GUM PassQues Flashcards
Bacterial vaginosis treatment =
Oral metronidazole
Chlamydia gram stain
Doesn’t show up
- treat with doxycycline
Gonorrhoea gram stain
Gram negative diplococci
- treat with ceftriaxone
Treatment for ‘pizza pie retina’ seen in cytomegalovirus
- seen in HIV positive patients
Intraocular Ganciclovir (+ PO Valganciclovir to stop CMV spread)
Painless penile ulcer - how to differentiate between syphilis and lymphogranuloma venereum ?
LGV - painless ulcer + tender lymphadenopathy
Syphilis - painless ulcer + non-tender lymphadenopathy
(+ chancroid is a severely painful penile ulcer)
African, eye discharge + eyelashes turned inwards ?
Trachoma (leading cause of blindness worldwide)
- caused by chlamydia trachomatis
Gonorrhoea treatment
IM ceftriaxone
Strawberry cervix =
Trichomoniasis
- treat with metronidazole
Chronic conjunctivitis in a newborn due to maternal STI
Chlamydia
Multiple painless, skin-coloured papules on genitals
Genital warts
Ring-enhancing lesions in the basal ganglia of a HIV positive patient =
Toxoplasmosis
- treated with Pyrimethamine and sulphadiazine
Toxoplasmosis treatment
Pyrimethamine and sulphadiazine
Syphilis treatment =
IM penicillin
Painless ulcer + tender lymphadenopathy
LGV (lymphogranuloma venereum)
Painless ulcer + non-tender lymphadenopathy
Syphilis