GUM

Question 1

Genital warts mx

Answer 1

topical podophyllum or cryotherapy are commonly used as first-line treatments depending on the location and type of lesion

• multiple, non-keratinised warts are generally best treated with topical agents
• solitary, keratinised warts respond better to cryotherapy

imiquimod is a topical cream that is generally used second line

genital warts are often resistant to treatment and recurrence is common although the majority of anogenital infections with HPV clear without intervention within 1-2 years

Question 2

Gonorrhoea 1st line tx?

Answer 2

Single dose of IM ceftriaxone

If sensitivities are known (and the organism is sensitive to ciprofloxacin) then a single dose of oral ciprofloxacin 500mg should be given

Ff ceftriaxone is refused (e.g. needle-phobic) then oral cefixime 400mg (single dose) + oral azithromycin 2g (single dose) should be used