Sexual Health

Question 1

features of chlamydia infection?

Answer 1

dysuria
dishcarge
postcoital/intermenstrual bleeding
lower abdo pain

Question 2

what is Lymphogranuloma Venereum ?

Answer 2

chronic chlamydia infection

Question 3

features of Lymphogranuloma Venereum?

Answer 3

rectal pain
discharge
tenesmus
bleeding 
proctitis
LN swelling

Question 4

what serovars cause what type of chlamydia infection?

Answer 4

A-C eye
D-K STI
L1-L2 lymphogranuloma venerum

Question 5

what does chlamydia infection look like down the microscope?

Answer 5

doesn’t gram stain
rods
classified as gram -ve (pink)

Question 6

Ix for chlamydia infection?

Answer 6

vulvovag in F
first void in M
rectal

NAAT

Question 7

Tx for chlamydia infection?

Answer 7

doxy for 7days

give alternatives to doxy if pregnant e.g azithro/erythro

Question 8

what are the rules for abstaining and test of cure?

Answer 8

abstain until Tx completed (7days on doxy)

pregnant and rectal infection get test of cure

Question 9

features of gonorrhoea infection?

Answer 9

mucopurulent discharge
dysuria
pelvic pain

Question 10

what does gonorrhoea infection look like down a microscope?

Answer 10

gram negative

diplococcus

Question 11

Ix for gonorrhoea infection?

Answer 11

urethral swab in M
vulvo/endocerv in F

C+S done

Question 12

Tx for gonorrhoea infection?

Answer 12

Tx regarded to C+S

ceftriaxone IM

Question 13

what is the rule for test of cure in gonorrhoea?

Answer 13

ALWAYS test of cure 2 weeks after

Question 14

what hepatitis is sexually transmitted?

Answer 14

B
C
D (co infection with B)

Question 15

Ix for hepatitis B? what do each of them mean?

Answer 15

HBsAg (acute/chronic infection)
HBeAg (infEctive)
anti HBc IgM/G (Moment/Got for life)

Question 16

Tx for hep B?

Answer 16

interferon alpha

Question 17

features of BV?

Answer 17

fishy discharge
itch
thick discharge
spotty rash on penis

Question 18

Ix for BV?

Answer 18

swab and microscopy

clue cells seen

Question 19

Tx for BV?

Answer 19

metronidazole

Question 20

what is the rules for abstinence and BV?

Answer 20

abstain with undergoing Tx

M do not need to be Tx

Question 21

risks with BV?

Answer 21

premature membrane rupture

preterm delivery

Question 22

what causes syphilis?

Answer 22

treponema pallidum (spirochaete)

Question 23

features of primary syphilis infection?

Answer 23

chancre at site

non tender lymphadenopathy

Question 24

features of secondary syphilis infection?

Answer 24

rash on palms/soles
fatigue
patchy alopecia
memory loss
condylomata lata (plaques at genitals/MM)

Question 25

Ix for syphilis infection?

Answer 25

dark field microscopy from chancre serum trepenomal EIA (screen) serum TPPA (confirms) serum TPHA (chronic) serum FTA-Abs (chronic)

Question 26

Tx for syphilis infection?

Answer 26

benzathine penicillin IM

Question 27

what can measure syphilis infection?

Answer 27

RPR | should decrease over 3-6mnths

Question 28

complications of syphilis infection?

Answer 28

``` CVS neuro HIV miscarriage stillbirth ```

Question 29

features of PID?

Answer 29

``` lower abdo pain tender fever dysuria back pain bleeding dyspareunia ```

Question 30

causes of PID?

Answer 30

chlamydia gonorrhoea IUD D+C

Question 31

Ix for PID?

Answer 31

FBC ESR swab and microscopy TVUS

Question 32

Tx for PID?

Answer 32

treat cause IUD removed drain abscess

Question 33

features of trichomonas vaginalis?

Answer 33

thin bubbly discharge fish smell vaginitis (dysuria, dry, dyspareunia)

Question 34

Ix for trichomonas vaginalis?

Answer 34

swab | M+C

Question 35

Tx for trichomonas vaginalis?

Answer 35

metronidazole

Question 36

rules for abstaining with trichomonas vaginalis?

Answer 36

abstain while Tx | males must also be Tx

Question 37

what is the pathology in HIV?

Answer 37

``` CD4 targeted (T helper cells) adaptive immune response lost ```

Question 38

features of primary HIV?

Answer 38

``` fever rash myalgia headache diarrhoea fatigue lymphadenopathy ulcers candidia ```

Question 39

what pneumonia do those with HIV get? Tx?

Answer 39

pneumocystic jiroveci | co trim

Question 40

what does toxoplasmosis cause?

Answer 40

cerebral abscesses headache, fever, focal neuro, raised ICP

Question 41

what does CMV cause?

Answer 41

``` reduced visual acuity floaters abdo pain diarrhoea PR bleed ```

Question 42

what happens in PML?

Answer 42

JC virus reactivated rapidly progressing focal neuro symptoms

Question 43

Ix for HIV?

Answer 43

``` HIV antibody test STI test TB screen CD4 FBC U+Es, LFTs, urinalysis, lipids ```

Question 44

Tx for HIV? prophylactics?

Answer 44

HAART Tx PreP (before) PEPSE (within 24hrs for HepB/HIV)

Question 45

what are the AIDs related cancers?

Answer 45

kaposis sarcoma (vascular tumour) NHL cervical