Non ST GUM conditions

Question 1

What organism causes Thrush?

Answer 1

Candida albicans

Question 2

Give 3 risk factors for Vulvovaginal candidiasis

Answer 2

Pregnancy
Immunodeficiency
Antimicrobial drugs

Question 3

Give 5 symptoms of vulvovaginal candidiasis

Answer 3

Increased discharge 
Vaginal burning + erythema
Pruritis
Dysuria
Dyspareunia

Question 4

Give 5 words to describe discharge in vulvocaginal candidiasis

Answer 4

White
Crumbly
Sticky 
Odourless
"Cottage cheese"

Question 5

Ix for vulvovaginal candidiasis

Answer 5

High vaginal swab

Pseudohyphae on wet mount with KOH

Question 6

Tx for vulvovaginal candidiasis in pregnancy

Answer 6

Internal: Clotrimazole PV STAT
External: Clotrimazole TOP BD

Question 7

Tx for vulvovaginal candidiasis

Answer 7

Internal: Fluconazole PO STAT
External: Clotrimazole TOP BD

Question 8

What causes bacterial vaginosis?

Answer 8

Overgrowth of anaerobic organisms in the vagina e.g. Gardnerella vaginalis
Lack of Lactobacilli

Question 9

How does bacterial vaginosis present?

Answer 9

Offensive fishy smelling discharge
No pain/ irritation
50% asymptomatic

Question 10

What may be seen on examination in bacterial vaginosis?

Answer 10

Thin layer of white discharge covering vaginal wall

Question 11

Ix for bacterial vaginosis

Answer 11

High vaginal swab

Gram stain

Question 12

Tx for bacterial vaginosis

Answer 12

Metronidazole BD 5/7