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Chat GPT > Sexual health > Flashcards

Sexual health Flashcards

1
Q

Emergency contraception < 72 hours

A

Levonelle (levonorgestrel)`

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2
Q

Emergency contraception < 120 hours

A

EllaOne (ulipristal)

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3
Q

Emergency contraception >5d and up to 5d after likely ovulation date

A

Copper coil

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4
Q

Candida albicans symptoms

A

Discharge (white, cottage cheese) + superficial dyspareunia

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5
Q

Candidiasis diagnosis

A

High-vaginal charcoal swab (pH <4.5)

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6
Q

Candidiasis diagnosis management

A

Clotrimazole pessary in pregnancy or fluconazole

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7
Q

Trichomonas vaginalis symptoms

A

Discharge (yellow/green, frothy with musty odor), strawberry cervix

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8
Q

Trichomonas vaginalis investigation

A

High-vaginal charcoal swab (pH >4.5)

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9
Q

Trichomonas vaginalis treatment

A

Metronidazole

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10
Q

Bacterial Vaginosis pathogen

A

Gardnerella vaginalis (clue cells)

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11
Q

BV symptoms

A

Discharge (white, thin, homogenous with fishy odor)

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12
Q

BV treatment

A

Metronidazole

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13
Q

Pelvic Inflammatory Disease (PID) causes

A

CT, NG, or Mycoplasma genitalium

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14
Q

Pelvic inflammatory disease symptoms

A

Discharge, pelvic pain, deep dyspareunia, oligomenorrhea, intermenstrual bleeding, post-coital bleeding

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15
Q

Pelvic inflammatory diagnosis

A

Double or triple swabs + bimanual exam

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16
Q

Pelvic inflammatory management

A

Doxycycline or ofloxacin + metronidazole + ceftriaxone IM stat

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17
Q

Chancroid pathogen

A

Haemophilus ducreyi

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18
Q

Chancroid symptoms

A

Papule → pustule → painful ulcer, inguinal lymphadenopathy

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19
Q

Chancroid management

A

Azithromycin

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20
Q

Anogenital Warts pathogens

A

HPV-6, HPV-11

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21
Q

Anogenital Warts management

A

Podophyllotoxin cream or cryotherapy

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22
Q

Syphilis pathogen:

A

Treponema pallidum

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23
Q

Syphilis symptoms

A

1° - Painless ulcer; 2° - Rash, general lymphadenopathy, tingling

24
Q

Syphilis treatment

A

Benzathine benzylpenicillin IM stat

25
Q

Complications of benzathine benzypenicillin in syphilis treatment

A

Jarisch-Herxheimer reaction

26
Q

Herpes pathogen

A

HSV-1, HSV-2

27
Q

Herpes symptoms

A

Painful ulcer, dysuria, pyrexia, inguinal lymphadenopathy

28
Q

Herpes treatment

A

Aciclovir until birth via C section (if in pregnancy)

29
Q

How are herpes and syphilis diagnosed

A

Swab ulcers for PCR

30
Q

How are chlamydia and NG diagnosed

A

Endocervical / first pass urine NAAT

31
Q

Neisseria gonorrhoea treatment

A

Azithromycin + Ceftriaxone

32
Q

Neisseria gonorrhoea complications

A

PID (with Fitz-Hugh-Curtis syndrome), Bartholin’s abscess, urethral strictures; Urethral strictures, septic arthritis

33
Q

Chlamydia treatment

A

Azithromycin or doxycycline

34
Q

Symptoms of chlamydia or NG

A

Asymptomatic (mainly), discharge, dysuria, cervicitis, bleeding, pelvic pain

35
Q

What causes chancroid

A

Haemophilus ducreyi

36
Q

Symptoms of chancroid

A

Painful genital ulcers which leak pus

37
Q

How do chancroid sores progress

A

Sores / ulcers spread and join into larger sores

38
Q

1st line chlamydia management

A

PO doxycycline

39
Q

1st line gonorrhoea management

A

IM ceftriaxone

40
Q

1st line syphylis management

A

IM benzathine penicillin

41
Q

1st line herpes management

A

PO aciclovir

42
Q

1st line trichomonas vaginalis management

A

PO metronidazole

43
Q

Common STIs and their 1st line management

A

Chlamydia - PO doxycycline
NG - IM ceftriaxone
Syphylis - IM benzathine penicillin
Chancroid - PO azithromycin
Herpes - PO aciclovir
Trichomonas vaginalis - PO metronidazole

44
Q

Which buzzword indicates presence of trichomonas vaginalis

A

“Strawberry cervix”

45
Q

Risk factors for testicular cancer

A

White, subfertility, cryptorchidism, Kleinefelters, mumps, FHx

46
Q

Name the 2 types of testicular cancer and which one has a better prognosis

A

Seminoma (better prognosis) and Non-seminoma germ cell tumour (NSGCT)

47
Q

Tumour markers in seminoma and NSGCT

A

Seminoma = LDH, NSGCT = AFP

48
Q

Epididymorchitis signs on examination

A

Erythema, warmth, scrotal sac involvement; Prehn’s sign

49
Q

Which type of swab is needed for NAAT in women?

A

Vulvo-vaginal swab

50
Q

Causative organism of syphylis

A

Treponema Pallidum

51
Q

How may a male present with chlamydia

A

Mainly asymptomatic; dysuria, urethral discharge, epididymo-orchitis, reactive arthritis, testicular pain

52
Q

Which zone of the prostate is primarily affected in prostate cancer?

A

Peripheral zone

53
Q

What scoring system is used in prostate cancer?

A

Gleason score

54
Q

How is the Gleason score calculated?

A

The two most common tumour patterns across all samples are graded based on their differentiation
The sum of the two grades is the Gleason score

55
Q

Which 2 serological markers are used initially in hepatitis B screening?

A

HBsAg and anti-HBc / hepatitis B surface antigen and hepatitis B core antibody

56
Q

Symptom progression of lymphogranuloma venereum

A

Painless genital pustule → ulcer → painful inguinal lymphadenopathy → proctocolitis

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