Last min Learning

Question 1

Key Sx and Tx for Chlamydia?

Answer 1

Intermenstrual or postcoital bleeding. Mucopurulent endocervical discharge
Tx = 7 days doxycycline or single dose azithromycin (use this in pregnancy)

Question 2

Key Sx and Tx for Gonorrhoea?

Answer 2

Thin watery yellow/green discharge. Easily induced cervical bleeding.
Tx = single dose Ig IM ceftriaxone

Question 3

Key Sx and Tx for Trichomoniasis?

Answer 3

Offensive, frothy, yellow-green discharge. Srawberry cervix (punctate and papilliform). Vulval soreness/itchying
Tx = Metronidazole single dose or 7 days (use this one if breastfeeding/preggo)

Question 4

Key Sx and Tx for Syphillis?

Answer 4

Painless chancre and inguinal lymphadenopathy. Painless skin rash inc. palms and soles.
Tx = Penicillin

Question 5

Key Sx and Tx for PID?

Answer 5

Deep dyspareunia, post-coital bleeding, fever, cervical excitation.
Tx = Doxycycline, ceftriaxone and metronidazole or Ofloxacin and metronidazole

Question 6

Key Sx and Tx for BV?

Answer 6

Offensive fishy smellying vaginal discharge. Thin white/grey discharge.
Tx = Metronidazole single dose or 7 days (use this one if breastfeeding/preggo)

Question 7

Key Sx and Tx for candidasis?

Answer 7

Vulval itchiness, thick white vaginal discharge.

Tx = clotrimazole pessary (use this in preggo) or oral fluconazole

Question 8

Medications used to treat TB?

Answer 8

Rifampicin (6 months), Isoniazid (6 months), Pyrazinamide (2 months), Ethambutol (2 months).
Also pyridoxine (vit B6) prophyaxis to prevent peripheral neuropathy

Question 9

Compilcations of TB meds?

Answer 9

Rifampicin = red/orange discolouration of secretion and interacts with contraceptive pill
Isoniazid = peripheral neuropathy
Pyrazinamide = hyperuricaemia
Ethambutol = colour blindness and reduced visual acuity