sti

Question 1

What is reiters disease ?

Answer 1

cant see cant pee cant climb a tree

conjunctivitits, uretitis, reactive arthritis
gu manefestations - circinate balanitis
GI manifestations - keratoderma blenhorgian hard nodules on foot - look like psoraisais on penis and foot

Rx- hydrocortisone and imidazole

Question 2

What is the reaction to first dose of syphillis medications

Answer 2

jarrisch heihermer - tachycardia, rash and fever

Question 3

what causes herpes and where?

Answer 3

HSV1 - MOUTH

HSV 2- GENITALS

Question 4

rimary reaction in herpes

Answer 4

1. gingostomatitis - ulcers on mourth and submandibular lymphadenopathy Mx - aciclovir chlorohexidine mouthwash
2. Cold sores - Mx - topical acicilovir
3. Painful genital ulcers - Mx - oral acicilovir

Question 5

What is herpes zoster opthalmicus

Answer 5

rash around the eyes in particular Hutchinsons rash on tip or side of nose indicates nasocillary involvment it is a vsicular rash involving the actual eye

As a reasult there is loads of nerve and eye related complications such as ptosis and post hepatitc neuralgia

Question 6

how does genital herpes present ?

Answer 6

initally associated with fever then later less severe and localised to one side

Question 7

Symptoms of chancroid

Answer 7

unilateral inguinal lymphadenopathy that is enlarged and supparative with ragged sharpley defined wider determined border known as BUBOES

single/multiple painful ulcers - so is differentiated by herpes by the fact that phimosis is present (this is inflammed foreskin which is hard to retract) it is differentiated from syphilis by the fact that it is painless

Question 8

A pap smear showed multinucleated giant cells with margins of chromatin and moudling of the nuclei what does this mean?

Answer 8

its herpes

Question 9

symptoms of LGV - 3P’S

Answer 9

small painless pustules wider determined border
painful lymphadenopathy - UNIQUE TO THIS
proctocolitis - ALSO UNIQUE

Question 10

single ulcer with no previous symptoms

Answer 10

syphilis

Question 11

what causes chancroid ?.

Answer 11

haemo ducreyi

Question 12

Chylamidia symptoms

Answer 12

cervisitis - discharge and bleeding with dysuria

men urethral dishcarge and dysuria

Question 13

difference between TV and BV

Answer 13

TV - yellow/green frothy discharge
BV- thin white (mucoid) discharge

TV - wet mount mobile trophblasts- eosinophilic cytoplasm surronded by neutrophils and segmented nuclei
BV- clue cells

TV- strawberry cervix due to vulvovaginitis

Bot have offensive discharge and an increaase inn vaginal ph therefore they are both treated with oral mentronidazole

Question 14

Candidia signs and causes

Answer 14

itching pain urinating and white discharge with white plaques caused by the gardella bacteria

Question 15

Syphilis stages and treatment ?

Answer 15

primary - chancre - painless penile ulcer - not seen in women as lesion may be in cervix
secondary - 6-10 weeks later - fever rash is trunk palms and soles like chickenpox
teritary features - gummas granulomatous lesions of skin and bones

treatment - benzylpenecillin /doxy

Question 16

Syphilis baby signs

Answer 16

S- saber shins
y
P
h- hutchensons teeth - mulberry molars
i - i cant hear - deafness
l - look at the white patch on my feet - ketatitis
R- rhagades - linear scars at the angle of the mouth

Question 17

BV BABY

Answer 17

CHORIAMNIONITIS - smelly diachrge in preganacy after membrane rupture
preterm labour
body weight
oral metronidazole in pregnancy

Question 18

which herpes causes roseola in infants

Answer 18

HSV 6 chest then limbs like measles but no koplik spots

Question 19

Signs of tuberous sclerosis

Answer 19

thickened skin on back - shagreens patch