GUM

Question 1

rx for thush?

Answer 1

Clotrimazole

Question 2

rx for chlamydia?

Answer 2

doxycycline

Question 3

rx for gonorrhoea?

Answer 3

ceftriaxone

Question 4

rx for bv?

Answer 4

Oral metronidazole is the treatment of choice.

Intravaginal metronidazole gel or

intravaginal clindamycin cream are alternative choices.

Question 5

what are the presenting symptoms of urethritis?

how do they differ from uti?

Answer 5

Dysuria
Urgency
* Burning during urination *

more common than uti
more common in young guys
is sexually transmitted

Question 6

2 forms of urethritis?

Answer 6

gonococcal - from gonnorhea

non gonococcal - from chlamydia mainly but any sti too

Question 7

Test for chlamydia in men vs women?

Answer 7

Men;
urine NAAT

Women;
Vaginal swab

Question 8

tests for high risk men vs women who attend sti clinic?

Answer 8

men:
urine test
throat, rectal swab
vaccinate for; HPV, Hep A

women:
vaginal swab (throat and rectal if indicated)
vaccinate for; Hep B

both - bloods: HIV, Syphillis, Hep B

Question 9

rx for trichomnas vaginalis?

Answer 9

Metronidazole PO BD

1 week

Question 10

what is the cause og LGV - lymphogranuloma venereum?

rx group?

Answer 10

invasive serovars L1, L2, L2a, L2b, or L3 of Chlamydia trachomatis

gay/bisexual men

Question 11

how does LGV present?

Answer 11

Primary stage:
Painless self limiting ulcer

Secondary stage:
Femoral/Inguinal lymph node swelling - painful
Enlarged nodes are called buboes.

The rectal syndrome - proctocolitis or proctitis.

Dysuria
Discharge

Question 12

rx for herpes?

Answer 12

acyclovir 400mg TDS

Question 13

what will you see on histology with gonorrhoea?

Answer 13

polymorphonuclear cells full of diplococci

Question 14

syphilis rashes classically appear where?

Answer 14

palms of hands
soles of feet

also
maculopapular rash on body
condylomata lata - wart like rash

Question 15

which stage of syphilis iare infectious?

Answer 15

primary and secondary

Question 16

wihch organisms causes syphilis?

Answer 16

Treponema pallidum

Question 17

which imaging modality used for treponema visualisation?

Answer 17

dark field microscopy

Question 18

how does tertiary syphilis present?

Answer 18

there are gummas (soft, non-cancerous growths),

neurological problems - meningitis, paresis, tabes dorsalis (dorsal column destruction)

or heart symptoms

Question 19

rx for syphilis in the following:

syphilis

syphilis w penicillin allergy

cns syphilis

Answer 19

Syphilis - Benzathine benzylpenicillin PO

Syphilis w penicillin allergy; Doxycycline or tetracyline

Neurosyphilis - IV benzylpenicillin or Ceftriaxone