STI

Question 1

gonococcal ceftriaxone tx

Answer 1

500mg IM single dose

Question 2

gonococcal chlamydia add on

Answer 2

doxycycline 100mg BD 7d

Question 3

managing sex partners

Answer 3

treat partners in last 60d
abstain 7d after
abstain until all partners treated

Question 4

gonorrhoea sx

Answer 4

males - purulent discharge

females no signs or sx or mucopurulent

Question 5

chlamydia signs

Answer 5

1 to 3 weeks after sexual context. yellow discharge from genitals, pain when urinating

Question 6

chlamydia alternatives

Answer 6

azithromycin 1g in single dose
levo 500mg od 7d

Question 7

syphilis sx

Answer 7

1w to 3m after contact
painless or painful sore on genital, anus, mouth
rashes on face, palms, soles

Question 8

syphilis mgmt primary

Answer 8

benzathine pen g 2.4MU 1 dose

Question 9

syphilis monitoring

Answer 9

• febrile within first 24hrs of therapy
• quantitative vdl 6,12,24m (decrease by at least 4-fold)

Question 10

late latent tx

Answer 10

IM benza pen g 2.4mu once weekly 3 doses

Question 11

neurosyph tx

Answer 11

crystalline pen g 3-4mu q4h

OR
18-24 mu/d x 10-14d

Question 12

genital herpes sx

Answer 12

small blisters to form ulcers in genital or anal region

Question 13

herpes tx 1st ep PO acyclovir

Answer 13

acyclovir po 400mg tds 7-10d

Question 14

herpes iv first line acyclovir (severe)

Answer 14

5-10mg/kg q8h 2-7d

followed by PO 400mg TDS for a total period of 10d of tx

Question 15

valacyclovir herpes 1st

Answer 15

po 1g bd 7-10d

Question 16

antiviral (acyclovir, val) SE

Answer 16

malaise, headache, NVD, acute hydration to prevent crystallisation in renal tubules

Question 17

chronic therapy Acy

Answer 17

acyclovir 400mg BD

Question 18

chronic therapy val

Answer 18

500mg -1g OD

Question 19

episodic herpes therapy

Answer 19

acy 800mg BD/ 5d
acy 800mg TDS/ 2d
val 500mg BD / 5d
val 1g OD 5d