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AMK > Sexual health > Flashcards

Sexual health Flashcards

1
Q

Another name for thrush

A

candidiasis

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2
Q

What is thrush?

A

Fungal overgrowth - not STD

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3
Q

Causative organism thrush

A

Candida albicans

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4
Q

Symptoms thrush

A

White, cottage-cheese like discharge
Itchy vulva
pH <4.5

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5
Q

Treatment thrush

A

Topical clotrimazole

Oral fluconazole

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6
Q

chlamydia causative organism

A

Chlamydia trichromatis

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7
Q

Chlamydia trichromatis course of infection

A

Takes over host cell
Forms reticulate body
Makes lots of elementary bodies
Host cell dies and bodies released

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8
Q

Most common STD

A

Chlamydia

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9
Q

Sx chlamydia neonates

A

Conjunctivitis

Pneumonia

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10
Q

Sx chlamydia females

A

Discharge
Bleeding after sex/between periods
Pelvic pain
/asymptomatic

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11
Q

Sx chlamydia males

A

Urethritis
Testicle pain
/asymptomatic

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12
Q

Investigations chlamydia

A

swab and PCR

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13
Q

Treatment chlamydia

A

doxycycline

azithromycin

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14
Q

Causative organism gonorrhoea

A

Neisseria gonorrhoea

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15
Q

What kind of organism is neisseria gonorrhoea ?

A

Gram -ve diplococci

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16
Q

Incubation period gonorrhoea

A

20-14 days

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17
Q

Symptoms gonorrhoea

A

urethritis - pain and frequency of micturition

White, purulent discharge

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18
Q

Investigations gonorrhoea

A

Swab/culture

Urine dip/NAAT

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19
Q

Treatment gonorrhoea

A

IM ceftriaxone

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20
Q

Triad of sx for disseminated gonorrhoea

A

Tenosynovitis, dermatitis and poly arthritis

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21
Q

Prevention of HPV

A

immunisation

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22
Q

Symptoms of HPV

A

Genital lesions

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23
Q

Presentation of HPV 6 and 11

A

Non-cancerous, cause genital lesions

24
Q

Presentation of HPV 16 and 18

A

cancerous, cause cervical cancer

25
Q

Treatment HPV

A

Podophyllin paint/cream
Surgery
Laser therapy

26
Q

What is lichen sclerosis?

A

An autoimmune condition causing lesions in the genital region

27
Q

Treatment lichen sclerosis

A

Washing and emollient

28
Q

Complication of lichen sclerosis

A

SCC

29
Q

Female sx lichen sclerosis

A

White papules/plaques in non hair bearing areas - forms figure of 8
Itchy - worse at night
Dysuria and dyspareunia

30
Q

Male sx lichen sclerosis

A

Affects glans - white/firm/scarred
Painful erections
Genital lesions too

31
Q

What is PID

A

Inflammation of female reproductive system

32
Q

Causes of PID

A

Chlamydia and gonorrhoea

33
Q

Symptoms of PID

A

Lower abdomen pain
Dyspareunia
Foul smelling, green discharge

34
Q

Treatment PID

A

IM Ceftriaxone, oral Doxycycline, oral Metronidazole

35
Q

Causative organism syphilis

A

Trepona pallidum (spiral shaped)

36
Q

Stages of syphilis

A

Primary - secondary - tertiary (neurosyphilis)

37
Q

Sx primary syphilis

A 
Painless ulcer (chancre)
Lymphadenopathy
38
Q

Sx secondary syphilis

A 
Fever and lymphadenopathy 
Rash on trunk/palms/soles
Buccal ulcers
Painless, warty genital lesions 
Condylomata lata
39
Q

Sx tertiary syphilis

A

Granulomatous skin/bone lesions
AAA
Paralysis
Argyll-Robertson pupil (accommodate but no reaction to light)

40
Q

Sx congenital syphilis

A

Hutchinson’s teeth
Keratitis
Saddle nose
Deafness

41
Q

Tx syphilis

A

Benzathine penicillin

42
Q

Side effects of syphilis management

A

Jarisch-Herxheimer reaction
Fever/headache/myalgia
Due to endotoxin release

43
Q

HSV1 presentation

A

Oral ulcers

44
Q

HSV2 presentation

A

Genital lesions

45
Q

Symptoms of herpes infection

A

Ulcerated, painful lesions

+/- urinary retention

46
Q

Treatment for herpes

A

Aciclovir

Valaciclovir

47
Q

What is trichomoniasis

A

Infection with parasitic protozoan

48
Q

Male sx trichomoniasis

A

Asymptomatic

49
Q

Female sx trichomoniasis

A

Fishy discharge - thin, yellow/green and frothy
Strawberry cervix
Dyspareunia
Dysuria

50
Q

Treatment trichomoniasis

A

metronidazole

51
Q

Sx vaginosis

A

Fishy discharge that is white/grey

52
Q

Treatment vaginosis

A

Metronidazole

Clindamycin

53
Q

Ix vaginosis

A

Whiff test - add KOH and smells fishy
pH >4.5
Swabs

54
Q

Pregnant woman infected with herpes >28 weeks

A

c-section recommended

55
Q

Causative organism vaginosis

A

gardenerella vaginosis

AMK (33 decks)

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