Neisseria Gonorrhoea

Question 1

presentation

Answer 1

asymptomatic
mucopurulent urethral discharge
dysuria
irregular bleeding

Question 2

what is neisseria gonorrhoea?

Answer 2

gram -ve cocci

bacteria

Question 3

diagnosis

Answer 3

NAATS
culture
microscopy

Question 4

disadvantage of NAATS

Answer 4

can’t perform antimicrobial susceptibility testing so need culture

Question 5

test of cure using NAATS

Answer 5

have to wait 5 weeks for test of cure

Question 6

culture

Answer 6

New York Agar plates show shiny grey colonies of gram -ve diplococci that are kidney shaped

Question 7

what do you need for microscopy?

Answer 7

urethral/ endocervical swabs

Question 8

management

Answer 8

first line= ceftriaxone 1g IM

second line= cefixime 400mg plus PO azithromycin 2g (only if IM contraindicated)

Question 9

complications in lower genital tract

Answer 9

bartholinitis
tysonitis
periurethral abscess
rectal abscess
epididymitis
urethral stricture

Question 10

complications in upper genital tract

Answer 10

endometriosis
PID
hydrosalpinx
infertility
ectopic
prostatitis

Question 11

what is mycoplasma genitalium?

Answer 11

emerging sexually transmitted pathogen associated with non-gonococcal urethritis and PID

Question 12

presentation of mycoplasma genitalium

Answer 12

urethritis
PID
asymptomatic

Question 13

diagnosis of mycoplasma genitalium

Answer 13

NAATs

Question 14

management of mycoplasma genitalium

Answer 14

macrolide resistance (azithromycin)