Sexual Health

Question 1

Temporal lobe changes on CT?

Answer 1

Herpes simplex encephalitis

Question 2

Renal transplant + infection =

Answer 2

CMV

Question 3

Chlamydia treatment?

Answer 3

Doxycycline

Question 4

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

Answer 4

Oral ulcers
Genital ulcers
Uveitis

+/- venous thromboembolism

Question 5

What testes should be fixed in right testicular torsion?

Answer 5

BOTH it’s a trap

Both sides at risk of future episodes

Question 6

Pneumonia is a complication of which MMR disease?

Answer 6

Measles

Question 7

Features of dengue?

Answer 7

Retro-orbital headache
Fever
Facial flushing
Rash
Thrombocytopena
Returning traveller

Question 8

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

Answer 8

Inguinal hernia

Question 9

Which type of meningitis?

Answer 9

Raised WBC
Normal Glucose
Elevated protein

Question 10

Tuberculosis patients all are also offered what?

Answer 10

HIV test

Question 11

Treatment of epididymo-orchitis?

Answer 11

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

Question 12

Which has better prognosis seminomas or teratomas?

Answer 12

Seminomas

Question 13

Woman with HSV infection in 3rd trimester management?

Answer 13

Oral aciclovir 400mg TDS until delivery

Question 14

Treating chlamydia in pregnancy?

Answer 14

Azithromycin

Question 15

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

Answer 15

This is erythema multiforme

Caused by mycoplasma pneumoniae

Question 16

What tests are standard for screening and diagnosis of HIV?

Answer 16

HIV p24 antigen and HIV antibody

Question 17

WHat does cocaine increase risk of in pregnancy?

Answer 17

Placental abruption

Question 18

Most common cause of infective exacerbations of COPD?

Answer 18

H.Influenzae

Question 19

Organism causing BV?

Answer 19

Gardnerella vaginalis

Question 20

Post-exposure prophylaxis of HIV?

Answer 20

Oral anti-retroviral therapy for 4 weeks

Question 21

What virus causes Kaposi’s sarcoma?

Answer 21

HHV-8

Question 22

Measles presentation?

Answer 22

Irritable
Conjunctivitis
Fever
Koplik Spots
Rash behind ears then whole body

Question 23

Mumps features?

Answer 23

Fever
Malaise
Muscular pain
Parotitis

Question 24

Rubella features?

Answer 24

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

Question 25

Erythema infectiousum features?

Answer 25

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

Question 26

Scarlet fever presentation?

Answer 26

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

Question 27

Most common virus causing sores?

Answer 27

HSV1

Question 28

HSV primarily causes what?

Answer 28

Genital herpes

Question 29

Lyme disease treatment?

Answer 29

Oral doxy 14-21 day course

Question 30

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

Answer 30

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

Question 31

False positive syphilis tests are likely in which diseases?

Answer 31

SLE, TB, Malaria, HIV "Sometimes Mistakes Happen"

Question 32

Treatment of meningococcal septicaemia?

Answer 32

IM benzylpenicillin before hospital transfer

Question 33

First line syphilis treatment?

Answer 33

IM benzathine penicillin

Question 34

Treatment for gonorrhoea?

Answer 34

IM ceftriaxone

Question 35

Common testicular cancer presentation?

Answer 35

Painless testicular lump in man 25-35 y/o

Question 36

Primary or recurrent genital herpes tend to be more severe?

Answer 36

PRIMARY

Question 37

Most common complication of measles?

Answer 37

Otitis media

Question 38

Are syphilis, HSV or HIV notifiable diseases?

Answer 38

NO Funfact : acute meningitis is though

Question 39

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

Answer 39

Preserved

Question 40

Torsion of spermatic cord does what to cremasteric reflex?

Answer 40

Absent

Question 41

Urethritis cause in male negative for gonnorhoea and chlamydia?

Answer 41

Mycoplasma genitalium

Question 42

Most commonly diagnosed STI?

Answer 42

Chlamydia

Question 43

Common infection which triggers Guillain-Barre syndrome?

Answer 43

Campylobacter jejuni

Question 44

Testing for Lyme disease?

Answer 44

Blood test for serology -ELISA is 1st line

Question 45

Live attenuated vaccines?

Answer 45

BCG MMR Oral polio Yellow fever Oral typhoid

Question 46

Babies first Vaccines?

Answer 46

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

Question 47

Treatment for erythema migrans?

Answer 47

Doxycycline Amoxicillin

Question 48

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

Answer 48

Pneumocystis jiroveci

Question 49

Green smelly discharge treatment?

Answer 49

Metronidazole

Question 50

Treatment of pnemocystis jiroveci pneumoniae?

Answer 50

Co-trimoxazole

Question 51

Epidymo-orchitis treatmen?

Answer 51

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

Question 52

3 important testclar tumor markers?

Answer 52

AFP HCG LDH

Question 53

Cause of Lyme disease?

Answer 53

Borrelia burgdorferi

Question 54

If patient with gonorrhoea refuses IM ceftiaxone?

Answer 54

Oral cefixime Oral azithromycin

Question 55

Diagnostic test for Lymes?

Answer 55

Antibody titres for borrelia burgdorfei

Question 56

What is jarisch - Hermheimer reaction?

Answer 56

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