Non-STIs of the genital tract

Question 1

Describe bacterial vaginosis. (2)

Answer 1

Commonly caused by Gardnerella vaginalis or another anaerobe, which disrupts pH balance of the vagina.

Question 2

Describe the risk factors for bacterial vaginosis. (1)

Answer 2

Any practices that disrupt normal vaginal flora eg soaps, douching.

Question 3

Describe the presentation of bacterial vaginosis. (1)

Answer 3

Presents often as vaginal discharge only.

Question 4

Describe the diagnosis of BV. (1)

Answer 4

High vaginal swab.

Question 5

Describe the treatment of BV. (1)

Answer 5

Metronidazole.

Question 6

Describe thrush. (2)

Answer 6

Vulvovaginal candidiasis is commonly caused by Candida albicans.

Question 7

Describe risk factors for thrush. (4)

Answer 7

Immunosuppresion (pregnancy, HIV, diabetes), antibiotics, COCP.

Question 8

Describe symptoms of thrush (4)

Answer 8

White, non-offensive vaginal discharge with pruritis, pain or dyspareuria.

Question 9

Describe diagnosis of thrush. (1)

Answer 9

High vaginal swabs.

Question 10

Describe the treatment of thrush. (1)

Answer 10

Oral or topical azoles.