STDs

Question 1

obligate intracellular gram negative bacterium

Answer 1

chlamydia

Question 2

which serological groupings associated with eyes?

Answer 2

A-C

Question 3

genital?

Answer 3

A-K

Question 4

which grouping seen in HIV patients?

Answer 4

L1-L3

Question 5

main bacteria of bacterial flora?

Answer 5

lactobacillus

Question 6

what are the vesicles seen on hands/feet/glands that discharge, crust over and disappear. usually seen in contet of reactive arthritis ?

Answer 6

keratoderma blenorrhagica

Question 7

what irregular menstrual bleeding is especially common in chlamydiea?

Answer 7

intermenstrual bleeding

Question 8

males invvestigation?

Answer 8

first pass urine

Question 9

asymptomatic females?

Answer 9

VULVOVAGINAL SWAB

Question 10

investigation for symptomatic ?

Answer 10

high vaginal swab

Question 11

how long do you need to wit for post UPSI?

Answer 11

2 weeks

Question 12

what is the combined test for chlamydia and gonorrhoea?

Answer 12

PCR/NAAT

Question 13

treatment of chlamydia?

Answer 13

azithromycin

Question 14

second line treatment ?

Answer 14

doxycycline

Question 15

what can transmission to neonates cause?

Answer 15

pneumonia and conjunctivitis

Question 16

gonorrhoea and chlamydia. which has a faster onset of symptoms?

Answer 16

gonorrhoea (goes up tubes faster)

Question 17

symptomatic gonorrhoea?

Answer 17

smelly yellow discharge and associated dysuria

Question 18

investigation for symptomatic/asymptomatic females?

Answer 18

vulvovaginal for asymptomatic

symptomatic = speculum and endocervical

Question 19

all samples are sent for what, which is a combined test for chlamydia and gonorrhoea?

Answer 19

PCR/NAAT

Question 20

do you need to do contact tracing for chlamydia and gonorrhoea?

Answer 20

yes

Question 21

is there a test of cure for gonorrhoea

Answer 21

yes

Question 22

treatment of gonorrhoea?

Answer 22

500mg IM ceftriaxone and 1g azithromycin

Question 23

2nd line for gonorrgoea?

Answer 23

oral cefixime and azithromycin

Question 24

causative organism of syphillis?

Answer 24

spirochaete bacterium called treponema palladium

Question 25

primary presentation of syphillis?

Answer 25

painless chancre (on genitals)

Question 26

secondary symptoms

Answer 26

mouth ulcers, generalised maculopapular rash, generalised lymphadenopathy

Question 27

what are the highly infective, wart like lesions on genitals?

Answer 27

condylomata lata

Question 28

tertiary infection

Answer 28

gumma - granulomatous growths under the skin cardio - aortic regurg, AAA, neuro - focal signs, argyll robertson pupils dementia, psychosis

Question 29

investigation of syphillis (3 months)

Answer 29

dark ground microscopy: spirochetes

Question 30

serology for syphilis

Answer 30

IgG/IgM ELISA

Question 31

what is the test of cure?

Answer 31

monitor VRDL levels

Question 32

management of syphillis>

Answer 32

2.4MU benzathine penicillin IM

Question 33

enveloped DNA virus?

Answer 33

herpes

Question 34

what are the two types of HSV involved ?

Answer 34

HSV1 and HSV2

Question 35

management of trichomonas vaginalis

Answer 35

metronidazole

Question 36

what do you need to counsel about in pregnancy regarding genital herpes?

Answer 36

increased risk of miscarriage in first trimester of pregnancy and may require c section if active infection at labour

Question 37

when do you see clue cells?

Answer 37

bacterial vaginosis

Question 38

watery vaginal discharge with fishy smell, alkali ?

Answer 38

bacterial vaginosis

Question 39

treatment of bacterial vaginosis?

Answer 39

metronidazole

Question 40

microbiology of bacterial vaginosis

Answer 40

mixed anaerobic overgrowth