STIs

Question 1

1. What is characteristic of bacterial vaginosis?
2. What is the treatment

Answer 1

1) Fishy discharge and a PH over 5.5.

Clue Cells

2) Treat with metronidazole

Question 2

1. What is characteristic of candida?
2. What is the treatment?

Answer 2

1. Red, sore, fissure vagina with cottage cheese discharge
2. Treatment - Clotrimazole of fluconazole

Question 3

1. What is characteristic of Trichomonas vaginalis?
2. What is the treatment?

Answer 3

1. Bubble white, frothy discharge and a strawberry cervix
2. Treat - Metronidazole

Question 5

1. What are the symptoms of gonorrhea
2. Where can it colonise?
3. Complications
4. How do you test?
5. What is the treatment?

Answer 5

1. Urethritis (Dysuria, discharge)
2. Any epithelium so pharynx, rectum, urethra, conjunctiva
3. Infertility, reactive arthritis
4. Endocervical swab in females and first pass urine in males
5. Ceftriaxone and azithromycin

Question 6

What causes herpes and what are the symptoms?

Treatment?

Answer 6

1) Oral - HSV1

Genital HSV2 but these can swap.

Causes painful ulcers, inguinal lymphadenopathy, dysuria

2) treat with aciclovir

Question 7

1. What are the symptoms of chlamydia?
2. Test?
3. Treatment?
4. Complications?

Answer 7

1. Urethritis - discharge and dysuria but may be no symptoms
2. First pass urine
3. Treatment - Doxy/Azi
4. Ectopic, PID

Question 9

1. What causes syphillis and who is it common in?
2. What is the symptom of primary infection?
3. Secondary infection?
4. Tertiary
5. Treatment?

Answer 9

1. T.pallidum - MSM
2. Primary chancre - painless ulcer
3. 6 weeks - 6 months - characteristic rash, hepatitis, alopecia, uveitis, meningitis, lymphadenopathy
4. Over 2 years - Neurosyphillis (dorsal columns) granulomas, AAA, aortic regurg
5. Penicillin - NB Jarisch–Herxheimer reaction which resembles sepsis

Question 10

1. What causes genital warts? Which ones are oncogenic?
2. How are they passed?
3. Treatment?

Answer 10

1. HPV 6,11 (16/18 oncogenic)
2. Direct contact
3. Cryofreezing, excision, cream (podophyllin)

Question 11

What bloods suggest HIv?

Answer 11

CD2 <200

Absolute lymphocyte <1

High Igs - Polyclonal

Question 12

What are some signs suggestive of HIV?

Answer 12

Oral hairy leukoplakia

Seborhoeic dermatitis

Molluscum contagiosum in adults

Multi dermatome shingles and herpes opthalmaticus (hutchinsons sign)

Eyelash hypertichomegaly

Oral candidiasis

Hyperpigmented nailes in non caucasions

Question 13

What are some AIDS defining illnesses?

Answer 13

Cerebral toxoplasmosis

PCP

Karposis Sarcoma

Oesophageal candidiasis

Primary brain lymphoma (EBV)

Cryptococcal meningitis

Question 14

What is this in HIV patient?

Answer 14

Multi enhanced lesions with surrounding oedema

Cerebral toxoplasmosis

Question 15

What is this?

Answer 15

Eyelash hypertrichosis

Question 16

What is this and how do you know?

Signs?

Symptoms?

Answer 16

PCP - perihilar consolidation

Often no signs

Non specfic - dyspnoea and non productive cough