STI clinical care

Question 1

broadly what are the two types of urethral discharge in males ?

Answer 1

physiological

pathological

Question 2

what are the physiological secretions in males ?

Answer 2

pro-semen

prostatorrhea

Question 3

what are the types of pathological urethral secretions ?

Answer 3

gonococcal

non gonococcal

Question 4

what is the clinical picture of gonococcal urethral secretions ?

Answer 4

profuse, purulent, painful along with dysuria

Question 5

what is the clinical presentation of non-gonoccoal urethral secretions ?

Answer 5

scanty discharge, mild, itching

Question 6

given that you have an asymptomatic patient coming into the STI clinic what is the best first thing to do ?

Answer 6

after history and examination

perform a urine test to check for chlamydia and gonorrhea

Question 7

given that a symptomatic patient came into the STI clinic with symptoms ehat is the investigation that you should ask for ?

Answer 7

1. ask for a urethral swab to check for gonorrhea and chlamydia
2. ask for a blood test to test for syphilis and HIV

Question 8

what is the treatment for gonococcal urethritis ?

Answer 8

either :
cefixime 400 mg single dose
or
azithromycin 1g single dose

Question 9

which of the proposed gonococcal treatments are better ?

Answer 9

the azithromycin as it targets both gonococcal infections along with chlamydia co-infection
single dose therapy should always be chosen whenever possible

Question 10

what is the cure for chlamydia ?

Answer 10

azithromycin

Question 11

what is the cure for gonorrhea ?

Answer 11

cefixime

Question 12

what is the cure for trochomonas ?

Answer 12

metronidazole

Question 13

what is the cure for syphilis ?

Answer 13

benzathine penicillin

Question 14

what is the next best step in management after administration of treatment ?

Answer 14

educate patient about safe sex and the use of condoms
patient must inform partner
test for other STIs
Advice on vaccination regarding Hep A and Hep B

Question 15

If a homosexual man was to present with a single shallow painless ulcer what is the most likely diagnosis ?

Answer 15

syphilis

Question 16

if a male was to present with multiple, grouped painful ulcers what is the most likely diagnosis ?

Answer 16

herpes simplex

Question 17

what is the causative organism in syphilis ?

Answer 17

treponema pallidum

Question 18

what is the causative organism in chlamydia ?

Answer 18

chlamydia trochmatis

Question 19

what is the causative organism of trichomonas ?

Answer 19

trichomonas vaginalis ( mostly happens in women)

Question 20

what is bacterial vaginosis ?

Answer 20

overgrowth of natural vaginal bacteria , not really an STI

Question 21

if a female were to come complaining of white itchy vaginal discharge and only has one sexual partner , what is the most likely diagnosis ?

Answer 21

candida infection ( thrush)

Question 22

if on microscopy we find clue cells, what is the most likley diagnosis ?

Answer 22

bacterial vaginosis

Question 23

what is the treatment for bacterial vaginosis ?

Answer 23

metronidazole

Question 24

what is important to consider when treating chlamydia ?

Answer 24

azithromycin single dose should be given to both the patient and their partner

Question 25

what is the relation between HIV and STIs ?

Answer 25

STIs facilitate HIV transmission