Gynaecology : Infections and STIs

Question 1

Candida: presentation

Answer 1

White ‘cottage cheese’ discharge
Vulvitis
Itch

Question 2

Candida: management

Answer 2

PV and PO antifungal

Question 3

Bacterial vaginosis: presentation

Answer 3

Offensive, thin, white discharge

Clue cells on microscopy

Question 4

Bacterial vaginosis: management

Answer 4

If symptomatic, metronidazole

Question 5

TV (trichomonas): presentation

Answer 5

Offensive, yellow/green frothy discharge
Strawberry cervix

Increased risk of contracting HIV

Question 6

TV (trichomonas): management

Answer 6

Metronidazole

Question 7

Syphilis: presentation

Answer 7

Chancres discharging clear serum
Secondary - rash, painless lymphadenopathy
Spiral shaped bacteria on microscopy

Question 8

Syphilis: management

Answer 8

Penicillin

Question 9

Gonorrhoea: presentation

Answer 9

Asymptomatic
Change in discharge
Gram negative diplococci on microscopy

Question 10

Gonorrhoea: management

Answer 10

IM ceftriaxone + PO azithromycin

Question 11

Herpes (HSV2): presentation

Answer 11

Asymptomatic
Flu symptoms
Bilateral blisters/ulcers
Neuropathic pain

Question 12

Herpes (HSV2): management

Answer 12

PO aciclovir

Question 13

Genital warts (HPV): presentation

Answer 13

Papular lesions

May bleed/discharge

Question 14

Genital warts(HPV): management

Answer 14

Podophyllotixin or imiquimod

Question 15

Reiter’s syndrome

Answer 15

Urethritis
Seronegative arthritis
Conjunctivitis

Due to chlamydia/gonorrhoea/GI infection