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Phase 3a Medicine > Obs and Gynae > Flashcards

Obs and Gynae Flashcards

1
Q

What is the most common STI in the UK?

A

Chlamydia

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2
Q

Is chlamydia more often symptomatic or asymptomatic?

A

Asymptomatic in 70%

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3
Q

What are the classical features of chlamydia?

A

Vaginal/urethral discharge

Dysuria

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4
Q

What is the investigation for chlamydia?

A

NAAT testing
Women - vulvo-vaginal swab
Man - mid-stream urine

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5
Q

What is the treatment for chlamydia?

A

Doxycycline 7 days or Azithromycin stat dose

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6
Q

What STI is screened for in the UK?

A

Chlamydia

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7
Q

What age range is chlamydia screening open to?

A

15-24yrs

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8
Q

Give 5 risk factors for STIs

A
  • Age <25
  • Multiple sexual partners
  • Recent change in sexual partner
  • Unprotected sex
  • History of previous STIs
  • Men who have sex with men
  • Sex workers
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9
Q

What are the classical features of gonorrhoea?

A

Mucopurulent vaginal/urethral discharge
Dysuria
Dyspareunia

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10
Q

Is gonorrhoea more likely to be asymtomatic in men or women?

A

Women

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11
Q

Is gonorrhoea more likely symptomatic or asymtpomatic?

A

Symptomatic

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12
Q

What is the investigation for gonorrhoea?

A

NAAT testing

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13
Q

What is the treatment for gonorrhoea?

A

Stat does IM ceftriaxone

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14
Q

What are the primary features of syphilis?

A

Chancre - painless genital ulcer

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15
Q

What are the secondary features of syphilis?

A

Fevers
Lymphadenopathy
Rash
Condylomata lata

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16
Q

Which organism causes syphillis?

A

Spirochete, Treponema pallidum

17
Q

What are the tertiary features of syphilis?

A

Gummas (granulomatous lesions)
CVD - ascending aortic aneurysms
Neuro - paralytic dementia etc.

18
Q

What are the serological tests for syphilis?

A 
Treponemal tests (TPHA) - +ve for life 
Cardiolipin tests (RDR/VDRL) - -ve after treatment
19
Q

What is the first line treatment for syphilis?

A

IM benzathine penicillin

20
Q

What reaction is sometimes seen following syphilis treatment?

A

Jarisch-Herxheimer reaction - flu-like illness within 24hrs of treatment, supportive treatment

21
Q

Which STI is a highly motile flagellated protozoan parasite?

A

Trichomonas Vaginalis

22
Q

What are the classical features of trichomonas vaginalis?

A
  • Yellow/green, frothy vaginal discharge
  • Vulvovaginitis
  • Strawberry cervix
23
Q

What is the treatment for trichomonas vaginalis?

A

Metronidazole 5-7days or stat dose

24
Q

What are genital warts?

A

Benign epithelial or mucosal outgrowths caused by HPV6 and HPV11

25
Q

What are the 2 main treatment options for genital warts?

A

Topical podophyllum - for multiple non-keratinised warts

Cryotherapy - solitary keratinised warts

26
Q

How does genital herpes present?

A

Painful genital ulceration

27
Q

Which strains of HSV can cause genital herpes?

A

HSV1 and 2

28
Q

What is the treatment for genital herpes?

A

Oral aciclovir

Phase 3a Medicine (4 decks)

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