STI

Question 1

What is the treatment for chlamydia?

Answer 1

doxycycline 100mg bd for 7 days
OR
azithromycin 1g as single dose

Question 2

What is the treatment for gonorrhoea?

Answer 2

ceftriaxone 500mg in 2ml 1% lidocaine IM (or 500mg IV)
AND
azithromycin 1g as single oral dose

Question 3

What is the treatment for trichomoniasis?

Answer 3

oral metronidazole 2g as single dose

Question 4

What is the treatment for bacterial vaginosis?

Answer 4

oral metronidazole 400mg bd for 7 days

Question 5

Clinical features and diagnosis of bacterial vaginosis

Answer 5

Thin white/grey homogenous discharge
Malodorous discharge
High vaginal swab and prepare a slide for gram stain and microscopy ….looking for presence of clue cells on wet prep slide
Vaginal fluid pH >4.5 (using pH paper)

Question 6

Clinical features and diagnosis of chlamydia

Answer 6

Dysuria
Dyspareunia 
Discharge - white vaginal or penile d/c
Testicular or pelvic pain
ano-rectal symptoms (discharge, pain)
Intermenstrual bleeding
Post-coital bleeding

Endocervical swab or self collected swab for NAAT
First pass urine for NAAT (men or women, swabs preferred for women)

Question 7

Treatment for first episode genital herpes

Answer 7

aciclovir 400mg tds for 10 days. Stop after 5 days if clinical response is rapid.