Sexual Health: Skin

Question 1

Incubation period of genital warts

Answer 1

3 weeks - 8 months

Question 2

Effect of smoking on warts

Answer 2

Can make it harder for clearance

Question 3

only treatment option for warts in pregnancy

Answer 3

Cryo

Question 4

Treatment option if warts are non-responsive/ large

Answer 4

Excision or electrocautery

Question 5

Topical treatment of warts (2)

Answer 5

Imiquinod (aldara)

Podophyllotoxin (warticon)

Question 6

Cause of molluscum contagiosum

Answer 6

POX virus

Question 7

Herpes:
Strain of virus on genitals
Investigations
Mx if suspected

Answer 7

HSV-2

Swab the sores/ulcers

Treat with aciclovir

Question 8

Herpes:

disease course

Answer 8

Primary infection (very painful!!)
Latency - in sensory ganglia
Reactivation: symptomatic lesions or asymptomatic but infectious viral shedding

Question 9

When is herpes dangerous in pregnancy?

Answer 9

3rd trimester: high risk of neonatal herpes

Question 10

Diagnosis of herpes

Answer 10

Viral PCR

Swab test of ulcer

Question 11

Incubation of herpes

Answer 11

2 days

Question 12

Incubation of syphilis

Answer 12

21 days

Question 13

How long does it take for primary syphilis (chancre) to resolve?
What % become secondary?
How long after chancre?

Answer 13

3-8 weeks

25% develop to secondary

4-10 weeks

Question 14

Diagnosis of syphilis

Answer 14

Dark ground microscopy
PCR test
Serology (will always be positive after first infection)

Question 15

Mx of primary, secondary + early latent syphilis

Answer 15

Benzathine benzylpenicillin IM

longer course in late

Question 16

Incubation periods:
Chlamydia
Gonorrhoea
Herpes
Trichomonas
Syphilis

Answer 16

Chlamydia: 14-21 days
Gon: 2-30 days
Herpes: 2-14 days
Trich: 5-28 days
Syphilis: 21 days