STIs

Question 1

What are some complications of chlamydia? (4)

Answer 1

• PID
• Tubal damage
• Chronic pelvic pain
• Adult conjunctivitis

Question 2

What is the sample is required form men and women to test for chlamydia and how would it be treated?

Answer 2

• Men: first pass urine.
• Women: vulvovaginal swab.

Azithromycin 1g oral followed by doxycycline 100mg BD for 7 days.

Question 3

If a male were to present with urethral discharge, what is it most likely to be?

Answer 3

Gonorrhoea

Question 4

Which STI requires a “test of cure”?

Answer 4

Gonorrhoea

Question 5

What testing would be done if genital herpes was in the differential?

Answer 5

PCR test of swab from de-roofed blister

Question 6

In secondary syphilis, what is the name given to the most highly infectious lesion in the disease?

Answer 6

Condylomata lata

Question 7

Which 2 STIs are routinely diagnosed clinically? State the treatment for each

Answer 7

• Candida: topical clotrimazole (pessary or cream).

- Bacterial vaginosis: metronidazole 400mg oral BD.

Question 8

40 y/o presenting with pain in the lower abdomen and dysuria.

What is the likely diagnosis and how would it be treated?

Answer 8

Prostatitis: ciprofloxacin for 28days.