Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

GOSH > Sexual Health > Flashcards

Sexual Health Flashcards

1
Q

what is the treatment for chlamydia?

A

Doxycycline BD 100mg for & days (not safe in pregnancy)
or
Azithromycin 1g STAT dose
(safe in pregnancy)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what proportion of patients are asymptomatic for chalmydia?

A 
Women = 75%
Men = 50%
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

in Bacterial vaginosis what will the pH of the vaginal discharge be?

A

pH>4.5

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what proportion of men are asymptomatic for gonorrhoeaa?

A

5-10%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what does gonorrhoea look like under a microscope?

A

Gram negative diplococci

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what is the treatment of gonorrhoea?

A

STAT: Ceftriaxone 500mg IM single dose + Azithromycin 1g PO

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

when is the highest risk for HIV transmission in pregnancy?

A

At delivery
*unless mother seroconverts during pregnancy
Seroconversion: where you become HIV +ve and develop antibodies.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what is reiter’s syndrome/reactive arthritis?

A

Can occur in <1% of chlamydia cases - sterile inflammation of synovial membranes, tendons, fascia triggered at a distant site
Triad of redness, joint swelling and pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what are the pregnancy/neonatal complications of chlamydia?

A

IUGR
PROM
Pre-term delivery
Low birth weight

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what are the pregnancy/neonatal complications of gonorrhoea?

A

Low birth weight

Pre-term delivery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what is a LARC?

A

long acting reversible contraception

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what criteria are used to determine suitability of contraception?

A

UK MEC (medical eligibility criteria)

1: No restriction
2: Advantages outweigh risks
3: Risks outweigh advantages
4: Unacceptable health risk

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what oestrogen is used in Combined oral contraceptive pill?

A

ethinyl oestradiol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what are the absolute contra-indications to Combined oral contraceptive pill?

A 
Breastfeeding <6wks Postpartum (severe)
Smoking >15cigs/d &amp; >35y                       
Multiple risk factors for Arterial CVD
BP >160/100
Current or past VTE
Major Surgery with Immobilisation
IHD
CVA
Valvular Heart Disease
Focal Migraine
Breast Ca
Complicated DM
Severe liver cirrhosis
Liver tumours
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what is the time window for taking the progesterone only pill?

A 
12 hours
(older generation = 3 hours)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

which classes of drugs interact with the COC?

A 
Antibiotics - rifampicin, rifabutin
Antidepressants - St Johns Wort
Antiepileptics - carbamazepine, phenytoin etc
Antifungals - Griseofluvin, imidazoles
Anti-retrovirals
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

when starting the COC within how many days of your period must you start it to be protected immeadiately?

A

Days 1-5 - do not have to use condom

*if started after this use condom for 7 days

18
Q

when starting the progesterone only pill, if not started on days 1-5 of the cycle, for how many days should you use condoms?

A

For 2 days

7 days with COC

19
Q

what are the common oestrogenic side effects?

A 
Breast enlargement
Bloating
Nausea
Non-infective vaginal discharge
Headaches
Cholasma
Photosensitivity
20
Q

what are the common progestogenic side effects?

A 
Acne
Greasy hair
Hirsuitism
Depression
loss of libido
Vaginal dryness
21
Q

In what situations should the POP be considered over the COC?

A

Risk of VTE
Smokers
Migraine with aura
High BP

22
Q

For how long is a nuva ring left in?

A

21 days

23
Q

What hormone/s does a nuva ring contain?

A

Oestrogen + progestogen

24
Q

what is the mode of action of progesterone only contraceptives? (including mirena)

A

Thickens cervical mucus
Endometrial atrophy
Prvention of ovulation in some women’s cycles

25
Q

what is the treatment of syphillis?

A

Benzathine Penicillin G IM single dose

26
Q

what is the average time for seroconversion to take place in HIV infection?

A

4 weeks (2-6 weeks after exposure, antibody takes 4-8 weeks to develop) retest as some can take longer

27
Q

which morning after pill interferes with other hormonal contraception?

A

ellaone

ullipristal

28
Q

in which morning after all does efficacy reduce with time?

A

Levonelle

29
Q

how many days after unprotected sex can the copper coil be inserted as emergency contraception?

A

5 days

30
Q

what is AIDs and how is it defined?

A

acquired immunodeficiency syndrome

CD4 count <200 x 106 / L

31
Q

in HIV how long does it take for the p-24 antigen to be detected?

A

2-4 weeks

32
Q

in HIV how long does it take for the HIV antibody to be detected?

A

4-8 weeks

33
Q

what is the recommended 1st line assay test for his?

A

4th generation assay tests for HIV antibody and p24 antigen

34
Q

what is the disadvantage of POCT (prick testing) for HIV?

A

Reduces specificity & sensitivity

*dvantage = good for when venipuncture is not available

35
Q

which neoplasms are more common in those with HIV?

A

Cervical cancer
Non-Hodgkin’s lymphoma
Kaposi’s sarcoma

36
Q

what are the two methods used in routine practice for HIV testing?

A

1) Venepuncture - 4th generaion assay tests for HIV antibody and p24 antigen simultaneously
2) rapid POCT (point of care testing)

37
Q

what are the symptoms of PID?

A

Lower abdominal pain bilateral generalised
Deep dyspareunia
Abnormal vaginal bleeding
Abnormal vaginal or cervical discharge(usually purulent)

38
Q

In suspected PID - what does the triple swab investigation refer to?

A

Vulgovaginal swab - NAAT testing gonorrhoea, chlamydia
High vaginal swab - Candida, BV, TV, group B strep
Endocervical swab - Gonorrhoea culture

39
Q

what is a complication of chalmydia screened for during laparoscopy?

A

Fitz-Hugh Curtis syndrome
rare complication of pelvic inflammatory disease (PID) involving liver capsule inflammation leading to the creation of adhesions

40
Q

how many people are asymptomatic for gonorrhoea?

A

Women - 50%

Men - 10%

GOSH (3 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions