Sexual health

Question 1

What organism causes BV

Answer 1

Gardnerella vaginalis

Question 2

What criteria are used to diagnose BV

Answer 2

Amsels

Question 3

What cells will be present on microscopy BV.
What ph

Answer 3

greater than 4.5
Clue cells (Stipled vaginal epithelial cells)

Question 4

BV management

Answer 4

Oral metro 5-7 days. Can give 2g stat. UNLESS pregnant.
If pregnant need to give oral metro 5-7 days. Not STAT.

Question 5

How do you treat chicken pox exposure if someone doesn’t have antibodies

Answer 5

Antivirals after 7 days. NOT VZIG anymore. - national shortage

Question 6

How to manage listeria meningitis

Answer 6

Amox and gent

Question 7

What to give meningococcal meningitis contacts

Answer 7

Cipro or rifampicin

Question 8

How to treat genital warts

Answer 8

If solitary then cryotherapy
If not then topical podophyllum

Imiquimod 2nd line

Question 9

What causes genital warts

Answer 9

HPV 6 & 11

Question 10

How to screen for HIV
When would you expect these to be positive

Answer 10

HIV p24 antigen and HIV antibody

p24 ag - can be 1 week
HIV ab - 4-6 weeks.

Question 11

How would HIV seroconversion present

Answer 11

Glandular fever type picture 3-12 weeks after infection

Question 12

When would you test for HIV?

Answer 12

4 weeks after exposure if asymptomatic. Offer rpt at 12 weeks.

Question 13

What is lymes disease caused by

Answer 13

Borrelia burgdorferi

Question 14

How to treat lymes disease

Answer 14

doxy if early disease
ceftriaxone if disseminated

Jarisch - Herxeimer reaction may be seen.

Question 15

when do you test for glandular fever

Answer 15

Monospot in 2nd week

Question 16

How to treat campylobacter

Answer 16

Supportive unless severe
Then clarithromycin

Going camping to get clarity

Question 17

Complications associated with campylobacter

Answer 17

GBS

Question 18

Characteristics of E.Coli diarrhoea

Answer 18

Trallers
Watery stool
(E.Coli = posh gap ya name)

Question 19

Giardiasis

Answer 19

Long ward. Oh Giaaard this is going to take a long time

Prolonged
Non-bloody

Question 20

Cholera diarrhoea

Answer 20

profuse watery diarrhoea. Severe dehydration and wt loss.

Question 21

Shigella diarrhoea

Answer 21

shigling out your bloody poop

Bloody diarrhoea
Vomiting

Question 22

Bacillus Cereus

Answer 22

Rice. Vomiting within 6h

Question 23

Amoeboaisis diarrhoea

Answer 23

Bloody
Lasts long time. Like giardiasis but bloody.

Question 24

How long to people need post exposure prophylaxis
When does it need to be started

Answer 24

4 weeks.
Start within 72h