STD

Question 1

Incubation period for gonococcal urethritis

Answer 1

1-14 days
MC- 2-5 days

Question 2

Most common manifestation in gonococcal urethritis

Answer 2

Urethral discharge- initially mucous then purulent
Burning micturition
Female- minimal urethral meatus erythema, mucopurulent cervical discharge

Question 3

Complications of gonococcal urethritis in male

Answer 3

Posterior urethritis
Cowperitis
Tysonitis
Prostatitis
Seminal vessiculitis
Proctitis
Periurethral abscess

Question 4

End result of untreated gonococcal urethritis in male

Answer 4

Water can perineum and periurethral abscess

Question 5

Clinical features of ophthalmia neonatarum

Answer 5

Starts within 21 days of life
Acute purulent ocular discharge
Intense redness and swelling of eyes

If untreated- penetrate the cornea - perforation and scarring, blindness

Question 6

Manifestations of disseminated gonococcal infection

Answer 6

Acute arthritis
Dermatitis- macules, papules , petechiae , bullae or ecchymosis

Question 7

Features of gonococcal arthritis

Answer 7

Polyarthritic- knee, ankle, small joints
Arthralgia, acute synovitis, acute arthritis

Question 8

List out complication of gonococcal urethritis in -
Male
Female
Infant
Disseminated gonococcal infection

Answer 8

Male- posterior urethritis, epididymitis, tysonitis, cowperitis, seminal vesiculitis, prostatitis, Anorectal abscess, periurethral abscess, water can perineum

Female- PID, hydro or pro salphinx, Bartholin gland abscess

Infant- ophthalmia neonatarum

Disseminated GC- gonococcal arthritis-dermatitis syndrome,meningitis, endocarditis

Question 9

Culture media used for gonococcal infections

Answer 9

Modified Thayer Martin medium
Chaka Mayer medium
New York City medium
GC lect medium
Martin Lewis medium
Amies medium- transport medium

Question 10

Treatment for uncomplicated gonococcal urethritis,cervicitis, rectum

Answer 10

Inj.Ceftriaxone 500mg I’m single dose
Cephalosporins allergy- gentamicin 240mg Imsingle dose + azithromycin 2gm orally single dose
Ceftriaxone not available- cefixime 800mg single dose

Question 11

Rx for uncomplicated gonococcal pharyngitis

Answer 11

Ceftriaxone 500mg in single dose

Question 12

Rx for gonococcal urethritis in pregnancy

Answer 12

Ceftriaxone 500mg I’m stat

Question 13

Rx for gonococcal conjunctivitis

Answer 13

Ceftriaxone 1gm I’m stat

Question 14

Rx for uncomplicated gonococcal vulvovaginitis, cervicitis, urethritis, pharyngitis, proctitis, children <45kg

Answer 14

Ceftriaxone 25-50mg/kg body weight by iv or I’m single dose- should not exceed 250 mg

Question 15

Rx for ophthalmia neonatarum

Answer 15

Ceftriaxone 25-50 mg /kg I’ve or I’m single dose
Not exceeding 250mg

Question 16

Rx for disseminated gonococcal infection

Answer 16

Ceftriaxone 1gm Im or iv for every 24 hours- till symptomatically better

Question 17

Rx for gonococcal meningitis and endocarditis

Answer 17

Ceftriaxone 1-2gm I’ve every 12 hours for 10-14 days- meningitis
28 days for endocarditis