Sexual health

Question 1

What is the characteristic description of discharge with trichomonas vaginalis infection?

Answer 1

Frothy, yellow discharge

Question 2

What is the treatment for trichomonas vaginalis?

Answer 2

Oral metranidazole 400mg bd for 7 days or 2g stat

Question 3

What is the characteristic description of discharge with bacterial vaginitis infection?

Answer 3

Watery, thin, white, fishy-smelling discharge

Question 4

What is the treatment for bacterial vaginitis?

Answer 4

Oral metranidazole 400mg bd for 7 days or 2g stat

Question 5

What is the characteristic description of discharge with candidiasis infection?

Answer 5

Thick, clumpy, white, ‘cottage-cheese like’ discharge. Itchy

Question 6

What is the treatment for candidiasis?

Answer 6

Topical clotrimazole or oral fluconazole.

Do not need to treat asymptomatic male partners

Question 7

What is the treatment for chlamydia infection?

Answer 7

Doxycycline 100mg for 7 days and azithromycin 1g stat. Notify and treat partners

Question 8

What are some possible complications of neonatal chlamydia infection that has been passed on from the mother?

Answer 8

Chlamydial ophthalmia neonatorum, resp infections, otitis media

Question 9

How is gonorrhoea managed?

Answer 9

Stat one-off doses of IM cetriaxone 500mg and azithromycin 1g.
Test of cure with culture after 72 hours or NAAT after 2 weeks following treatment.
Notify and treat partners

Question 10

Which strain of Herpes Simplex Virus tends to cause genital herpes?

Answer 10

HSV-2.

HSV-1 can also cause it but more associated with facial herpes/cold-sores

Question 11

What is the treatment for herpes simplex virus infection?

Answer 11

Oral aciclovir, valaciclovir or famciclovir

Question 12

What medication should pregnant women with HSV-2 infection be offered?

Answer 12

Prophylactic oral aciclovir tds from 36 weeks gestation

Question 13

How are genital warts managed?

Answer 13

Topical cream (not safe for pregnancy): podophyllotoxin if warts are soft, imiquimod if warts are hard
Ablative therapy: cryotherapy and curettage. Diathermy.

Question 14

Which organism causes syphilis?

Answer 14

Treponema Pallidum

Question 15

What is the name of the painless ulcer/lesion that typically appears 10 days-3 months after infection in primary syphilis?

Answer 15

Chancre

Question 16

Where does syphilitic rash tend to occur in secondary syphilis?

Answer 16

Palms of hands and soles of feet, not itchy or painful

Question 17

How is syphilis treated?

Answer 17

IM benzylpenicillin - one dose if primary, up to 3 doses if disease is in later stages. Azithromycin if pen allergic. Notify and treat affected partners.