sexual health (2)

Question 1

Bacterial vaginosis Mx?

Answer 1

Metronidazole (oral) (give lower dose: 400mg BD for 5 days, because giving high stat dose is contra-indicated in breastfeeding
- Alternative; if allergy for eg: topical Clindamycin cream

Organism: Gardnerella Vaginalis

Question 2

Chlamydia Mx?

Answer 2

1st line) Doxycycline

then: Azithromycin

• Inv. of choice: (males): NAAT (Nucleic Acid Amplification Test)
• vulvovaginal swab: for women

Question 3

Thrush mx?

Answer 3

Fluconazole

Question 4

Gonorrhoea Mx?

Answer 4

IM Ceftriaxone stat dose
- presents with: purulent urethral discharge
- Gram -ve diplococcus

Question 5

Trichomonas Vaginalis Mx?

Answer 5

• Oral Metronidazole
• Presents with: strawberry cervix and green offensive discharge
• also vaginal swab will show= Motile Trophozoites