Sexual Health

Question 1

How does the implant work?

Answer 1

• Inhibits ovulation
• Thickens mucus
• Thins endometrial lining

Question 2

What is a disadvantage of the implant?

Answer 2

Irregular bleeding but this improves

Question 3

What are benefits of the implant?

Answer 3

• Easy removal

- Rapid resumption of fertility

Question 4

How does the injection work?

Answer 4

• Inhibits ovulation
• Thickens mucus
• Thins endometrial lining

Question 5

What are disadvantages of the injection?

Answer 5

• Irregular bleeding in first few weeks
• 6 months for fertility to return to normal
• Reduced bone density after 2-3 years of use
• Weight gain

Question 6

What are advantages of the injection?

Answer 6

• Amenorrhoea
• Improves PMS
• Effective in heavy/painful periods

Question 7

After birth, how soon can the UD be inserted?

Answer 7

• Either within 48hrs or

- >4 weeks

Question 8

How does the mirena coil work?

Answer 8

• Thickens mucus
• Thins endometrial lining
• Inhibits sperm survival

Question 9

When can the COC be started after birth?

Answer 9

• after 21 days or >6 weeks if breast feeding

- Require additional contraception for 7days when starting

Question 10

When can the POP be used after birth?

Answer 10

Anytime however extra contraception should be used for the first 2 days after day 21

Question 11

What UKMEC is BMI >35 for with regards to the COCP?

Answer 11

UKMEC 3

Question 12

What UK MEC is epilepsy + COCP?

Answer 12

UKMEC 3

Question 13

When does smoking make the UKMEC with COCP a 4?

Answer 13

> 35 + smoking >15 a day

Question 14

Which contraception is a UK MEC 3 when taking phenytoin,carbamazepine, barbiturates, primidone, topiramate, oxcarbazepine?

Answer 14

COCP

POP

Question 15

How does the Desogestrel-only pill work?

Answer 15

• Inhibits ovulation
• Thickens mucus
• Thins endometrial lining

Question 16

What are the risks of the COCP?

Answer 16

• Stroke, VTA, CVA
• Cervical cancer
• Breast cancer

Question 17

What is the window for the COCP?

Answer 17

24hours

Question 18

When does the POP provide immediate protection?

Answer 18

When started on the first 5days of the cycl

Question 19

What are the risks of the POP?

Answer 19

• Ovarian cysts
• Ectopic pregnancy
• Irregular bleeding initially
• Slightly less effective than the COCP

Question 20

What is a contraindication of using the copper coil as emergency contraception?

Answer 20

STI

Question 21

Which emergency contraceptive works within 72hours of UPSI?

Answer 21

Levonorgestrel

Question 22

Which emergency contraceptive works within 120hours of UPSI

Answer 22

Ullipristal

Question 23

What is the advice given following taking ullipristal?

Answer 23

• Wait 7 days to take hormonal contraceptive
• Avoid enzyme induces
• Ranitidine and PPIs make it less effective
• Avoid/discard breast feeding for 1 week

Question 24

When taking levonorgestrel as an emergency contraceptive, when is it safe to start taking hormonal contraceptive again?

Answer 24

• Immediately

- Use condoms/abstain from sex for 7 days

Question 25

What advice is given RE starting hormonal contraceptives following taking ullipristal?

Answer 25

- 5 days for COC - 7 days for POP - Condoms/abstain for 12 days for COC

Question 26

What does the high-vaginal swab detect?

Answer 26

- Candida - BV - TV

Question 27

Give 2 complications of Chlamydia

Answer 27

- Reiter's syndrome | - Fitz-Hugh Curtis Syndrome

Question 28

Which urine sample would you obtain from men with dysuria?

Answer 28

First void urine to test for gonorrhoea/chlamydia

Question 29

In MSM, what swabs are necessary?

Answer 29

Pharyngeal Rectal Urethral

Question 30

If a man has thrush, what test would you do?

Answer 30

Urinalysis to test for glucose

Question 31

How do you treat lichen sclerosis?

Answer 31

potent topical steroid

Question 32

What do you treat scabies with?

Answer 32

Permethrin and household contacts

Question 33

How do you treat Condyloma Latum?

Answer 33

Benzathine penicillin IM

Question 34

What is Condyloma Latum?

Answer 34

Manifestation of secondary syphilis very contagious, most, wart-like non-tender ulcer

Question 35

What symptoms does Condyloma Latum present with?

Answer 35

Fever, malaise, adenopathy

Question 36

What is Molluscum Contagiousum?

Answer 36

DNA poxvirus

Question 37

What is the treatment for Molluscum?

Answer 37

Wait, try cryotherapy, currette or podophyllotoxin

Question 38

What causes syphilis?

Answer 38

Treponema Pallidum

Question 39

What are the primary symptoms of syphilis?

Answer 39

- 3 weeks post infection - Painless, solitary ulcer - chancre - Inguinal lymphadenopathy

Question 40

What are the secondary symptoms of syphilis?

Answer 40

- 5 weeks after primary, within first 2 years - Proliferation of spirchetes in skin and mucous membranes - widespread rash - Lymphadenoapthy - Genital condyloma Lata - Anterior uveitis

Question 41

What are the tertiary symptoms of syphilis?

Answer 41

- 5 years post-infection - Neurosyphilis - dementa, Tabes dorsalis - Cardiosyphilis - aortic aneurysm can form - Gummata - Granuloma like in liver, brain, heart, skin, bone, testes

Question 42

What pregnancy complications are there of syphilis?

Answer 42

- Preterm delivery - Stillbirth - Congenital syphilis - rash, hepatomegaly, skeletalproblems

Question 43

What is the Hutchinson Triad?

Answer 43

Late signs of syphilis: - Notched central incisors - Blindness - Deafness from 8th cranial nerve injury

Question 44

What is the management for Lymphogranuloma Venerum?

Answer 44

Doxycyline

Question 45

What is the management for acute epididymo-Orchitis?

Answer 45

Ceftriaxone IM | Doxycyline 10-14days