynae + GUM > GUM > Flashcards

GUM Flashcards

1
Q

What kind of organism is trichomonas vaginalis

A

Flagellated protozoan

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2
Q

How is trichomonas vaginalis best diagnosed?

A

Swab from the posterior fornix of the vagina observed under a microscope as a wet prep.

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3
Q

Symptoms of trichomonas vaginalis

A

Malodorous frothy discharge

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4
Q

What STI is a flagellated protozoan?

A

trichomonas vaginalis

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5
Q

What STI is an intercellular diploccocus

A

Neisseria gonorrhoea

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6
Q

What type of organism is neisseria gonorrhoea

A

Gram negative intracellular diplococcus

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7
Q

What is phthirus pubis

A

Pubic lice

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8
Q

How is phthiriasis diagnosed?

A

Pubic lice - Can be seen by the naked eye.

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9
Q

Treatment of phthiriasis

A

Malathion lotion or permethrin cream.
All body hair should be treated.
All bedding should be washed at high temperatures.
Sexual partners need treatment.

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10
Q

How is Candida albicans diagnosed?

A

Culture

Or presence of hyphae, pseudo hyphae and spores on microscopy.

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11
Q

Is Candida albicans sexually transmitted?

A

No

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12
Q

What is the name of the pox virus?

A

Molluscum contagiosum

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13
Q

How is molluscum contagiosum transmitted?

A

Skin to skin contact

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14
Q

Appearance of molluscum contagiosum?

A

small, raised, pink lesions with a central punctum.
Occasionally itch or sore.
Single or in groups

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15
Q

Can herpes cause an asymptomatic infection?

A

Yes. Rarely

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16
Q

Is genital herpes in pregnancy a risk to the fetus?

A

Primary herpes in the 3rd trimester can be transmitted to the fetus at birth

17
Q

Diagnostic criteria of bacterial vaginosis

A

Amsel criteria (3/4 of):

1) Thin, white, yellow, homogeneous discharge
2) Clue cells on microscopy
3) pH of vaginal fluid >4.5
4) Release of a fishy odor on adding alkali—10% potassium hydroxide solution.

18
Q

World wide incidence of sexual assault

A

1 in 5 women.

Often not reported

19
Q

What genital infection is a diploid fungus?

A

Candida albicans

20
Q

Symptoms of Candida albicans

A 
Vulval itching / soreness
Thick curd like discharge 
Dysuria
Dyspareunia
Vulval oedema
Vulval excoriation/erythema
21
Q

Predisposing factors for genital thrush

A 
Pregnancy
COCP
Immunosuppression 
Broad spectrum antibiotics
DM
HRT
HIV
22
Q

Effect of thrush ion on pregnancy

A

No adverse effect in pregnancy.
Can be treated with topical imidazoles.
Cannot have oral imidazoles.

23
Q

What organism is commonly associated with PID in association with an IUCD?

A

Actinomyces Israelii

24
Q

Management of bacterial vaginosis

A

No treatment or Metronidazole (or clindamycin gel)

25
Q

% of F with BV who are asymptomatic

A

50%

26
Q

Treatment of BV

And treatment in pregnancy

A

Metronidazole 400mg BD 5-7 / 7 (avoid STAT dose if possible)

Clindamycin gel pregnancy

Gynae + GUM (7 decks)

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