Gynae

Question 1

What is adenomyosis? Who is it common in?

Answer 1

When the endometrium is within the myometrium.

More common in later reproductive years or those who have had several pregnancies

Question 2

Most common STI

Answer 2

Genital warts
Chlamydia - most common bact

Question 3

What does obligate intracellular bacterium mean?

Answer 3

It only exists within cells

Eg chlamydia

Question 4

What is fitz Hugh Curtis syndrome

Answer 4

When you have untreated chlamydia that has resulted in capsules in the liver

Question 5

What is the testing method for chlamydia?

Answer 5

NAAT swab testing (vulvovaginal) for vaginas and first bit of pee from men - held for at least 45 mins

Picks up dead chlamydia- so will give a false positive eg if have been treated

Question 6

Chlamydia and gonnhorea testing takes how long to definitely show up (window period)

Answer 6

2 weeks

Question 7

Testing window for HIV

Answer 7

6 weeks -

Question 8

Syphillis and hepatitis window period

Answer 8

12 weeks

Question 9

Chlamydia treatment

Answer 9

Uncomplicated = Doxycycline 100mg bd for 1 week. Don’t need to take coil out

Preg/allergic = azithromycin (1 dose stat then 3 days)

NO SEX until 1 week after

Question 10

Gonorrhoea type of bact? How transmissed? Symptoms

Answer 10

Gram neg cocci

Through direct mucous membrane contact/fluid contact

Females may not have symptoms

Men = green/yellow thick mucous
Women - discharge

Question 11

How do we detect gonnhorea and treatment

Answer 11

NAAT swab - same as chlamydia

BUT confirmed or suspected cases needs culture to confirm sensitivities (bact

Do test if cure 2 weeks after.

Treatment
1g ceftriaxone IM stat (into glutes)
OR ciprofooxacin PO ONLY if sensiitive on culture

NB alternative available, but only for severe penicillin allergy

Abstain for 7 days after treatment finishing

Question 12

Mycoplasma genitalium testing, who do we treat?

Answer 12

NAAT swab
Treat and test only those with symptoms as a fair amount of people have it without any pathogenic parts
SOO kinda second line test

Uncomplicated 7 days doxycycline, azithromycin

Complicated = moxifloxacin (strong and harmful)

Abstain for 2 weeks and until symptom free

Question 13

What is PID

Answer 13

Upper genital tract infection

Question 14

PID TREATMENR

Answer 14

Ceftriaxone 1g if stat
Doxy 14 days
Metronidazole 10-14 days

Question 15

Young person weird and wonderful symptoms unknown, then what should we screen for?

Answer 15

Syphillis and HIV

Question 16

Syphillis rash appearance

Answer 16

Typical salmon pink palms of hands and soles of feet , darker in darker skin

Question 17

What is the prozone effect?

Answer 17

Levels are wayyyy too high and it overwhealms the tests and produces a false negative

Question 18

Syphillis treatment think what

Answer 18

Benzyathine penicillin

If true allergy doxy

Neuro/opthalmic = needs to stay in hospital for 2 weeks and need steroid as overwhealming cytokines response when Syphillis dies and will lead to swelling

Question 19

Genital herpes -can you get it on skin to skin contact?

Answer 19

Yes

Question 20

Strawberry cervix, frothy cervix, itching, sore. What is it, how do we test,

Answer 20

Trichomoniasis vaginalis
NAAT tes

Must treat current partners

Question 21

Will immunosuppressive and pregnancy worsen warts?

Answer 21

Yes

But they don’t need treatment