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3 Reproduction and Sexual Health > STIs > Flashcards

STIs Flashcards

1
Q

presentation of LGV chlamydia?

A

rectal pain
discharge
bleeding
proctitis

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2
Q

who gets LGV chlamydia?

A

MSM

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3
Q

profuse mucopurulent discharge from the penis and painful urination…

A

gonorrhoea

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4
Q

what STI can cause PID?

A

chlamydia

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5
Q

highest age incidence of chlamydia?

A

20-24

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6
Q

female presentation of chlamydia?

A

post-coital/intermenstrual bleeding
lower abdo pain
dyspareunia
mucopurulent cervicitis

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7
Q

main red flag for chlamydia in women?

A

post coital/intermenstrual bleeding

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8
Q

male presentation of male chlamydia?

A 
urethral discharge
dysuria
urethritis
epididymoorchitis
proctitis
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9
Q

complications of chlamydia?

A 
PID
tubal damage
chronic pelvis pain
neonatal transmission
conjunctivitis
reiters
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10
Q

Ix for chlamydia and when should it be done?

A

vulvovaginal swab 14 days after exposure

first void urine in men +/- rectal or oral swab if MSM

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11
Q

Tx of chlamydia

A

doxycycline 100mg bd for 7 days

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12
Q

mycoplasma genitaliun is associated with what symptoms?

A

non gonoccocal urethritis

PID

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13
Q

Ix of mycoplasma genitalium

A 
vulvovaginal swab (f)
first void urine (m)
\+/- rectal or oral swab
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14
Q

gonorrhoea presentation?

A

urethral discharge ++
dysuria
CAN BE ASYMPTOMATIC

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15
Q

gonorrhoea where can particularly be asymptomatic?

A

rectal gonorrhoea

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16
Q

primary sites of infection of gonorrhoea?

A 
mucous membranes of:
urethra
endocervix
rectum
pharynx
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17
Q

incubation period of gonorrhoea?

A

2-5 days

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18
Q

female presentation of gonorrhoea?

A

asymptomatic
increased/altered discharge
dysuria
pelvic pain

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19
Q

how common is asymptomatic gonorrhoea in women?

A

50%

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20
Q

lower GU complications of gonorrhoea?

A

bartholinitis
tysonitis
periurethral abscess
epididymitis

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21
Q

upper GU complications of gonorrhoea?

A 
endometritis
PID
infertility
ectopic
prostatitis
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22
Q

Ix of gonorrhoea

A

screening swabs for microscopy +/- culture

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23
Q

2nd line treatment of gonorrhoea?

A

cefixime 400mg oral

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24
Q

incubation period of genital herpes?

A

3-6 days

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25
Q

duration of genital herpes?

A

2-3 weeks

26
Q

presentation of herpes?

A 
blistering and ulceration of the external genitalia
pain
external dysuria
vaginal/urethral discharge
local lymphadenopathy
fever and myalgia (prodrome)
27
Q

prodromal features of genital HSV

A

fever

myalgia

28
Q

how many recurrent attacks will you get from genital HSV1

A

1 attack every 12-18 months

29
Q

how many recurrent attacks will you get for genital HSV2

A

4-6 per year

30
Q

herpes gets less severe over time T or F

A

T

31
Q

describe the distribution of recurrent herpes?

A

unilateral, small blisters and ulcers

32
Q

when should recurrent episodes of GHSV resolve?

A

5-7 days

33
Q

Ix herpes

A

swab base of ulcer for HSV PCR

34
Q

Tx of herpes (include dose and duration)

A

oral aciclovir 400mg TDS for 5 days
saline bathing
analgesia

35
Q

viral shedding is common in HSV_

A

2

36
Q

what prophylactic medication is given for HSV?

A

aciclovir 400mg bd for a year

37
Q

when would you qualify for recurrent HSV?

A

if youre having 6 or more attacks per year

38
Q

Ix of suspected herpes in 3rd trimester of pregnancy?

A

specific serology + HSV NAAT

39
Q

most common viral STI in the UK?

A

HPV

40
Q

name the low risk strains of HPV

A

6 and 11

41
Q

name the high risk strains of HPV

A

16 and 18

42
Q

what strains of HPV cause anogenital warts?

A

6 and 11

43
Q

what strains of HPV cause palmoplantar warts?

A

1 and 2

44
Q

incubation period of HPV?

A

3 weeks to 9 months

45
Q

transmission of more than one HPV type is common T or F

A

T

46
Q

how successful is genital warts treatment?

A

60% success

lower success rate in immunosuppressed

47
Q

Tx of genital warts

A
  1. podophyllotoxin
  2. imiquimod (except if anal warts, 1st line)
  3. cryotherapy
48
Q

1st line Tx for anal warts?

A

imiquimod

49
Q

Tx for genital warts in a pregnant woman?

A

cryotherapy only

50
Q

what stages of syphilis are symptomatic?

A

primary

secondary

51
Q

how long after onset of disease do you fall into the late latent category of syphilis?

A

2yrs

52
Q

mean incubation period of syphilis

A

3 weeks

53
Q

chancres are always painful T or F

A

F, can sometimes be sore

54
Q

describe systemic symptoms of primary syphilis?

A

non-tender local lymphadenopathy

55
Q

incubation period of secondary syphilis?

A

6 weeks - 6 months

56
Q

presentation of secondary syphilis?

A 
wart like lesions that ooze clear fluid
generalised LNs
lesions of mucous membranes
skin rash on palms and soles
patchy alopecia
57
Q

Ix for primary syphilis

A
  1. viral swab for PCR

2, serological testing (TTPA) and RPR (non treponemal)

58
Q

what do non-treponemal serological tests do?

A

measure of the activity of the disease to see how well its responding to treatment

59
Q

Tx of early syphilis

A

2.4 mu benzathine penicillin x1

60
Q

Tx of late syphilis

A

2.4mu benzathine penicillin x3

61
Q

when should you stop measuring RPR?

A

when it becomes negative

62
Q

signs of chlamydia infection in babies?

A

conjunctivitis

3 Reproduction and Sexual Health (51 decks)

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