Sexually Transmitted Infections Flashcards

1
Q

Which microorganism causes gonorrhoea?

A

Neisseria gonorrhoeae

->hi, just a note, don’t make many notes until the last few summary flashcards :) will save you a lot of time as a lot of these are similar. Maybe note down treatments as this varies xx

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2
Q

Symptoms of gonorrhoea?

A

Men:
- thick, yellow discharge
-dysuria

Women:
-vaginal discharge
-dysuria
-intermenstrual/post-coital bleeding

->10% of males are asymptomatic, 50% of females are asymptomatic

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3
Q

What is a potential complication of gonorrhoea in men?

A

Epididymitis

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4
Q

What is a potential complication of gonorrhoea in women?

A

Pelvic inflammatory disease
Bartholin’s abscess

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5
Q

Diagnosis of gonorrhoea?

A

Nucleic Acid Amplification Test (NAAT) on urine or swab from vagina, rectum, throat

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6
Q

Treatment of gonorrhoea?

A

Ceftriaxone

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7
Q

What microorganism causes chlamydia?

A

Chlamydia trachomatis serovars D to K

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8
Q

Symptoms of chlamydia in men?

A

Slight watery discharge, dysuria

> 70% asymptomatic

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9
Q

Symptoms of chlamydia in women?

A

Vaginal discharge
Dysuria
Intermenstrual/post-coital bleeding

> 80% asymptomatic

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10
Q

Potential complication of chlamydia in men?

A

Epididymitis

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11
Q

Potential complication of chlamydia in women?

A

Pelvic inflammatory disease
Pelvic pain
Infertility

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12
Q

Diagnosis of chlamydia?

A

First void urine testing in men
Self-taken or clinician-taken swab from cervix/urethra/rectum as appropriate

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13
Q

Treatment of chlamydia?

A

Doxycycline
Azithromycin if pregnant

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14
Q

Which microorganism causes mycoplasma genitalium?

A

M genitalium

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15
Q

Symptoms of mycoplasma genitalium in men?

A

Slight watery discharge
Dysuria

> 90% asymptomatic

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16
Q

Symptoms of mycoplasma genitalium in females?

A

Vaginal discharge
Dysuria
Post-coital/intermenstrual bleeding.

50% asymptomatic

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17
Q

Complications of mycoplasma genitalium in men?

A

None confirmed. Possibly epididymitis

18
Q

Complications of mycoplasma genitalium in females?

A

Pelvic inflammatory disease
Preterm birth
Miscarriage
Infertility

19
Q

Diagnosis of mycoplasma genitalium?

A

First urine void in men
Swab in women

20
Q

Treatment of mycoplasma genitalium?

A

Doxycycline
If resistant, moxifloxacin

21
Q

Which microorganism causes Herpes?

A

Herpes Simplex Virus- type 1 and 2

22
Q

Symptoms of herpes?

A

Recurring symptoms- burning/itching then blistering then tender ulceration

->make note of this as different to the other STI’s discussed

23
Q

Complications of herpes?

A

Autonomic neuropathy (urinary retention)
Neonatal infection
Secondary infection

->make note as different

24
Q

Diagnosis of herpes?

A

Clinical impression
Swab from lesion tested using PCR

25
Q

Treatment of Herpes?

A

Aciclovir

->worth noting different quantities for primary outbreak/ secondary outbreak/ frequent reoccurrence

26
Q

Which microorganism causes Trichomoniasis?

A

Trichomonas vaginalis

27
Q

Symptoms of Trichomoniasis?

A

Men usually asymptomatic
Women: profuse thin vaginal discharge, green, frothy and foul smelling

28
Q

Complications of Trichomoniasis?

A

Miscarriage and preterm labour

29
Q

Diagnosis of Trichomoniasis?

A

PCR on vaginal swab

30
Q

Treatment of Trichomoniasis?

A

Metronidazole

31
Q

Which microorganism causes anogenital warts?

A

HPV types 6 and 11

32
Q

Symptoms of anogenital warts?

A

Lumps with surface texture of cauliflower
Occasional itching or bleeding, especially if perianal or intraurethral

33
Q

Complications of anogenital warts?

A

None common. Laryngeal papillomatosis

34
Q

Diagnosis of anogenital warts?

A

Appearance
Biopsy if unusual

35
Q

Treatment of anogenital warts?

A

Podophyllotoxin
Bulky warts- diathermy, scissor removal

36
Q

Which microorganism causes syphilis?

A

Treponema pallidum subspecies pallidum

37
Q

Symptoms of syphilis?

A

Diverse

Primary- local ulcer
Secondary- rash, skin changes
Latent stages- no symptoms
Tertiary- neurological, cardiovascular or gummatous- skin lesions (all v rare)

38
Q

Complications of syphilis?

A

Neurosyphilis- cranial nerve palsies are most common

39
Q

Diagnosis of syphilis?

A

Clinical signs
Serology
PCR on sample from ulcer

40
Q

Treatment of syphilis?

A

Benzathine penicillin or doxycycline

41
Q

Okay, so, to summarise, a lot of STI’s can be asymptomatic. But a lot have very similar symptoms, like gonorrhoea, chlamydia and mycoplasma genitalium. What are these shared symptoms?

A

Discharge
Dysuria

In women, post-coital/ intermenstrual bleeding

42
Q
A