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ab 4th year o+g > Sexual Health > Flashcards

Sexual Health Flashcards

1
Q

features of chlamydia infection?

A

dysuria
dishcarge
postcoital/intermenstrual bleeding
lower abdo pain

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2
Q

what is Lymphogranuloma Venereum ?

A

chronic chlamydia infection

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3
Q

features of Lymphogranuloma Venereum?

A 
rectal pain
discharge
tenesmus
bleeding 
proctitis
LN swelling
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4
Q

what serovars cause what type of chlamydia infection?

A

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

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5
Q

what does chlamydia infection look like down the microscope?

A

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

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6
Q

Ix for chlamydia infection?

A

vulvovag in F
first void in M
rectal

NAAT

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7
Q

Tx for chlamydia infection?

A

doxy for 7days

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

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8
Q

what are the rules for abstaining and test of cure?

A

abstain until Tx completed (7days on doxy)

pregnant and rectal infection get test of cure

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9
Q

features of gonorrhoea infection?

A

mucopurulent discharge
dysuria
pelvic pain

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10
Q

what does gonorrhoea infection look like down a microscope?

A

gram negative

diplococcus

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11
Q

Ix for gonorrhoea infection?

A

urethral swab in M
vulvo/endocerv in F

C+S done

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12
Q

Tx for gonorrhoea infection?

A

Tx regarded to C+S

ceftriaxone IM

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13
Q

what is the rule for test of cure in gonorrhoea?

A

ALWAYS test of cure 2 weeks after

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14
Q

what hepatitis is sexually transmitted?

A

B
C
D (co infection with B)

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15
Q

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

A

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

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16
Q

Tx for hep B?

A

interferon alpha

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17
Q

features of BV?

A

fishy discharge
itch
thick discharge
spotty rash on penis

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18
Q

Ix for BV?

A

swab and microscopy

clue cells seen

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19
Q

Tx for BV?

A

metronidazole

20
Q

what is the rules for abstinence and BV?

A

abstain with undergoing Tx

M do not need to be Tx

21
Q

risks with BV?

A

premature membrane rupture

preterm delivery

22
Q

what causes syphilis?

A

treponema pallidum (spirochaete)

23
Q

features of primary syphilis infection?

A

chancre at site

non tender lymphadenopathy

24
Q

features of secondary syphilis infection?

A 
rash on palms/soles
fatigue
patchy alopecia
memory loss
condylomata lata (plaques at genitals/MM)
25
Q

Ix for syphilis infection?

A

dark field microscopy from chancre

serum trepenomal EIA (screen)
serum TPPA (confirms)
serum TPHA (chronic)
serum FTA-Abs (chronic)

26
Q

Tx for syphilis infection?

A

benzathine penicillin IM

27
Q

what can measure syphilis infection?

A

RPR

should decrease over 3-6mnths

28
Q

complications of syphilis infection?

A 
CVS 
neuro
HIV
miscarriage
stillbirth
29
Q

features of PID?

A 
lower abdo pain
tender
fever
dysuria
back pain 
bleeding 
dyspareunia
30
Q

causes of PID?

A

chlamydia
gonorrhoea
IUD
D+C

31
Q

Ix for PID?

A

FBC
ESR
swab and microscopy
TVUS

32
Q

Tx for PID?

A

treat cause
IUD removed
drain abscess

33
Q

features of trichomonas vaginalis?

A

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

34
Q

Ix for trichomonas vaginalis?

A

swab

M+C

35
Q

Tx for trichomonas vaginalis?

A

metronidazole

36
Q

rules for abstaining with trichomonas vaginalis?

A

abstain while Tx

males must also be Tx

37
Q

what is the pathology in HIV?

A 
CD4 targeted (T helper cells)
adaptive immune response lost
38
Q

features of primary HIV?

A 
fever
rash
myalgia
headache
diarrhoea
fatigue
lymphadenopathy 
ulcers
candidia
39
Q

what pneumonia do those with HIV get? Tx?

A

pneumocystic jiroveci

co trim

40
Q

what does toxoplasmosis cause?

A

cerebral abscesses

headache, fever, focal neuro, raised ICP

41
Q

what does CMV cause?

A 
reduced visual acuity
floaters
abdo pain
diarrhoea
PR bleed
42
Q

what happens in PML?

A

JC virus reactivated

rapidly progressing focal neuro symptoms

43
Q

Ix for HIV?

A 
HIV antibody test
STI test
TB screen
CD4
FBC
U+Es, LFTs, urinalysis, lipids
44
Q

Tx for HIV? prophylactics?

A

HAART Tx

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

45
Q

what are the AIDs related cancers?

A

kaposis sarcoma (vascular tumour)
NHL
cervical

ab 4th year o+g (17 decks)

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