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sexual health > STI > Flashcards

STI Flashcards

1
Q

what should be done first speculum or STI check

A

STI check

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2
Q

how to test for GC/CT in female

A

Vulvovaginal swab - NAAT

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3
Q

how to test for STI in men

A

first void urine

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4
Q

what extra test should you perform is symptomatic eg discharge

A

microscopy

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5
Q

what is a normal vaginal pH

A

3.5-4.5

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6
Q

what additional step must be done in vaginal microscopy

A

wet prep

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7
Q

treatment of chlamydia

A

doxycycline 100mg BD for 1 week

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8
Q

treatment of PID

A

1G ceftriaxone IM, Doxycycline 100mg BD 2weeks, metronidazole 400mg BD 2 weeks

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9
Q

most common STI

A

chlamydia

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10
Q

incubation of chlamydia

A

7-21 days

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11
Q

what serovars of chlamydia are responsible for neonatal conjunctivitis and PID

A

serovars D-K

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12
Q

what serovars of chlamydia are responsible for

lymphogranuloma venerum

A

serovars L1-L3

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13
Q

what discharge colour is seen in chlamydia in men

A

milky

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14
Q

what type of organism is gonorrhoea

A

gram negative intracellular diplococci

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15
Q

treatment of gonorrhoea

A

Im ceftriaxone 1G

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16
Q

what STI should test for cure be done in

A

gonorrhoea

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17
Q

incubation time for gonorrhoea

A

1-5 days

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18
Q

management of HSV 1

A

aciclovir

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19
Q

cause of genital blisters

A

HSV 1

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20
Q

what causes syphilis

A

treponema pallidum

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21
Q

sphiroceate

A

syphilis

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22
Q

how is syphilis diagnosed

A

serology - PCR

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23
Q

treatment of syphilis

A

benzylypenicillin

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24
Q

condylomata lata

A

syphilis

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25
Q

macular follicular pustular rsh on palms and soles

A

syphilis

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26
Q

what test must be done in syphilis until negative

A

rapid plasma reagent

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27
Q

most common viral STI

A

HPV

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28
Q

high risk HPV

A

18, 16

29
Q

low risk hpv

A

6,11

30
Q

what HPVS are vaccinated for

A

6,11,16,18

31
Q

what HPV responsible for palmer warts

A

1/2

32
Q

cauliflower warts

A

HPV

33
Q

treatment of HPV warts

A

podophyllotoxin
imiquimid
cryotherapy

34
Q

what type of HIV was responsible for epidemic

A

group M of HIV -1

35
Q

what HIV Is seen mostly in Africa

A

HIV 2

36
Q

What surface antigens are seen on an HIV cell

A

GP120, GP 40

37
Q

what receptor does HIV bind to on a non infected cell

A

CCR5 co-receptor and CD4 receptor

38
Q

what enzyme is responsible for replicating viral DNA

A

reverse transcriptase

39
Q

how long after HIV exposure is infection established

A

72 hours

40
Q

how long after HIV exposure is PEP effective

A

72 hours

41
Q

how is HIV disseminated

A

via lymph

42
Q

what cells are targeted in HIV

A

CD4+ cells (T-cells)

43
Q

what is a normal CD4 count

A

500-1600

44
Q

a CD4 count of less than what is bad

A

200

45
Q

average time to death from HIV without treatment

A

9-11

46
Q

what is the CD4 count seen in Pneumocystic pneumonia -PCP (pneumocystis jiroveci)

A

<200

47
Q

what CD4 count is toxoplasmosis seen at

A

<150

48
Q

multiple ring enhancing lesions on CT in HIV

A

toxoplasmosis

49
Q

CD4 count when infected with CMV

A

<50

50
Q

what causes progressive multifocal leukoencephalopathy seen in HIV and what is CD4 count

A

John Cunningham virus cd4<100

51
Q

what is HAART - how many drugs, how many classes

A

HIghyl active anti-retroviral therapy

combo of 3 drug for at least 2 different drug classes

52
Q

a viral load of what is untransmissable

A

<200

53
Q

what drugs make up PrEP

A

tenofovir and emricitabine

54
Q

how long is post exposure prophylaxis taken for

A

4 weeks

55
Q

what is condylomata acuminata

A

genital warts caused by HPV

56
Q

what rashes are seen in secondary syphilis

A

condylomata lata
maculo rash on palms, soles and trunk
buccal snail trail

57
Q

examples of non -treponemal tests in syphilis

A

Rapis plasma reagent
venreal disease researh lab

58
Q

treatment of syphilis

A

IM ben pen

59
Q

things seen in teritary syphilis

A

argyly robertson pupil
gumma

60
Q

what is argyl robertson pupil

A

accomodates but doesnt constrict to light

61
Q

incubation time of syphilis

A

9-90 days

62
Q

symptoms of epidydimo-orchitis

A

testcular pain and swelling
discharge may be present but often not

63
Q

causes of epididymo-orchitis

A

younger adults -chlamydia and gonorrhoea
older - e.coli

64
Q

investigation of epididymo-orchitis

A

younger- STI screen
older - MSU and culture + microscopy

65
Q

causes of non-gonococcal urethritis

A

chlamydia
ureaplasm ureatylicum
mycoplasma genitalium

66
Q

order ivestigation in STI chec for urethritis

A

urethral swabs for gram stain and culture
First void urine for NAAT
revtal swab??

67
Q

how long after gonorrhoea treatment do you test for cure
do you need to partner notify

A

2-3 weeks

yes

68
Q

what colour bottle is used to swab for culture nad microscopy

A

blue

69
Q

what complication seconday to PID involving th eliver may occure

A

heaptic adhesin s- fitz-hugh curtis

sexual health (4 decks)

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