STIs

Question 1

What is HSV 1 associated with?

Answer 1

Oral Herpes - cold sores

herpes simplex type 1

Question 2

Clinical features of Gonorrhoea, diagnosis and management?

Answer 2

mucopurulent/purulent penile/vaginal discharge

NAATs

• urine men
• swab women

Ceftriaxone 500mg IM single dose with Azithromicon 1g PO single dose

Question 3

Chlamydia - predominant feature and treatment

Answer 3

Vaginal discharge

doxycycline 100mg PO 7days
or
azithromycin 1g PO

Question 4

Gonorrhoea - predominant feature and treatment

Answer 4

Purulent discharge

ceftriaxone 250mg/500mg IM

Question 5

Thrush - predominant feature and treatment

Answer 5

Cottage cheese discharge

clotrimazole 1%

Question 6

Bacterial Vaginosis - predominant features and treatment

Answer 6

grey-white discharge
clue cells
fishy odour

metronidazole 2g PO
or
Clindamycin 2% 7 days at night

Question 7

Syphilis - predominant features and treatment

Answer 7

primary chancre
flu-like illness
latent phase
tertiary features

Benzylpenicillin IM
duration and dose depends on features

Question 8

Trichomoniasis - predominant features and treatment

Answer 8

thin/frothy discharge
strawberry cervix

metronidazole 400-500mg PO BD 5-7days
or
2g PO

Question 9

Genital Warts - predominant features and treatment

Answer 9

ulceration HPV6/11

cyrotherapy
or
podophyllum 0.5% 3days

Question 10

Genital herpes - predominant features and treatment

Answer 10

ulceration HSV1=face HSV2=genitals

acyclovir 400mg PO TDS 5days