STIs

Question 1

what is neisseria gonorrhoea

Answer 1

aerobic, gram negative diplococci

Question 2

how is gonorrhoea transmitted

Answer 2

direct contact of mucosal surfaces

Question 3

symptoms of gonorrhoea

Answer 3

Low abdomen pain, diarrhoea, rectal bleeding, anal discharge, tenesmus
NONE

Question 4

incubation period of gonorrhoea

Answer 4

short - 5-10 days

Question 5

what does proctoscopy of gonorrhoea show

Answer 5

inflamed mucosa

purulent exudate

Question 6

complications of gonorrhoea

Answer 6

abscess formation

inc susceptibility/transmissibility of HIV

Question 7

chlamydia trachomatis transmission

Answer 7

same as gonorrhoea

Question 8

what is chlamydia trachomatis

Answer 8

an STI that can cause infantile pneumonia

Question 9

how is chlamydia trachomatis tested for

Answer 9

PCR of mothers urine or pernasal swab

Question 10

chlamydia trachomatis symtpoms

Answer 10

none

anal discomfort or itch and discharge

Question 11

what is more severe - gonorrhoea or chlamydia

Answer 11

gonorrhoea

Question 12

rectal chlamydia treat

Answer 12

azithromycin and doxycycline

Question 13

presentation of primary syphilis

Answer 13

solitary painless ulcer

Question 14

presentation of 2y syphilis

Answer 14

Mucosal patches and ulcers
Mouth, anogenital, rectal
Condylomata lata
Systemic inflammation
Hepatitis

Question 15

herpes simplex transmission

Answer 15

ano geneital or oro anal

Question 16

which herpes is it usually

Answer 16

HSV 2

Question 17

where does herpes usually effect

Answer 17

peri anal mucosa but may extend into rectum

Question 18

heres symptoms

Answer 18

pain, ulcers, painful defaecation, bleeding, mucus, viraemic symptoms (in primary infection)

Question 19

HPV transmission

Answer 19

ano genital or oro anal

Question 20

what does HPV usually cause

Answer 20

anal warts

Question 21

what is Lymphogranuloma venereum associated with

Answer 21

group sex
drug use
syphilis
hep C

Question 22

Lymphogranuloma venereum 1y CF

Answer 22

ulcer

Question 23

Lymphogranuloma venereum 2y CF

Answer 23

inguinal syndrome and anorectal syndrome

Question 24

Lymphogranuloma venereum 3y features

Answer 24

stricture
fistula
genial elephantiasis

Question 25

if someone has LGV what do we also test them for

Answer 25

HIV , Hep C and syphilis

Question 26

what occurs in HIV

Answer 26

depletion of intestinal gut associated lymphoid tissue