Sexual Health

Question 1

what is the management for gonorrhoea?

Answer 1

IM ceftriaxone
if refused, oral cefixime + oral azithromycin

Question 2

memory aids for management of chlamydia and gonorrhea

Answer 2

clammy dogs - chlamydia - doxycycline
the gunner was accused of ceft - gonorrhea/ceftriaxone

Question 3

what type of organism is gonorrhea?

Answer 3

gram Negative diplococcus

Question 4

what are the symptoms of gonorrhea?

Answer 4

men - urethral discharge, dysuria
females - cervicitis - leading to vaginal discharge

Question 5

what is the incubation period for gonorrhoea?

Answer 5

2-5 days

Question 6

what is the management for chlamydia?

Answer 6

doxycycline
if pregnant - azithromycin, erythromycin, amoxicillin

Question 7

what are the symptoms of chlamydia?

Answer 7

asymptomatic in 70% of women and 50% of men
women - cervicitis, dysuria
men - urethral d/c, dysuria

Question 8

what are the potential complications of chlamydia?

Answer 8

epididymitis
pelvic inflammatory disease
endometritis
increased incidence of ectopic pregnancies
infertility
reactive arthritis
perihepatitis (Fitz-Hugh-Curtis syndrome)

Question 9

where are swabs for chlamydia and gonorrhoea taken from in women?

Answer 9

vulvovaginal

Question 10

what is the triad of symptoms of disseminated gonococcal infection?

Answer 10

tenosynovitis
migratory polyarthritis
dermatitis

Question 11

what does positive non-treponemal test result and negative treponemal-specific test indicate?

Answer 11

false positive syphilis

Question 12

what does negative non-treponemal test result and positive treponemal-specific test indicate?

Answer 12

successfully treated syphilis

Question 13

how does primary syphilis present?

Answer 13

chancre - painless ulcer at site of sexual contact
local non-tender lymphadenopathy
often not seen in women