Sexual health

Question 1

List the notifiable STIs in australia 7

Answer 1

Chlamydia
Gono
Donovanosis
Chancroid
Syphilis
HIV
all hepatitis

Question 2

Strawberry cervix pathognomonic of

Answer 2

Trichomonas

Question 3

Steps in Mx of STI

Answer 3

1. Treatment (eg antibiotics)
2. No sex for 7 days and no sex with regular partner until they are treated
3. Complete STI check (for CT/NG, HIV, syphilis, HepB)
4. Contact tracing (by patient, online anonymous, via Sex Health Clinic – only mandatory for
   HIV)
5. Notification to Public Health (CT, NG, syphilis, HIV, HepB/C - done by lab)
6. Discuss safer sex
7. Test of cure (if required) and retesting

Question 4

Risk factors for ovarian cancer

Answer 4

Nulliparity
Gonadal dysgenesis
Fam hx
BRCA1 mut
BRCA2 mut
PCOS

Question 5

Ovarian cancer - acute + chronic complications

Answer 5

Acute - torsion, infarction, acute rupture –> haemoperitoneum
Chronic(slow)- granulomatous peritonitis

Question 6

4 ddx for rise in bhcg

Answer 6

Pregnancy
Ectopic
Hydatiform mole
Choriocarcinoma

Question 7

Marker for ovarian cancer

Answer 7

CA-125

Question 8

Risk factors for endometrial cancer

Answer 8

Increased estrogen: obesity, HRT, early menarche, late menopause - especially unoppposed estrogen
Nulliparity
Endometrial hyperplasia
Endometrial atrophy in postmenopausal women (serous type 2 endo carcinoma)

Question 9

Protective factors endometrial cancer

Answer 9

Pregnancy
breast feeding
OCP

Question 10

Risk factors for leiomyoma

Answer 10

Remember: the tumours express estrogen + progesterone receptors
Early menarche, late menopause
Use of OCP before age 16
BMI obese
Nulliparity
Family hx

Question 11

Endometriosis risk factors

Answer 11

Estrogen: early menarche, obese
Low BMI (michelle)
Nulliparity
Tall >68 inches