Sexual Health

Question 1

Chlamydia treatment

Answer 1

“Clam”ydia un”doxycyline”
image the clam of little mermaid singing under da sea but with doxycline!

tetracycline CI in pregnancy

vaginal discharge and post-coital pain

Question 2

Gonorrhea treatment

Answer 2

THE GC
Gemma collins = only way is essex lots of STIs
- increase in vaginal discharge 
in men = URETHRITIS 
GC = GONORRHEA + CEFTRIXONE

Fitz-high-curtis syndrome (peritoneal spread)
neonatal opthalmia

Question 3

Bacterial vaginosis

not an STI

Answer 3

fishy smell
thin, grey or white “white bait” the fish
alkaline
treatment: metronidazole

Question 4

Trichomonas Vaginalis

IS an STI

cardinal sign?

Answer 4

Treatment: METRONIDAZOLE

thick, frothy YELLOW-GREEN discharge
smelly
+ Strawberry cervix

STI

Question 5

PUBIC LICE TREATMENT

aka pthyris pubis

Answer 5

Permethrin cream

Question 6

thrush - Candida albicans

Answer 6

thick curdy white discharge
vulval itching and soreness
painufl sex and wee 
vulval oedema 
satellite lesions
treatment: fluconazole, clotrimazole

Question 7

balantitis

Answer 7

sore inflamed foreskin

Question 8

scabies

Answer 8

widespread pruritic dermatitis

treat with permethrin 5% cream

Question 9

lichen simplex
lichen planus
lichen sclerosis

Answer 9

simplex- simply rubbing and scratching e.g. from eczema
planus- fine scale + also affects mouth
sclerosis- destructive inflammatory skin condition

Question 10

vulvodynia

Answer 10

burning vulval pain

Question 11

HSV herpes simplex

Answer 11

• acylovir treatment

Question 12

Genital warts

Answer 12

treatment:

• cryotherapy
• podophyllotoxin cream/solution
• imiquimod

Question 13

moluscum contagion

Answer 13

smooth-surfaced firm lesions

Question 14

Syphilis

Answer 14

treponema pallidium
primary: 9-90 days localised infection - chancre painLESS ulcer.
secondary: 6 weeks-6 months - maculopapular rash on palms and soles
tertiary: 10-40 years - neurosyphillis
Treatment: benzylpenicillin big dose in bum

Question 15

HIV treatment

Answer 15

HAART
HIGHLY active antiretroviral therapy
usually use 3 different anti-hiv drugs
offer if cd4 <350

Question 16

What is Sexually acquired reactive arthritis (SARA)

Answer 16

A sterile inflammation of the synovial lining of the joint and/or the associated tendon insertions. The arthritis is typically asymmetrical and occurs within three months of primary infection
The knees and the foot joints are most often affected, The condition is most often self-limiting.
Uveitis can complicate this condition.

1. Chlamydia - cant Chlam a tree
2. Gonnorrhea

Question 17

Lymphogranuloma venereum

either men or women

Answer 17

It’s a type of chlamydia bacteria that attacks the lymph nodes, which are an important part of your body’s defence against infections. LGV is very rarely seen in heterosexual men and women in the UK but cases are being seen among gay and bisexual men
++ RECTAL SYMPTOMS !!!!!!!