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med > Sexual health medicine > Flashcards

Sexual health medicine Flashcards

1
Q

How is chlamydia treated?

A

Azithromycin single dose

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2
Q

How do you test for chlamydia/gonorrhoea?

A

Male = NAAT of first void urine
Female = NAAT of vulvovaginal swab
Consider oral/anal swabs

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3
Q

What tests would you do for gonnorhoea?

A

Male - FVU NAAT
Female - vulvovaginal swab NAAT
Culture of endocervical/urethral prior to abx for sensitivities

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4
Q

What is the tx for gonorrhoea?

A

IM ceftriaxone and PO azithromycin

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5
Q

What are the comps of gonorrhoea?

A

Female - PID, salpingitis, infertility, ectopic pregnancy

Male - epididymitis, prostatitis, reactive arthritis

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6
Q

What are the causes of non-gonococcal urethritis?

A

Mycoplasma genitalium
Ureaplasma urealyticum
trichomonas vaginalis
chlamydia trachomatis

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7
Q

How is non-gonococcal urethritis tx?

A

Azithromycin

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8
Q

How is non-gonococcal urethritis dx?

A

Polymorphonuclear leucocytes on microscopy of urethral swab (with UTI, gonorrhoea)

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9
Q

What is a sign on microscopy of BV?

A

Clue cells

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10
Q

How does BV px?

A

Fishy white discharge

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11
Q

What are the clinical criteria for BV?

A

Creamy white discharge
Fishy odour
pH > 4.5

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12
Q

How is BV treated?

A

Metronidazole

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13
Q

How does candidiasis px?

A

Vulval itching
Discharge
Dysuria
Dyspareunia

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14
Q

How is candidiasis diagnosed?

A

Microscopy of vaginal smear

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15
Q

How is trichomonas vaginalis dx and treated?

A

Microscopy

NAAT

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16
Q

How is HPV treated?

A

Topical podophyllotoxin

Cryotherapy

17
Q

What are the features of primary HSV infection?

A

Multiple, painful shallow ulcers
Tender inguinal lymphadenopathy
Fever, myalgia, headache

18
Q

Which organism causes syphilis?

A

Treponema pallidum

19
Q

How does secondary syphilis px?

A

Fever, sore throat, malaise, arthralgia
Widespread rash
Generalized lymphadenopathy
‘snail track’ ulcers

med (25 decks)

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