STIs Flashcards

1
Q

What type of organism is chalamydia?

A

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

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2
Q

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

A

Seen in HIV patients.

Genital ulcers with painful inguinal lymphadenopathy.

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3
Q

Investigations for chlamydia?

A

Males = first pass urine.

Females asyptomatic = VVS

Females Symptomatic = speculum and endocervical swab (high vaginal)

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4
Q

Kay facts about chalymadia testing

A

Need to wait 2 weeks post UPSI

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

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5
Q

1st line treatment of chlamydia

A

Azithromycin 1g

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6
Q

Chlamydia serological grouping?

A

A- C = eyes

D - K = genitals

L1-L3 = lymphogranuloma

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7
Q

Which STI causes Reiters syndrome?

A

Chlamydia/

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8
Q

Main risk of untreated chlamydia in women?

A

PID, females with claymadia often complain of intermesntrual bleeding.

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9
Q

What type of bacteria is gonorrhoea?

A

Gram negative diplodocus. Kidney bean

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10
Q

How does gonorrhoea present?

A

Smelly mucopurulent discharge

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11
Q

incubation of gonorrhoea?

A

Rapid, 2-5 days.

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12
Q

Management of gonorrhoea?

A

IM Ceftriazone and Axithromycin.

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13
Q

Post treatment gonorrhoea?

A

Do a test of cure and contract trace.

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14
Q

Causative organism in syphillis?

A

Treponema pallidum.

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15
Q

Primar syphillis presents with what?

A

Painless change (9-90 days)

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16
Q

Candida presentation and Rx?

A

Itchy white discharge.

Topical clotrimazole Lessard or oral fluconazole.

17
Q

Bacterial vaginosis

A

pH > 4.5

Garnerlla vaginalais.

Fishy, +ve whiff test, Clu cells

Rx = metronidazole.

18
Q

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

A

Microscopy of urethral endocetbvbical swabs.

19
Q

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

A

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

20
Q

Screening test for syphillis?

A

IgM/IgG ELISA

21
Q

How do you measure response to treatment in syphillis?

22
Q

What remains positive for life in syphillis?

23
Q

Management of syphillis/?

A

Long acting IM Penicclin (2.4 mu)

24
Q

In what STI do you get a strawberry cervix?

A

Trichomnoas vaginalais.

25
Treatment of trichomonas
Metronidazole
26
What is the organism in trichomonas?
Flagellated Protozoa.
27
Management of herpes simplex?
Oral aciclovir and analgesia.
28
What should you do if 1st episode of herpes is in 3rd trimester?
Inform O+G Review birth plan May need sectioni
29
management team of pubic lice?
Malathion lotion.
30
When should you investigate for syphillis?
3 months after potential exposure./