STI's Self-Learning Guide Flashcards
1
Q
What is the causative organism of gonorrhea?
A
Neisseria gonorrhoeae (bacterium)
2
Q
Epidemiology of gonorrhoeae
A
15-24
Men who have sex with men
3
Q
Symptoms of gonorrhea in men
A
- 10% asymptomatic
- Thick yellow discharge
- Dysuria
- Tender inguinal nodes
4
Q
Symptoms of gonorrhea in women
A
- 50% asymptomatic
- Vaginal discharge
- Dysura
- Intermenstural bleeding
- Post-sex bleeding
5
Q
Extra-genital symptoms of gonorrhea
A
- Pharyngitis
- Rectal pain
- Discharge
- Disseminated infection
6
Q
Complications of gonorrhea
A
Men:
- Epididymitis
Women:
- Pelvic inflammatory disease
- Bartholin’s abscesses
Both:
- Acute monoarthritis (elbow/shoulder)
- Skin lesions
7
Q
Incubation period of gonorrhoeae
A
5-6 days
8
Q
Investigations of gonorrhea
A
- Nucleic Acid Amplification Test
9
Q
Treatment of gonorrhea
A
- Blind treatment with ceftriaxone
- Follow up 2 weeks & 3 months
10
Q
What is the causative organism of chlamydia?
A
Chlamydia trachomatis serovars D-K
11
Q
Epidemiology of chlamydia
A
<25yrs
Women
12
Q
Symptoms of chlamydia in men
A
- 70% asymptomatic
- Watery discharge
- Dysuria
13
Q
Symptoms of chlamydia in women
A
- 80% asymptomatic
- Vaginal discharge
- Dysura
- Intermenstural bleeding
- Post-sex bleeding
14
Q
Extra-genital symptoms of chlamydia
A
Conjunctivitis
15
Q
Complications of chlamydia
A
Men:
- Epididymitis
Women:
- Pelvic inflammatory disease
- Ectopic pregnancy
- Pelvic pain
- Infertility
Both:
- Reactive arthritis
- Urethritis/Cervicitis
- Conjunctivitis
- Arthritis
16
Q
Diagnosis of chlamydia
A
NAAT:
- Endo/cervical swab
- Urethral swab
17
Q
Treatment of chlamydia
A
- Doxycycline
- Azithromycin (if pregnant)
Follow up:
3-12 months
