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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
Treatment HPV
Podophyllin paint/cream Surgery Laser therapy
26
What is lichen sclerosis?
An autoimmune condition causing lesions in the genital region
27
Treatment lichen sclerosis
Washing and emollient
28
Complication of lichen sclerosis
SCC
29
Female sx lichen sclerosis
White papules/plaques in non hair bearing areas - forms figure of 8 Itchy - worse at night Dysuria and dyspareunia
30
Male sx lichen sclerosis
Affects glans - white/firm/scarred Painful erections Genital lesions too
31
What is PID
Inflammation of female reproductive system
32
Causes of PID
Chlamydia and gonorrhoea
33
Symptoms of PID
Lower abdomen pain Dyspareunia Foul smelling, green discharge
34
Treatment PID
IM Ceftriaxone, oral Doxycycline, oral Metronidazole
35
Causative organism syphilis
Trepona pallidum (spiral shaped)
36
Stages of syphilis
Primary - secondary - tertiary (neurosyphilis)
37
Sx primary syphilis
``` Painless ulcer (chancre) Lymphadenopathy ```
38
Sx secondary syphilis
``` Fever and lymphadenopathy Rash on trunk/palms/soles Buccal ulcers Painless, warty genital lesions Condylomata lata ```
39
Sx tertiary syphilis
Granulomatous skin/bone lesions AAA Paralysis Argyll-Robertson pupil (accommodate but no reaction to light)
40
Sx congenital syphilis
Hutchinson's teeth Keratitis Saddle nose Deafness
41
Tx syphilis
Benzathine penicillin
42
Side effects of syphilis management
Jarisch-Herxheimer reaction Fever/headache/myalgia Due to endotoxin release
43
HSV1 presentation
Oral ulcers
44
HSV2 presentation
Genital lesions
45
Symptoms of herpes infection
Ulcerated, painful lesions | +/- urinary retention
46
Treatment for herpes
Aciclovir | Valaciclovir
47
What is trichomoniasis
Infection with parasitic protozoan
48
Male sx trichomoniasis
Asymptomatic
49
Female sx trichomoniasis
Fishy discharge - thin, yellow/green and frothy Strawberry cervix Dyspareunia Dysuria
50
Treatment trichomoniasis
metronidazole
51
Sx vaginosis
Fishy discharge that is white/grey
52
Treatment vaginosis
Metronidazole | Clindamycin
53
Ix vaginosis
Whiff test - add KOH and smells fishy pH >4.5 Swabs
54
Pregnant woman infected with herpes >28 weeks
c-section recommended
55
Causative organism vaginosis
gardenerella vaginosis

AMK (33 decks)

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