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Repro > STI booklet > Flashcards

STI booklet Flashcards

1
Q

Here are the major STIs, match them with a causative organisms:

  • Gonorrhoea
  • Chlamydia
  • Trichomoniasis
  • Anogenital Warts
  • Herpes
  • Syphilis
A
  • Neisseria Gonorrhoea
  • Chlamydia Trachomatis
  • Trichomonas Vaginalis
  • HPV 6 & 11
  • HSV 1 & 2
  • Treponema Pallidum
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2
Q

Which STI is characterised by a thick yellow discharge along with IMB/PCB?

A

Gonorrhoea

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3
Q

You suspect gonorrhoea, how do you check?

A

Swab for culture, staining & NAAT

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4
Q

What Abx are used in treatment of Gonorrhoea?

A

Ceftriaxone & Azithromycin

Ceftriaxone also used for Neisseria Meningitidis
(Azithromycin also used for chlamydia)

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5
Q

What complications of gonorrhoea would you warn your patient about?

A
  • PID
  • Ectopic pregnancy
  • Bartholin’s accesses
  • infertility

MEN
- Epidydimitis

BOTH 
- mono arthritis of shoulder or elbow
- disseminated: 
skin lesions
Polyarthalgia 
septic arthritis
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6
Q

Which STI is characterised by a watery discharge, dysuria & IMB/PCB?

A

Chlamydia

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7
Q

How do you confirm Chlamydia and treat it?

A

Swab or urine for NAAT

Azithromycin & Doxycyclin

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8
Q

What risks come with chlamydia infection?

A
  • PID
  • Epidydimitis

Infertility
Conjunctivitis
Reactive Arthritis (Reiter’s Syndrome)
Urethritis

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9
Q

Which STI is characterised by itching & burning sensation + vesicles & ulcers & dysuria?

A

Herpes

Can also cause inguinal lymphadenopathy
Flu like symptoms
Neuralgic back, pelvic & leg pain

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10
Q

How do we confirm Herpes and treat it?

A

Clinical diagnose +/- swab for PCR

Aciclovir + Lidocaine ointment

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11
Q

Which STI is characterised by thin green frothy discharge & foul smell?

A

Trichomoniasis

A parasitic infection

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12
Q

how do you confirm Trichomoniasis and treat it?

A

Vaginal Swab for PCR

Metronidazole (just like other parasitic infections e.g. Giardia Lamblia)

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13
Q

How do we diagnose and treat Anogenital warts?

A

Clinically but can biopsy if unsure

Imiquimod
Podophyllotoxin
Cryotherapy
Diathermy

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14
Q

Who gets Syphilis?

A

MSM

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15
Q

How do you spot syphilis?

A

Early you get a local ulcer

Secondary syphilis can cause rash, mucosal ulcer, neuro symptoms or alopecia

Tertitary can also neuro, CV or gum symptoms

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16
Q

How would you confirm and treat syphilis?

A

Clinical + Serology + PCR ulcer

Doxycycline or Benzyl Penicillin

17
Q

What does metronidazole treat?

A
  • Bacterial Vaginosis (With clindamycin)

- Trichomoniasis

18
Q

What does doxycycline treat?

A

Syphilis( With Benzyl penicillin)

Chlamydia (With Azithromycin)

19
Q

What does Azithromycin treat?

A

Chlamydia (With doxycylcin)

Gonorrhoea (with ceftriaxone)

20
Q

What is the incubation period for neisseria gonorrhoea?

A

5-6 days

range 2 days to 2 weeks

21
Q

what is the incubation period from HSV?

A

5 days to a few months

22
Q

what is the incubation period for Syphilis ?

A

9 to 90 days

23
Q

complications of herpes?

A

autonomic neuropathy
neonatal infection
secondary infection

HSV2 associated with HIV

24
Q

epidemiology for:

  • Gonorrhoea
  • Chlamydia
  • Herpes
  • Trichomoniasis
  • Anogeniral warts
  • Syphillis
A
  • Gonorrea: common 120cases per/y
  • Chlamydia: very common- 2000cases per year
  • HSV: 15-20% of the population
  • Trichomoniasis- uncommon
  • HSV: very common- 90% of population. Only 20% of population has wart like symptoms
  • Syphillis: 20 cases per year
25
Q

Syphillis different stages?

A 
Primary: Local ulcer (Chancre)
Secondary: 
o	Rash 
o	Mucosal ulceration 
o	Neuro symptoms 
o	Patchy alopecia 
o	Other symptoms

Early latent
o No symptoms but <2 years since caught

Late latent
o No symptoms but >2 years since caught

Tertiary
o Neuro, cardio or gummatous
o Skin lesions

26
Q

Complications of syphillis?

A

o neurosyphilis – cranial nerve palsies are commonest
o cardiac or aortal involvement.
o Congenital syphilis (extremely rare in Scotland).

Repro (40 decks)

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