Sexual Health Flashcards

1
Q

Temporal lobe changes on CT?

A

Herpes simplex encephalitis

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2
Q

Renal transplant + infection =

A

CMV

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3
Q

Chlamydia treatment?

A

Doxycycline

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4
Q

Classic triad + possible extra manifestation of Behcet’s disease?

A

Oral ulcers
Genital ulcers
Uveitis

+/- venous thromboembolism

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5
Q

What testes should be fixed in right testicular torsion?

A

BOTH it’s a trap

Both sides at risk of future episodes

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6
Q

Pneumonia is a complication of which MMR disease?

A

Measles

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7
Q

Features of dengue?

A

Retro-orbital headache
Fever
Facial flushing
Rash
Thrombocytopena
Returning traveller

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8
Q

Which testicular pathology can you not get ‘above’ the swelling on examination?

A

Inguinal hernia

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9
Q

Which type of meningitis?

A

Raised WBC
Normal Glucose
Elevated protein

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10
Q

Tuberculosis patients all are also offered what?

A

HIV test

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11
Q

Treatment of epididymo-orchitis?

A

Ceftriaxone 500mg IM single dose
Oral doxy 100mg twice daily
10-14 days

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12
Q

Which has better prognosis seminomas or teratomas?

A

Seminomas

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13
Q

Woman with HSV infection in 3rd trimester management?

A

Oral aciclovir 400mg TDS until delivery

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14
Q

Treating chlamydia in pregnancy?

A

Azithromycin

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15
Q

If patient has ring shaped rash on both hands + pneumonia what has caused it (organism)?

A

This is erythema multiforme

Caused by mycoplasma pneumoniae

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16
Q

What tests are standard for screening and diagnosis of HIV?

A

HIV p24 antigen and HIV antibody

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17
Q

WHat does cocaine increase risk of in pregnancy?

A

Placental abruption

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18
Q

Most common cause of infective exacerbations of COPD?

A

H.Influenzae

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19
Q

Organism causing BV?

A

Gardnerella vaginalis

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20
Q

Post-exposure prophylaxis of HIV?

A

Oral anti-retroviral therapy for 4 weeks

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21
Q

What virus causes Kaposi’s sarcoma?

A

HHV-8

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22
Q

Measles presentation?

A

Irritable
Conjunctivitis
Fever
Koplik Spots
Rash behind ears then whole body

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23
Q

Mumps features?

A

Fever
Malaise
Muscular pain
Parotitis

24
Q

Rubella features?

A

Pink maculopapular rash initially on face before spreading to whole body (fades by day 3-5)
Lymphadenopathy

25
Q

Erythema infectiousum features?

A

Slapped cheek Rash spreading to proximal arms and extensor surfaces
Parovirus B19
Lethargy
Fever

26
Q

Scarlet fever presentation?

A

Fever
Malaise
Tonsilitis
Strawberry tongue
Rash: fine, punctate erythema sparing the area around mouth

27
Q

Most common virus causing sores?

A

HSV1

28
Q

HSV primarily causes what?

A

Genital herpes

29
Q

Lyme disease treatment?

A

Oral doxy 14-21 day course

30
Q

Patient inhales Nitrous oxide, what can this predispose him to?

A

Functional B12 deficiency (B12 levels will be normal)
Leads to subacute degeneration of the spinal cord

31
Q

False positive syphilis tests are likely in which diseases?

A

SLE, TB, Malaria, HIV

“Sometimes Mistakes Happen”

32
Q

Treatment of meningococcal septicaemia?

A

IM benzylpenicillin before hospital transfer

33
Q

First line syphilis treatment?

A

IM benzathine penicillin

34
Q

Treatment for gonorrhoea?

A

IM ceftriaxone

35
Q

Common testicular cancer presentation?

A

Painless testicular lump in man 25-35 y/o

36
Q

Primary or recurrent genital herpes tend to be more severe?

A

PRIMARY

37
Q

Most common complication of measles?

A

Otitis media

38
Q

Are syphilis, HSV or HIV notifiable diseases?

A

NO

Funfact : acute meningitis is though

39
Q

What happens to cremasteric reflex if torsion is affecting testicular appendage?

A

Preserved

40
Q

Torsion of spermatic cord does what to cremasteric reflex?

A

Absent

41
Q

Urethritis cause in male negative for gonnorhoea and chlamydia?

A

Mycoplasma genitalium

42
Q

Most commonly diagnosed STI?

A

Chlamydia

43
Q

Common infection which triggers Guillain-Barre syndrome?

A

Campylobacter jejuni

44
Q

Testing for Lyme disease?

A

Blood test for serology

-ELISA is 1st line

45
Q

Live attenuated vaccines?

A

BCG
MMR
Oral polio
Yellow fever
Oral typhoid

46
Q

Babies first Vaccines?

A

6-1 vaccine
Diphtheria, tetanus, whooping cough, polio, Hib, and hep B + one dose of Men B
+ one dose of Rotavirus vaccine

47
Q

Treatment for erythema migrans?

A

Doxycycline
Amoxicillin

48
Q

All HIV patients with a CD4 lower than 200/mm3 should recieve prophylaxis against what?

A

Pneumocystis jiroveci

49
Q

Green smelly discharge treatment?

A

Metronidazole

50
Q

Treatment of pnemocystis jiroveci pneumoniae?

A

Co-trimoxazole

51
Q

Epidymo-orchitis treatmen?

A

Ceftriaxone 500mg IM single dose plus oral doxy 10mg 2DS for 10-14 days

52
Q

3 important testclar tumor markers?

A

AFP
HCG
LDH

53
Q

Cause of Lyme disease?

A

Borrelia burgdorferi

54
Q

If patient with gonorrhoea refuses IM ceftiaxone?

A

Oral cefixime
Oral azithromycin

55
Q

Diagnostic test for Lymes?

A

Antibody titres for borrelia burgdorfei

56
Q

What is jarisch - Hermheimer reaction?

A

Fever, rash, tachy, after the first dose of AB

IV paracetamol

57
Q
A