sexually transmitted infections - urogenital Flashcards

Chlamydia, gonorrhoea, and syphilis.

1
Q

what does an infected birth canal with chlamydia or gonorrhoea cause for the baby?

A

conjunctivitis

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2
Q

incubation period of Chlamydia trachomatis

A

7-21 days

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3
Q

symptoms of chlamydia in males

A

dysuria
urethral discharge
inflammation of urethra
50% asymptomatic

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4
Q

symptoms of chlamydia in females

A

dysuria
urethral discharge
70% asymptomatic

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5
Q

complications of chlamydia

A
epididymis-orchitis
reactive arthritis 
pneumonia in neonates
pelvic inflammatory disease in women 
Fitz-Hugh Curtis syndrome - lesions around liver
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6
Q

diagnosis of chlamydia

A

NAAT (nucleic acid amplification test)
vaginal swab
first void urine
community screening

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7
Q

transmission rate of chlamydia

A

70%

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8
Q

treatment of chlamydia

A

azithromycin 1g in pregnancy
doxycycline bd for 7 days
erythromycin bd for 14 days

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9
Q

incubation period of Neisseria gonorrhoea

A

2-5 days

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10
Q

symptoms of gonorrhoea

A

dysuria

urethral discharge

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11
Q

what percentage of men are asymptomatic with gonorrhoea?

A

10%

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12
Q

what percentage of women are asymptomatic with gonorrhoea?

A

50%

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13
Q

complications of gonorrhoea

A

increasing antibiotic resistance

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14
Q

diagnosis of gonorrhoea

A

gram stained swab from rectum, urethra, and endocervix

sensitivity testing

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15
Q

treatment of gonorrhoea

A

partner notification
surveillance of abx sensitivity
ceftriaxone 1g IM and azithromycin 1g orally

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16
Q

female to male transmission of gonorrhoea

A

60-80%

17
Q

male to female transmission of gonorrhoea

A

50-90%

18
Q

risk factors for syphilis

A

males
homosexual males
oral sex with infected individuals

19
Q

treatment of syphilis

A

penicillin injection

contact tracing

20
Q

when does secondary syphilis start?

A

6-8 weeks after infection

21
Q

pathology of syphilis

A

Treponema pallidum

22
Q

symptoms of syphilis

A

genital ulcers
nipple ulcers
70% of patients have a skin rash in secondary syphilis

23
Q

diagnosis of syphilis

A

serology

24
Q

which tests does syphilis screening use?

A

EIA - enzyme immune assay

TPPA - Treponema pallidum particle agglutination test