Repro 6 Flashcards

1
Q

What is the difference between an STI and an STD?

A

STIs can be symptomatic or asymptomatic

STDs are only symptomatic cases

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Give an example of an intestinal pathogen that can be sexually transmitted

A

Salmonella
Shigella
Giardia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Give some examples of the common STDs and their associated organism

A

Genital warts - Papillomaviruses
Urethritis - Chlamydia
Genital Herpes - Herpes Simplex

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Describe a specific group that is at risk of STIs

A

Young people

Low socio-economic status groups

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

List some risk factors associated with STIs

A

Young age at first sexual encounter
High number of sexual partners
Sexual Orientation
Unsafe sexual activity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Describe some causes of the increase in incidence of STIs

A
Changing sexual/social behaviours 
Increasing density & mobility of population 
INcrease in visits to GUM clinics 
Greater awareness
Imporved screening
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Why are STIs a burden to sufferers?

A

Can be chronic/relapsing
Stigma
Can lead to further pathology
Possible transmission to foetus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What do patients STIs with STIs commonly present with?

A

Ulcers
Vesicles
Warts
Urethral discharge/pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

How is HPV diagnosed?

A

BIopsy + genome analysis, “hybrid capture”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

How is HPV treated?

A

No intervention - 90% spontaneosu resolution within 2yrs

Otherwise surgery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

How is HPV screened?

A

Cervical Pap smear

Cervical swab

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

How is Chlamydia trachomatis diagnosed?

A

Endocervical and urethral swabs

Conjunctival swab in neonates

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

How is Chlamydia trachomatis treated?

A

Doxycycline or azithromycin

Erythromycin in children

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are the symptoms of Primary genital herpes?

A

Extensive, painful genital ulceration
Dysuria
Ingunal lymphadenopathy
Fever

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

How is Herpes diagnosed?

A

PCR or vesivelfluid and/or ulcer base

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

How is Herpes treated?

A

Aciclovir

17
Q

Herpes preventative measures?

A

Aciclovir prophylaxis for recurrent infections or barrier contraception

18
Q

What is Neisseria gonorrhoeae?

A

Gram negative intracellular diplococcus

19
Q

What are the male symptoms of Gonorrhoea?

A

Urethritis, epididymitis, prostatitis, pharyngitis

20
Q

What are the symptoms of Gonorrhoea?

A

Can be asymptomatic
Endocervicitis
Urethritis
PID (subsequent infertility)

21
Q

How is Gonorrhoea diagnosed?

A

Swab - urethra, cervix, throat or urine

Gram stain

22
Q

How is Gonorrhoea treated?

A

Ceftriaxone

23
Q

What is Treponema pallidum?

A

Spirochaete, aetiological agent of syphilis (most cases men and MSM)

24
Q

What are the symtpms, in order of development, of shyphilis?

A

Painless ulcer
Fever, rash, lymphadenopathy
Neurosyphilis (insanity)

25
Q

Treatment of Treponema pallidum (syphilis)?

A

Penicillin

26
Q

What is Pelvic Inflammatory disease (PID)?

A

The result of infection ascending from the endocervix to cause inflammation

27
Q

What areas are inflamed in PID?

A
Endometrium
Fallopian tubes (salpingitis)
Ovaries (oophoritis)
Pelvic peritoneum
28
Q

Other than inflammation, what can PID cause?

A

Tubo-ovarian abscess

29
Q

What is the epidemiology of PID?

A

Sexually active women
Peaks 20-30y/o
Incidence in primary care ~280 per 100,000py

30
Q

What are the risk factors for PID?

A
Young age
Unsafe sex
Multiple partners
low socio-economic class
IUCD
31
Q

What are the clinical features of PID?

A

Fever
Lower abdo pain
Vaginal/carvical discharge

32
Q

List some differential diagnoses for PID

A

Ectopic pregnancy
Endometriosis
UTI
IBS/Appendicitis

33
Q

Describe the management of PID

A

Analgesia, rest, manage sepsis

Severe cases use IV antibiotics, surgery if no response

34
Q

Describe the antibiotic treatment therapy for PID

A

Ceftriaxone, doxycycline, metronidazole

35
Q

What is involved in surgical management of PID?

A

Laparoscopy/laparotomy

36
Q

List some possible complications of PID

A

Ectopic pregnancy
Infertility
Chronic pelvic pain
Reiter syndrome (disseminated chlamydia)