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repro and sexual health > sexual health > Flashcards

sexual health Flashcards

1
Q

what type of bacteria is gonorrhoeae

A

gram negative diplococci

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2
Q

how is gonnorrhoea screened

A

PCR
- requires chocolate agar to grow
NAAT

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3
Q

management of chlamydia (uncomplicated)

A

Doxycycline 100mg bd (7 days).
If intolerant: azithromycin 1g od day 1 then 500mg od for 2 days

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4
Q

testing for chlamydia

A

male: first pass urine
NAAT

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5
Q

presentation of chlamydia

A

mostly asymptomatic
male: urethritis, urethral discharge, dysuria, orchiditis/proctitis
female: mucopurulent cervicitis, dyspareunia, PCB/IMB

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6
Q

complication of chlamydia

A

PID
neonatal conjunctivitis
reactive arthritis
fitz-hugh-curtis syndrome

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7
Q

what is fitz-hugh-curtis syndrome

A

adhesions and inflammation of liver capsule

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8
Q

presentation of gonorrhoea

A

mostly asymptomatic
male: purulent urethral discharge, dysuria
female: discharge, dyuria

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9
Q

investigation for gonorrhoea

A

Male (1st pass urine), female (ECS) > Combined NAATs/PCR

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10
Q

treatment of gonorrhoea

A

First-line: Ceftriaxone 1G IM or Ciprofloxacin500mg orally as a single dose

Second-line: Cefixime 400 mg oral plus Azithromycin 2G (only if IM injection is contra-indicated or refused by patient)

test for cure in all patients 2-3 weeks later

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11
Q

what is mycoplasma genitalium

A

emerging sexually transmitted pathogen
associated with non-gonococcal urethritis and PID
asymptomatic carriage
NAAT test at same sights as GC/CT

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12
Q

what is lymphogranuloma venereum

A

rare complication of chlamydia
caused by serovar L2
presents as outbreaks
presentation: painless ulcers and/or haemorrhagic proctitis, pharyngitis, lymphadenopathy

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13
Q

management of BV

A

reassure
metronidazole 400mg bd 5/7
worsening/recurring advice
(topical clindamycin 2% cream or metronidazole 0.75% gel)

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14
Q

management of candidiasis

A

reasure
clotrimazole 500mg pessary OR fluconazole 150mg stat

clortimazole 1% cream for external symptoms
worsening/recurring advice

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15
Q

presentation of candidiasis in females

A

thick, curdy
white
associated with vulval itch
pain with sex

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16
Q

presentation of trichomonas

A

copoius, watery
associated with smell
vulvovaginal itch
dysuria
strawberry cervix

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17
Q

management of trichomonas

A

treat with metronidazole 400mg BD x 5-7/7
partner notification

18
Q

obligate anaerobe bacteria

A

gardnerella vaginalis
prevoltells sp.
mobiluncus sp.
atopobium sp.

19
Q

management of mycoplasma genitalium

A

doxycycline or moxifloxacin

20
Q

bacteria responsible for syphilis

A

treponema pallidum

21
Q

presentation of stage 1 syphilis

A

chancre
local lymphadenopathy

22
Q

presentation of stage 2 syphilis

A

copper palmar plantar rash
snail trail mouth ulcers
patchy alopecia
flu like illness
generalised lymphadenopathy

23
Q

stage 3 syphilis presentation

A

latent stage= no symptoms

24
Q

stage 4 syphilis presentation

A

neurosphylis- argyll robertson pupil (miotic pupil), CVS effects

25
Q

dark ground microscpy/PCR

A

investigation seen for syphilis

26
Q

treatment of syphilis

A

benzathine penicillin

27
Q

presentation mostly for HSV-1

A

cold sores
oral-oral contact

28
Q

presentation mostly for HSV-2

A

genital herpes with lesions

29
Q

severe diseases found in immunocompromised patients with HSV-1

A

keratitis
encephalitis

30
Q

severe disease found in immunocompromised patients with HSV-2

A

meningoencephalitis

31
Q

treatment of herpes simplex

A

aciclovir and valaciclovir

32
Q

what versions of HPV cause cervical cancers

A

16 and 18 commonly

33
Q

investigation for primary genital herpes simplex

A

swab lesion for HSV-1 and 2 PCT
recommend full STI screen

34
Q

what strain is genital warts

A

HPV 6+11

35
Q

presentation of genital warts

A

white, rough, raised, not painful

36
Q

management of genital warts

A

cryotherapy
podophyllotoxin cream
imiquimod cream

37
Q

what is the look back period for male with chlamydia

A

4 weeks

38
Q

what is the look back period for a female with chlamydia or anal and oral chlamydia

A

6 weeks

39
Q

what is the look back period for male gonorrhoea

A

2 weeks

40
Q

first line investigation for heterosexual men for asymptomatic chlamydia

A

first catch urine or urethral swab

41
Q

first line investigation for heterosexual men with symptomatic chlamydia

A

microscopy of urethral swab first catch urine

repro and sexual health (21 decks)

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