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Phase 4 - Katherine > Sexual Health > Flashcards

Sexual Health Flashcards

1
Q

When should you do Hep C serology on MSM ?

A

Once a year

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2
Q

When should you do Hep C serology on high risk patients?

A

Every 3 months

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3
Q

At what stage of syphillis will the vDRL blood test level be the highest?

A

In secondary syphillis

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4
Q

What are the 3 STIs that there is worry about anti microbial and viral resistance in?

A

Gonorrhoea

HIV

Mycoplasma Genitalum

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5
Q

How many anti retrovirals are use in post exposure prophylaxis?

A

3 anti-retrovirals

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6
Q

How many anti-virals are used in pre exposure prophylaxis?

A

You use 2 anti-retrovirals

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7
Q

Who can discuss and assess the benefits of PREP, PEP for a patient ?

A

ANYONE

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8
Q

What are some disease complications associated with HIV?

A
  1. Hodgkin’s Lymphoma
  2. PJP
  3. Shingles
  4. Kaposi Sarcoma
  5. Cervical Cancer
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9
Q

What is classed as a late diagnosis of HIV?

A

CD4 count of less than 350

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10
Q

Why do untreated HIV patients have a higher than average level of protein in their blood?

A

Due to excess levels of immunoglobulin

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11
Q

What organism causes thrush?

A

Candida Albicans

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12
Q

What are 3 RF for candida?

A

Diabetes

Antibiotics

Pregnancy

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13
Q

What are some symptoms of candida?

A

Thick cottage cheese white vaginal discharge

Superficial dyspareunia

Itchy genital pain, erythema and Balanitis

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14
Q

What swab would you do on someone with suspected Candida?

A

Amies Swab

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15
Q

What is the management of candida ?

A

Fluconazole

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16
Q

What ulcers does the following HSV viruses cause?

HSV 1
HSV 2

A

HSV 1: mouth ulcers

HSV 2: genital ulcers

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17
Q

What are 3 triggers of HSV?

A
  1. Sexual intercourse
  2. Stress
  3. Menstruation.
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18
Q

What are some of the symptoms of HSV infection?

A

Inguinal Lymphadenopathy
Flu like symptoms

Vulvitis and pain
Ulcer formation

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19
Q

What is the treatment of HSV ulcers?

A

Acyclovir

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20
Q

When is a C section indicated in a patient who has HSV infection?

A

Still active lesions 6 weeks pre labour. Need a C Section

21
Q

What antibiotic are most gonorrhoea strains resistant to?

A

Ciprofloxacin

22
Q

What are some of the symptoms of gonorrhoea?

A

Green watery discharge
Pharyngitis
Proctitis
PID
Epididymal-orchitis

23
Q

What are 3 diagnostic tests for gonorrhoea?

A

Endocervical swab (Amies Swab)
Urethral swabs
Rectal + Pharyngeal Swabs

24
Q

What are the antibiotics you use to treat gonorrhoea?

A
  1. IM ceftriaxone + Azithromycin
25
Q

What are 3 complications of Gonnorhoea?

A

PID

Tubal infertility

Septic arthritis

26
Q

What investigations would you do in a patient with suspected trichomonas vaginalis?

A

Amies Swab

Wet smear and microscopy

27
Q

What is the management of patients with trachoma vaginalis?

A

Metronidazole STAT PO

28
Q

What is seen on examination of a patient with Trichoma?

What is the clinical presentation of someone with trichomonas ?

A

Strawberry Cervix

Clinical Presentation: frothy discharge, vulval itching and dysuria

29
Q

If you see Clue Cells on microscopy.. what do you diagnose?

A

Bacterial vaginosis

30
Q

What criteria do you sue when diagnosing bacterial vaginosis?

A

Amsel’s Criteria

31
Q

Is bacterial vaginosis a sexually transmitted disease?

A

NO

32
Q

What is the pathophysiology of bacterial vaginosis?

How is it treated?

A

You get a proliferative of anaerobic bacteria and decreased lactobacilli

Management is via metronidazole

33
Q

What type of microorganism is chlamydia?

A

Intracellular Parasite

Gram Negative

34
Q

What is the treatment for chlamydia infections?

A

Doxycycline

35
Q

What structures are affected in pelvic inflammatory disease?

A
  1. Uterus
  2. Fallopian Tubes
  3. Ovaries
36
Q

How does PID present?

A

You get bilateral lower abdo pain

Fever

Abnormal cervical discharge and vaginal bleeding

Normally see mucopurulent cervical discharge and have cervical motion tenderness

37
Q

What are 4 complications of PID?

A

Ectopic

Infertility

Chronic Pelvic Pain

Reactive Arthritis

38
Q

How do you manage PID?

Mild

Moderate to Severe ?

A

Mild: you give the patient IM ceftriaxone and PO doxycycline

Moderate to Severe: give above and keep the patient in hospital

39
Q

What are the 4 stages of Syphillis?

A

Primary: 1-90 days post infection. Single painless chancre on the genitals, cervix or mouth. Alongside inguinal lymphadenopathy.

Secondary: occurs within 2 years of infection. You get a generalised pink rash on the palms or the soles. You get generalised lymphadenopathy, fever and malaise. Can also get uveitis with wart like lesions on the mucous membranes.

Latent: no new changes

Tertiary: dementia, stroke. Aortitis and visual loss . Normally > 2 years post infection.

40
Q

What is the diagnostic test for syphillis?

A

VDRL carbon antigen test

41
Q

How do you treat syphillis?

A

IM Benzyl Penicillin

42
Q

What are 3 complications of syphillis in pregnancy?

A

Still Birth
Congenital Syphillis

Preterm Delivery

43
Q

What are 5 STDs that you can transmit from male partner to pregnant female?

A

Ebola

Zika

Syphillis

HIV

HSV , gonorrhoea and chlamydia

44
Q

How does Zika virus present in an infected mother?

A

Conjunctivitis

Joint pain

Rash

Fever

45
Q

What are two signs of Zika Virus in a child?

A

Microencephaly

Heart Defects

Miscarriage

Still Birth

46
Q

What are two tropical STDs?

A

Donovanosis

Chancroid:

Symptoms same for the above: lymphadenopathy, ulcerative lesions that bleed easily in perianal region

47
Q

In a patient who has MSM and is recently positive for chlamydia . What condition should you take a sample to check for?

A

LGV (lymphogranuloma venereum)

More expansive lesions and lymphadenopathy

48
Q

What is the pathogen behind syphillis?

A

Treponema Pallidum

Phase 4 - Katherine (26 decks)

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