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Repro and Sexual Health > STI tutorial > Flashcards

STI tutorial Flashcards

1
Q

Describe the gram stain of gonococcus?

A

Gram negative
Intracellular
Diplococci organism

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2
Q

What is the treatment for gonococcal infections in the UK?

A

IM ceftriaxone

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3
Q

What are the benefits of NAAT testing in place of culture?

A

Increased sensitivity over culture
Able to test urine specimens
Self-obtained vaginal swabs

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4
Q

What is the main disadvantage of PCR testing for gonorrhoea?

A

Can’t test for sensitivities and therefore cannot monitor resistance

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5
Q

How long do you have to wait for HIV testing results?

A

4 weeks

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6
Q

Do you need to test for cure in gonorrhoea?

A

Yes; in 6 weeks

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7
Q

What is the diagnosis in someone with thick white discharge with intense vulvar itch?

A

Thrush; candida albicans

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8
Q

What is the treatment for thrush?

A

Clotrimazole pessary

Oral fluconazole

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9
Q

Is candida sexually transmitted?

A

No; men can also get thrush though - presents as a balanitis

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10
Q

What is the diagnosis of yellowish vaigal discharge?

A

Trichomonas vaginalis

Single cells protozoal parasite

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11
Q

What is the treatment for trichomonas vaginalis?

A

Oral metronidazole

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12
Q

What HSV causes genital herpes?

A

2

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13
Q

Why can HSV be dangerous?

A

Can cause herpes simplex encephalitis in neonates

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14
Q

What is the treatment for HSV genital herpes?

A

Aciclovir

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15
Q

What types of HPV cause genital warts?

A

6 and 11

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16
Q

What types of HPV cause cervical ca?

A

16 and 18

17
Q

What is the treatment for genital warts?

A

Podophyllotoxin cream
Imiquimod
Cryotherapy

18
Q

What are the causes for genital ulceration?

A

Syphilis

Chancroid

19
Q

What is the tests you can send off for syphilis diagnosis?

A

PCR; dark brown microscopy

Serum IgG and IgM ELISA

20
Q

What should you perform if serum IgG and IgM are positive?

A

IgM; marked or recent untreated infection
TPPA; positive for life in anyone who has or has had syphilis
VDRL; marker of untreated active infection

21
Q

What is the treatment for syphilis?

A

Long acting IM penicillin

22
Q

Do you treat pregnant women with syphilis?

A

YES; congenital syphilis is v dangerous

Go to the efforts to desensitize penicillin allergic pregnant women so you can give IM penicillin

Repro and Sexual Health (77 decks)

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