Sexually Transmitted Diseases

Question 1

Amsel criteria for diagnosing BV

Answer 1

1. Profuse milky vaginal discharge
2. Positive whiff test result (fishy odor when exposed to 10-20% KOH)
3. Vaginal pH >4.5
4. Clue cells >20% on microscopic examination

Question 2

Treatment of BV

Answer 2

Question 3

Treatment of BV

Answer 3

Question 4

Morphology of Neisseria gonorrheae

Answer 4

gram-negative, aerobic coccus-shaped IN PAIRS

can affect genital, anus, pharynx

can be transmitted from mother to child during vaginal birth as inflammatory eye infection (OPHTHALMIA NEONATORUM)

Question 5

Most serious complication of gonorrhea in women

Answer 5

Sterility

Question 6

Spontaneous profuse cloudy purulent discharge from the penile meatus

Answer 6

Urethritis

Question 7

True or False?

Post menopausal women are more likely to experience vaginitis than sexually active women

Answer 7

True.

Vaginitis does not occur except in Prepuberal and postmenopausal women because the vaginal epithelium of sexually mature women does not support growth of N. gonorrheae

Question 8

Treatment of localized gonococcal infection of cervix, rectum, urethra, pharynx

Answer 8

First line:
Ceftriaxone 250 mg IM single dose

PLUS

Azithromycin 1 g PO single dose

Question 9

Treatment of DGI

Answer 9

For arthritis and arthritis-dermatitis syndrome:

Ceftriaxone 1g IV every 24 hours for 7 days PLUS
Azithromycin 1 g PO single dose

For meningitis and endocarditis:
Ceftriaxone 1-2g IV every 12-24 hours for 10-14 days PLUS
Azithromycin 1g PO single dose

Question 10

23/F presents with fever, lower abdominal pain, vomiting, cervical, uterine, and adnexal motion tenderness. She was previously found to have contracted Chlamydia. Diagnosis?

Answer 10

Pelvic inflammatory Disease