Jon

Question 1

Front (Question)

Answer 1

Back (Answer + Explanation)

Question 2

Q1: A 19-year-old student was treated for asymptomatic chlamydia with doxycycline. According to BASHH, how long after treatment should young patients under 25 be offered a repeat test?

A. 14 days
B. Six weeks
C. Three months
D. No repeat test
E. One month

Answer 2

Answer: C. Three months

Repeat testing is not the same as test-of-cure. NCSP recommends a repeat test 3 months post-treatment for under-25s. Reinfection risk is 2–6 times higher and repeated infection increases risk of PID and infertility.

Resources:
BASHH Chlamydia Guidelines 2015
RCGP Learning: Sexual Health in Primary Care

Question 3

Q2: An 18-year-old woman on day 14 of her cycle takes levonorgestrel 1500 mcg for emergency contraception and restarts her COC. For how many days should she use additional contraception?

A. 2
B. 7
C. 10
D. 14
E. 21

Answer 3

Answer: B. 7

If quick starting COC after emergency contraception and beyond day 6 of cycle, condoms or abstinence are required for 7 days. No precautions are needed between days 1–5.

Resources:
FSRH Emergency Contraception 2017
FSRH Quick Starting Contraception 2017

Question 4

Q3: A 32-year-old woman presents with a painless vulval ulcer. What is the MOST LIKELY cause?

A. Behçets disease
B. Herpes zoster
C. Herpes simplex
D. Lichen sclerosus
E. Syphilis

Answer 4

Answer: E. Syphilis

Syphilitic ulcers are classically painless. In contrast, Behçets, HSV, HZV, and lichen sclerosus are typically painful.

Resource:
RCGP Learning: Sexual Health in Primary Care