GUM

Question 1

Implications of Chlamydia Infection

Answer 1

Men - urethritis, epididymitis, prostatitis, proctitis

Women - urethritis, cervicitis, salpingitis, PID, chronic pain, infertility, ectopic pregnancy.

Question 2

Treatment of Chlamydia

Answer 2

doxycycline

Question 3

treatment for gonorrhoea

Answer 3

IM ceftriaxone

Question 4

Treatment for bacterial (trachomonas) vaginalis

Answer 4

metronidazole

Question 5

Syphillus treatment

Answer 5

penicillin

Question 6

HPV treatment

Answer 6

none (vaccine)

Question 7

Herpes

Answer 7

acyclovir (doesn’t clear infection, just treats flare ups of sores)

Question 8

Candida albicans treatment

Answer 8

fluconazole or clotrimazole

Question 9

Emergency contraception

Answer 9

Up to 72 hours - Levonorgestrel 1.5 mg (levonelle)

Up to 120 hours - Ullipristal acetate 30mg or Copper implant

Question 10

Progesterone only contraception
MOA
3x side effects
Benefit over COCP

Answer 10

Cervical mucus thickening
mood changes, fluid retention, spotting
safe in migraines, lower VTE risk, can be taken back to back

Question 11

Combined contraceptive pill
MOA
4x side effects

Answer 11

Prevents ovulation and thickens cervical mucus.

increased VTE risk, increased blood pressure, increased risk of gallstones, decreased glucose tolerance

Question 12

HRT
indication
additional benefits x2
side effects x2

Answer 12

Reduced symptoms of menopause.
Additionally, osteoporosis reduction and IHD risk decreased.
Increased VTE risk and increased risk of endometrial, ovarian and breast cancer.