Sexual Health

Question 1

what is teh commonest STI in the UK?

Answer 1

chlamydia

Question 2

which STI is now exhibiting antibiotic resistance?

Answer 2

Ghonorrhoea

Question 3

what is the treatment of Ghonnorhoea?

Answer 3

ceftriaxone

Question 4

which bacterial STI does not replicate outside a host cell and does not stain with gram stain?

Answer 4

chlamydia

Question 5

how is chlamydia diagnosed?

Answer 5

first pass urine in men

vulvovaginal swab in women

(14 days following exposure)

Question 6

what are the different serovars of chlamydia Trachomatis?

Answer 6

Serovars A-C → trachoma (eye infection)

Serovars D-K → genital infection

Serovars L1-L3 → Lymphogranuloma venereum

Question 7

what is the treatment for chlamydia?

Answer 7

Doxycycline 100mg x7days

Question 8

which STI is a gram -ve intracellular diplococcus (2 kidney beans facing each other)?

Answer 8

Gonorrhoea

Question 9

what are the symtpoms of Gonorrhoea in males and females?

Answer 9

males- urethral discharge, dysuria

females- inc/alter discharge, dysuria

(both can also be asymptomatic)

Question 10

what can cause ulceration of external genitalia, pain, dysuria, fever and myalgia?

Answer 10

genital herpes

Question 11

recurrent epsiodes of genital herpes is likely to be which type?

Answer 11

HSV 2

Question 12

what is the treatment for genital herpes?

Answer 12

acyclovir

topical lidocaine if v painful

Question 13

how is gential herpes tested for?

Answer 13

swab base of ulcer for HSV PCR

Question 14

what types of HPV cause genital warts?

Answer 14

HPV 6,11 (low risk types)

Question 15

what is the treatment for HPV?

Answer 15

podophyllotoxin (warticon)

imiquimod (aldara)

Question 16

what are non specific serological tests used to diagose syphilis?

Answer 16

VLDR

RPR- rapid plasma reagin

Question 17

syphilis is also known as?

Answer 17

Treponema Pallidum

Question 18

in primary syphilis what is the primary lesion known as?

Answer 18

primary chancre (painless)

Question 19

what is the incubation period for primary and secondary syphilis?

Answer 19

primary- 9-90 days

secondary- 6wks- 6mnths

Question 20

what lesions will be present in primary and then secondary syphilis?

Answer 20

primary- lesions at innoculation site, chancre

secondary, macular/follicular or pustular rash on palms and soles, lesions of mucous membranes

Question 21

which lesion seen in secondary syphilis is highly contagious?

Answer 21

Condylomata Lata

Question 22

what is the treatment of syphilis?

Answer 22

bezathine Penicillin x1 if early

(x3 if late)

Question 23

does syphilis stain gram stain?

Answer 23

no- it is a spirochaete

Question 24

which Ig is tested for in syphilis?

Answer 24

IgM and IgG

Question 25

titres of RPR should decrease by how much in the 3-6 months ofearly syphilis?

Answer 25

fourfold- if titres inc there is relapse/reinfection

Question 26

how is bacterial prostatis treated?

Answer 26

ciprofloxacin

Question 27

what is the treatment for gonorrhoea?

Answer 27

ceftriaxone (GC)

Question 28

what is the treatment for chlamydia?

Answer 28

doxycycline (CD)

Question 29

how do you treat pubic lice?

Answer 29

malathion lotion

Question 30

which STI is a protozoa?

Answer 30

Trichomanis Vaginalis

Question 31

how is trichomanis Vaginalis diagnosed?

Answer 31

vaginal swab for microscopy

Question 32

what is the treatment for trichomanis vaginalis?

Answer 32

metonidazole

Question 33

ceftriaxone is the treatment for which STI?

Answer 33

gonorrhoea

Question 34

doxycyline treats which STI?

Answer 34

Chlamydia

Question 35

what is PEPSE?

Answer 35

medicine taken after exposre to reduce risk of infection