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Sexual Health > GUM > Flashcards

GUM Flashcards

1
Q

What GUM screens would you do on asypmtommatic patients?

A

First void urine sample- Chlamydia/Gonorrhoea
(NAAT- nucleic acid amplification test)
HIV and syphilis bloods test
Hep B and C if high risk

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2
Q

What groups are high risk for Hep B?

A

IVDU
MSM
Sex workers
High risk areas (war zones etc)

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3
Q

What tests would you do on symptomatic patients?

A

High vaginal swabs
Urethral swabs
Pharyngeal and rectal swabs (depending on exposure)
Urinanalysis

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4
Q

What are primary preventions for GUM?

A 
Education
Awareness
Free condoms
Hep B Vaccination
HPV vaccination
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5
Q

What are secondary preventions for GUM?

A

Targeted screening
Partner notification
Contact tracing

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6
Q

What are tertiary preventions for GUM?

A

Treat diseases fast to reduce mortality and morbidity

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7
Q

How long is the incubation period of chlamydia and gonorrhoea?

A

2 weeks

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8
Q

What is the treatment for chlamydia?

A

7 days Azithromycin

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9
Q

What kind of organism is gonorrhoea?

A

Gram negative diplococci

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10
Q

What is the treatment for gonorrhoea?

A

Single dose IM Ceftriaxone

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11
Q

How can syphilis be transmitted?

A

Horizontally and Vertically

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12
Q

What is the primary presentation of syphilis?

A

Painless genital sores in days to weeks CHANCRE

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13
Q

What is the secondary presentation of syphilis?

A

Blotchy Red Rash anywhere, often on palms or soles
Skin Growths (like genital warts)– on the vulva or anus
White patches in mouth
Tiredness, headaches, joint pains, fever
Lyphadenopathy
Patchy hair loss

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14
Q

What is tertiary syphilis?

A 
Meningitis
Strokes
Dementia
Loss of co-ordination
Numbness
Vision problems or blindness 
Heart problems
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15
Q

How do you diagnose Syphilis?

A

Serology

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16
Q

How do you treat Syphilis?

A

IM Penecillin

17
Q

What is Trachomonas vaginalis and what are symptoms?

A

Protozoal STI
Frothy green discharge
Strawberry cervix

18
Q

How do you treat Trachomonas vaginalis?

A

Metronidazole

19
Q

What advice must you give people on metronidazole?

A

Avoid alchohol

20
Q

How do you treat BV?

A

Metronidazole

21
Q

Is BV an STI and what causes it?

A

No

Anaerobes

22
Q

What is BV discharge?

A

Grey and fishy

23
Q

How do you diagnose BV and Trachomonas vaginalis?

A

High vag swab

24
Q

What is candidiasis infection/

A

Yeast

Can be STI in men

25
Q

What are the symptoms of Candidiasis?

A 
Itchy
Local inflammation
Dyparaneuria
Odourless white discharge
Low pH on swabs
26
Q

What causes genital warts?

A

HPV

27
Q

What are treatments for warts?

A

Over the counter creams

Cryotherapy

Sexual Health (3 decks)

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