Sexual health Flashcards
How would you investigate Neisseria gonorrhoea and Chlamydia in a symptomatic female patient?
Take cervical swabs for NAAT testing
How would you investigate Neisseria gonorrhoea and Chlamydia trachomatis in an asymptomatic patient?
Take lower vaginal swabs for NAAT testing
How would you manage Chlamydia?
Doxycycline 100mg BD for 7 days
Or Azithromycin 1g on the first day followed by 500mg OD for two days.
If the patient is pregnant use Azithromycin.
How would you treat a patient that tested positive for Gonorrhoea?
Ceftriaxone 1g IM injection single dose.
How does Tricomoniasis present?
A green frothy discharge
Non specific urethritis presentation
Vaginitis
What causes genital warts?
HPV 6 or 11
Which type of Herpes Simplex virus have a high probability of neoplastic change and where are these infections commonly located?
HPV16 and 18.
Located at the cervix, vulva, vagina and penis.
How would you manage a patient who was HIV positive?
This is not managed in primary care but is managed by specialists in GUM.
Medications however are as follows: