sexual health

Question 1

risks factors for chlamydia

Answer 1

young
sexually active
multiple partners

Question 2

when to consider chlamydia in women

Answer 2

• abnormal vaginal discharge
• pelvic pain
• abnormal vaginal bleeding (intermenstrual or postcoital)
• dyspareunia
• dysuria

Question 3

when to consider chlamydia in men

Answer 3

urethral discharge
dysuria
epididymitis

Question 4

how is chlamydia diagnosed

Answer 4

nucleic acid amplification test (NAAT)

Question 5

management for chlamydia

Answer 5

doxycycline for 7days

macrolide e.g. azithromycin if pregnant or breastfeeding

abstain sex for 7days, education

Question 6

complications of chlamydia

Answer 6

pelvic inflammatory disease
infertility
conjunctivitis

Question 7

what is gonohorroea

Answer 7

STI caused by Neisseria gonorrhoeae (gram-negative diplococcus)

Question 8

what does gonohorroea infect

Answer 8

mucous membranes with columnar epithelium e.g. endocervix, urethra, rectum, conjunctiva and pharynx

Question 9

presentation of gonorrhoea in females

Answer 9

odourless purulent discharge (maybe green or yellow)
dysuria
pelvic pain
rectal and pharyngeal infection is usually asymptomatic

Question 10

presentation of gonorrhoea in males

Answer 10

odourless purulent discharge (maybe green or yellow)
dysuria
testicular pain or swelling
rectal and pharyngeal infection is usually asymptomatic

Question 11

investigations for gonorrhoea

Answer 11

NAAT
charcoal endocervical swab for MC&S
rectal and pharyngeal swab in MSM

Question 12

management for gonorrhoea

Answer 12

IM ceftriaxone (1g)

Question 13

complications of gonorrhoea

Answer 13

PID and chronic pelvic pain
infertility
conjunctivitis
disseminated gonococcal infection
ophthalmia neonatorum (gonococcal conjunctivitis in neonate)

Question 14

what is disseminated gonococcal infection

Answer 14

complication of untreated gonococcal infection where bacteria spreads to the skin and joints