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GOSH > Sexual Health > Flashcards

Sexual Health Flashcards

1
Q

How does the implant work?

A
  • Inhibits ovulation
  • Thickens mucus
  • Thins endometrial lining
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2
Q

What is a disadvantage of the implant?

A

Irregular bleeding but this improves

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3
Q

What are benefits of the implant?

A
  • Easy removal

- Rapid resumption of fertility

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4
Q

How does the injection work?

A
  • Inhibits ovulation
  • Thickens mucus
  • Thins endometrial lining
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5
Q

What are disadvantages of the injection?

A
  • 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
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6
Q

What are advantages of the injection?

A
  • Amenorrhoea
  • Improves PMS
  • Effective in heavy/painful periods
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7
Q

After birth, how soon can the UD be inserted?

A
  • Either within 48hrs or

- >4 weeks

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8
Q

How does the mirena coil work?

A
  • Thickens mucus
  • Thins endometrial lining
  • Inhibits sperm survival
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9
Q

When can the COC be started after birth?

A
  • after 21 days or >6 weeks if breast feeding

- Require additional contraception for 7days when starting

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10
Q

When can the POP be used after birth?

A

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

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11
Q

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

A

UKMEC 3

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12
Q

What UK MEC is epilepsy + COCP?

A

UKMEC 3

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13
Q

When does smoking make the UKMEC with COCP a 4?

A

> 35 + smoking >15 a day

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14
Q

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

A

COCP

POP

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15
Q

How does the Desogestrel-only pill work?

A
  • Inhibits ovulation
  • Thickens mucus
  • Thins endometrial lining
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16
Q

What are the risks of the COCP?

A
  • Stroke, VTA, CVA
  • Cervical cancer
  • Breast cancer
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17
Q

What is the window for the COCP?

A

24hours

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18
Q

When does the POP provide immediate protection?

A

When started on the first 5days of the cycl

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19
Q

What are the risks of the POP?

A
  • Ovarian cysts
  • Ectopic pregnancy
  • Irregular bleeding initially
  • Slightly less effective than the COCP
20
Q

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

A

STI

21
Q

Which emergency contraceptive works within 72hours of UPSI?

A

Levonorgestrel

22
Q

Which emergency contraceptive works within 120hours of UPSI

A

Ullipristal

23
Q

What is the advice given following taking ullipristal?

A
  • Wait 7 days to take hormonal contraceptive
  • Avoid enzyme induces
  • Ranitidine and PPIs make it less effective
  • Avoid/discard breast feeding for 1 week
24
Q

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

A
  • Immediately

- Use condoms/abstain from sex for 7 days

25
Q

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

A
  • 5 days for COC
  • 7 days for POP
  • Condoms/abstain for 12 days for COC
26
Q

What does the high-vaginal swab detect?

A
  • Candida
  • BV
  • TV
27
Q

Give 2 complications of Chlamydia

A
  • Reiter’s syndrome

- Fitz-Hugh Curtis Syndrome

28
Q

Which urine sample would you obtain from men with dysuria?

A

First void urine to test for gonorrhoea/chlamydia

29
Q

In MSM, what swabs are necessary?

A

Pharyngeal
Rectal
Urethral

30
Q

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

A

Urinalysis to test for glucose

31
Q

How do you treat lichen sclerosis?

A

potent topical steroid

32
Q

What do you treat scabies with?

A

Permethrin and household contacts

33
Q

How do you treat Condyloma Latum?

A

Benzathine penicillin IM

34
Q

What is Condyloma Latum?

A

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

35
Q

What symptoms does Condyloma Latum present with?

A

Fever, malaise, adenopathy

36
Q

What is Molluscum Contagiousum?

A

DNA poxvirus

37
Q

What is the treatment for Molluscum?

A

Wait, try cryotherapy, currette or podophyllotoxin

38
Q

What causes syphilis?

A

Treponema Pallidum

39
Q

What are the primary symptoms of syphilis?

A
  • 3 weeks post infection
  • Painless, solitary ulcer - chancre
  • Inguinal lymphadenopathy
40
Q

What are the secondary symptoms of syphilis?

A
  • 5 weeks after primary, within first 2 years
  • Proliferation of spirchetes in skin and mucous membranes
  • widespread rash
  • Lymphadenoapthy
  • Genital condyloma Lata
  • Anterior uveitis
41
Q

What are the tertiary symptoms of syphilis?

A
  • 5 years post-infection
  • Neurosyphilis - dementa, Tabes dorsalis
  • Cardiosyphilis - aortic aneurysm can form
  • Gummata - Granuloma like in liver, brain, heart, skin, bone, testes
42
Q

What pregnancy complications are there of syphilis?

A
  • Preterm delivery
  • Stillbirth
  • Congenital syphilis - rash, hepatomegaly, skeletalproblems
43
Q

What is the Hutchinson Triad?

A

Late signs of syphilis:

  • Notched central incisors
  • Blindness
  • Deafness from 8th cranial nerve injury
44
Q

What is the management for Lymphogranuloma Venerum?

A

Doxycyline

45
Q

What is the management for acute epididymo-Orchitis?

A

Ceftriaxone IM

Doxycyline 10-14days

GOSH (4 decks)

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