O&G GUM

Question 1

BV tx

Answer 1

PO metronidazole 400mg BD 5-7days

Question 2

Metronidazole advice

Answer 2

Avoid alcohol (disulfiram like reaction)

Question 3

Thrush tx pregnant women

Answer 3

Intravaginal clotrimazole (no oral)

Question 4

Thrush tx <15 yo

Answer 4

Topical clotrimazole (no oral or intravaginal anti fungal)

Question 5

Thrush tx

Answer 5

Single dose oral fluconazole 150mg

Clotrimazole pessary single 500mg at night

Single dose clotrimazole cream 5G of 10% at night

Question 6

Chlamydia tx

Answer 6

PO doxycycline 100mg BD for 7 days

Question 7

NAAT

Answer 7

Chlamydia

Gonorrhoea

Question 8

Charcoal swabs

Answer 8

MC&S

BV
Candida
Gonorrhoea
TV
GBS

Question 9

LGV stages

Answer 9

1 painless ulcer
2 lymphadenitis
3 proctocolitis

Question 10

Chlamydia staining

Answer 10

Gram negative intracellular

Red dots in cells

Question 11

Gonorrhoea staining

Answer 11

Gram negative

Question 12

Gonorrhoea testing

Answer 12

NAAT swab

Charcoal endocervical swab for MC&S

Question 13

Gonorrhoea tx

Answer 13

Sensitivities not known: Single dose IM ceftriaxone 1g

Known: single dose PO Ciprofloxacin 500mg

Question 14

Bacteria associated with BV

Answer 14

Low lactobacilli

High gardnerella vaginalis

Question 15

Clue cells on microscopy

Answer 15

BV

Question 16

Pus cells on microscopy

Answer 16

PID

Question 17

PID tax

Answer 17

IM ceftriaxone 1g
PO doxycycline 100mg BD 14 days
PO metronidazole 400mg BD 14 days

Question 18

PID complication resulting in adhesions

Answer 18

Fitz-Hugh-Curtis syndrome

Question 19

Fitz-Hugh-curtis syndrome

Answer 19

PID leading to inflammation and infection of liver capsule forming adhesions with peritoneum

RUQ pain to shoulder tip

Question 20

Strawberry cervix

Answer 20

Trichomonas Vaginalis

Question 21

Swab for TV

Answer 21

Standard charcoal swab of posterior fornix