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obs and gynae > STDs > Flashcards

STDs Flashcards

1
Q

obligate intracellular gram negative bacterium

A

chlamydia

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2
Q

which serological groupings associated with eyes?

A

A-C

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3
Q

genital?

A

A-K

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4
Q

which grouping seen in HIV patients?

A

L1-L3

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5
Q

main bacteria of bacterial flora?

A

lactobacillus

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6
Q

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

A

keratoderma blenorrhagica

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7
Q

what irregular menstrual bleeding is especially common in chlamydiea?

A

intermenstrual bleeding

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8
Q

males invvestigation?

A

first pass urine

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9
Q

asymptomatic females?

A

VULVOVAGINAL SWAB

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10
Q

investigation for symptomatic ?

A

high vaginal swab

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11
Q

how long do you need to wit for post UPSI?

A

2 weeks

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12
Q

what is the combined test for chlamydia and gonorrhoea?

A

PCR/NAAT

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13
Q

treatment of chlamydia?

A

azithromycin

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14
Q

second line treatment ?

A

doxycycline

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15
Q

what can transmission to neonates cause?

A

pneumonia and conjunctivitis

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16
Q

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

A

gonorrhoea (goes up tubes faster)

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17
Q

symptomatic gonorrhoea?

A

smelly yellow discharge and associated dysuria

18
Q

investigation for symptomatic/asymptomatic females?

A

vulvovaginal for asymptomatic

symptomatic = speculum and endocervical

19
Q

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

A

PCR/NAAT

20
Q

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

A

yes

21
Q

is there a test of cure for gonorrhoea

A

yes

22
Q

treatment of gonorrhoea?

A

500mg IM ceftriaxone and 1g azithromycin

23
Q

2nd line for gonorrgoea?

A

oral cefixime and azithromycin

24
Q

causative organism of syphillis?

A

spirochaete bacterium called treponema palladium

25
Q

primary presentation of syphillis?

A

painless chancre (on genitals)

26
Q

secondary symptoms

A

mouth ulcers, generalised maculopapular rash, generalised lymphadenopathy

27
Q

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

A

condylomata lata

28
Q

tertiary infection

A

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

29
Q

investigation of syphillis (3 months)

A

dark ground microscopy: spirochetes

30
Q

serology for syphilis

A

IgG/IgM ELISA

31
Q

what is the test of cure?

A

monitor VRDL levels

32
Q

management of syphillis>

A

2.4MU benzathine penicillin IM

33
Q

enveloped DNA virus?

A

herpes

34
Q

what are the two types of HSV involved ?

A

HSV1 and HSV2

35
Q

management of trichomonas vaginalis

A

metronidazole

36
Q

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

A

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

37
Q

when do you see clue cells?

A

bacterial vaginosis

38
Q

watery vaginal discharge with fishy smell, alkali ?

A

bacterial vaginosis

39
Q

treatment of bacterial vaginosis?

A

metronidazole

40
Q

microbiology of bacterial vaginosis

A

mixed anaerobic overgrowth

obs and gynae (20 decks)

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