Sexual health

Question 1

Investigations for recurrent vaginal candidasis (4 or more episodes in 1 year)?

Answer 1

1. Check compliance with previous treatment
2. Confirm the diagnosis of candidiasis (high vaginal swab for microscopy and culture)
3. Consider a blood glucose test to exclude diabetes
4. Exclude differential diagnoses (e.g. lichen sclerosus)

Question 2

Management of genital warts?

Answer 2

Multiple non-keratinised warts: podophyllum
Solitary keratinised wart: cryotherapy

Question 3

Overgrowth of what bacteria causes BV?

Answer 3

Gardavilla vaginosis

Question 4

Causes of false positive (VDRL/RPR) test in syphilis?

Answer 4

‘SomeTimes Mistakes Happen’ (SLE, TB, malaria, HIV)

Question 5

Chancroid?

Answer 5

Genital ulcer caused by haemophilus ducrelfi
Associated with painful unilateral inguinal lymphadenopathy