STIs

Question 1

organism for gonorroea

Answer 1

Neisseria gonorroea

Question 2

incubation period gonnorrhoea

Answer 2

2-14 days

Question 3

features gonorrhoea men

Answer 3

10% asymptomatic. anterior urethritis- dysuria and urethral discharge

Question 4

complications gonorrhoea men

Answer 4

ascending infection

Question 5

features gonorrhoea women

Answer 5

50% asymptomatic. discharge, pelvic pain, dysuria, intermenstrual bleeding

Question 6

complications gonorrhoea women

Answer 6

bartholins abscess, perihepatitis, infertility, conjunctival infection in newborn

Question 7

treatment gonorrhoea

Answer 7

single dose ceftriaxone

Question 8

what organism causes chlamydia

Answer 8

chlamydia trachomatis

Question 9

features chlamydia men

Answer 9

anterior urethritis- dysuria and discharge. ascending infection- epididymitis, rectal-proctitis

Question 10

how many men are asymptomatic in chlamydia

Answer 10

50%

Question 11

where is the common site chlamydia and gonorrhoea in women

Answer 11

endocervix

Question 12

how many women are asymptomatic chlamydia

Answer 12

80%

Question 13

features chlamydia women

Answer 13

discharge, post coital or intermenstrual bleeding, lower abdominal pain. salpingitis ascengin infection.

Question 14

what can chlamydia do to newborn

Answer 14

mucopurulent conjunctivitis and pneumonia

Question 15

diagnostic chlamydia

Answer 15

NAAT - nucleic acid amplification test

Question 16

what are the samples to be tested in chlamydia

Answer 16

men- first voided urine. women- endocervical and urethral swabs

Question 17

treatment chlamydia

Answer 17

azithromycin single dose or doxy 7 days

Question 18

how long may NAAT stay positive for after treatment

Answer 18

5 weeks

Question 19

what organism causes syphillis

Answer 19

treponema pallidum

Question 20

types of syphilis

Answer 20

congenital, acquired

Question 21

what is primary syphilis

Answer 21

10-90 days papule develops. ulcerates- firm chancre. painless lymphadenopathy. healing at 2-3 weeks

Question 22

what is secondary syphilis

Answer 22

4-10 weeks after primary lesion. fever, sore throat, malaise, arthralgia

Question 23

features secondary syphilis

Answer 23

any organ can be affected- hepatitis, nephritis, arthritis, meningitis; lymphadenopathy, skin rash, superficial ulceration, neuro signs

Question 24

what happens to untreated syphilis in pregnant woman

Answer 24

70% foetuses infected. 30% stillbirth

Question 25

what is early latency syphilis

Answer 25

symptoms abate over 3-12 weeks. may recur in 2 years

Question 26

what is late latency syphilis

Answer 26

no clinical signs for 2 years

Question 27

what is tertiary syphilis

Answer 27

late benign syphilis. gumma (sometimes ulcerating lesions) can occur anywhere in the skin

Question 28

treatment syphilis

Answer 28

benzathine penicillin. benzylpenicillin, doxy, erythromycin

Question 29

what ab should be used to treat syphilis in pregnancy

Answer 29

erythromycin

Question 30

tests in syphilis

Answer 30

cardiolipin antibody, treponeme-specific antibody. microscopy

Question 31

features BV

Answer 31

greyish white adherent discharge, fishy odour, amine test >4.7, clue cells on microscopy

Question 32

treatment BV

Answer 32

metronidazole 5-7 days, topical clindamycin intravaginally 7 days

Question 33

organism in candida

Answer 33

candida albicans

Question 34

what can candida do to men

Answer 34

balanitis- inflame head of penis

Question 35

predisposing risk factors for candida

Answer 35

pregnancy, diabetes, broad spec antibios, corticosteroids

Question 36

features candida women

Answer 36

pruritus vulvae, vaginal discharge, erythema swelling of vulva broken skin sometimes

Question 37

features candida men

Answer 37

burning penile irritation after sex

Question 38

diagnosis candida

Answer 38

microscopic exam of smear from vagina wall. culture of swabs

Question 39

treatment candida

Answer 39

pessary or cream containing imidazole. clotrimazole. oral fluconazole. itraconazole.

Question 40

treatment recurrent candida

Answer 40

fluconazole