STIs

Question 1

What type of organism is chalamydia?

Answer 1

Does not stain with gram stain as no peptidoglycan in cell wall.

Question 2

Chlamydia L1 L3 is lymphohgranuloma venerum, how does it present?

Answer 2

Seen in HIV patients.

Genital ulcers with painful inguinal lymphadenopathy.

Question 3

Investigations for chlamydia?

Answer 3

Males = first pass urine.

Females asyptomatic = VVS

Females Symptomatic = speculum and endocervical swab (high vaginal)

Question 4

Kay facts about chalymadia testing

Answer 4

Need to wait 2 weeks post UPSI

All samples sent for PCR/NAAT which is a combined test for chlamydia and gonorrhoea.

Question 5

1st line treatment of chlamydia

Answer 5

Azithromycin 1g

Question 6

Chlamydia serological grouping?

Answer 6

A- C = eyes

D - K = genitals

L1-L3 = lymphogranuloma

Question 7

Which STI causes Reiters syndrome?

Answer 7

Chlamydia/

Question 8

Main risk of untreated chlamydia in women?

Answer 8

PID, females with claymadia often complain of intermesntrual bleeding.

Question 9

What type of bacteria is gonorrhoea?

Answer 9

Gram negative diplodocus. Kidney bean

Question 10

How does gonorrhoea present?

Answer 10

Smelly mucopurulent discharge

Question 11

incubation of gonorrhoea?

Answer 11

Rapid, 2-5 days.

Question 12

Management of gonorrhoea?

Answer 12

IM Ceftriazone and Axithromycin.

Question 13

Post treatment gonorrhoea?

Answer 13

Do a test of cure and contract trace.

Question 14

Causative organism in syphillis?

Answer 14

Treponema pallidum.

Question 15

Primar syphillis presents with what?

Answer 15

Painless change (9-90 days)

Question 16

Candida presentation and Rx?

Answer 16

Itchy white discharge.

Topical clotrimazole Lessard or oral fluconazole.

Question 17

Bacterial vaginosis

Answer 17

pH > 4.5

Garnerlla vaginalais.

Fishy, +ve whiff test, Clu cells

Rx = metronidazole.

Question 18

What other tests or that PCR/NAAT can be undertaken for gonorrhoea?

Answer 18

Microscopy of urethral endocetbvbical swabs.

Question 19

Note: syphillis does not stain with gram stain how do u test?

Answer 19

Syphillis rash is typically on the palms and soles of feet (condylomata lata)

Question 20

Screening test for syphillis?

Answer 20

IgM/IgG ELISA

Question 21

How do you measure response to treatment in syphillis?

Answer 21

VDRL/RPR

Question 22

What remains positive for life in syphillis?

Answer 22

TPPA/TPHA

Question 23

Management of syphillis/?

Answer 23

Long acting IM Penicclin (2.4 mu)

Question 24

In what STI do you get a strawberry cervix?

Answer 24

Trichomnoas vaginalais.

Question 25

Treatment of trichomonas

Answer 25

Metronidazole

Question 26

What is the organism in trichomonas?

Answer 26

Flagellated Protozoa.

Question 27

Management of herpes simplex?

Answer 27

Oral aciclovir and analgesia.

Question 28

What should you do if 1st episode of herpes is in 3rd trimester?

Answer 28

Inform O+G
Review birth plan
May need sectioni

Question 29

management team of pubic lice?

Answer 29

Malathion lotion.

Question 30

When should you investigate for syphillis?

Answer 30

3 months after potential exposure./