STIs

Question 1

Bacteria that causes gonnorrhoea

Answer 1

neissera gonorrhoeae

Question 2

symptoms of gonorrhoea in males

Answer 2

thick, profuse, yellow discharge

dysuria

rectal and pharyngeal infection

Question 3

symptoms of gonorrhoea in females

Answer 3

vaginal discharge

dysuria

intermittent/post-coital bleeding

Question 4

complications of gonorrhoea in males

Answer 4

epididymitis

Question 5

complications of gonorrhoea in females

Answer 5

pelvic inflammatory disease

Question 6

incubation periods for gonorrhoea is around

Answer 6

5-6 days

Question 7

how do you diagnose gonorrhoea?

Answer 7

nucleic acid amplification test (NAAT) on urine or swab from the exposed site

gram stained smear from urethra/rectum/cervix (if the patient is symptomatic)

Question 8

who is mostly likely to get gonorrhoea?

Answer 8

MSM

Question 9

how do you treat gonorrhoea?

Answer 9

ceftriaxone (1mg)

Question 10

What bacteria causes chlamydia?

Answer 10

chlamydia trachomatis

Question 11

male symptoms of chlamydia

Answer 11

slight, watery discharge

dysuria

conjunctivitis

Question 12

female symptoms of chlamydia

Answer 12

vaginal discharge

dysuria

intramenstrual/post-coital bleeding

conjunctivitis

Question 13

complications of chlamydia in men

Answer 13

epididymitis

Question 14

complications of chlamydia in women

Answer 14

pelvic inflammatory disorder (and therefore can get ectopic pregnancy)

pelvic pain and infertility

Question 15

how do you diagnose chlamydia?

Answer 15

first void urine in men/ swab taken from urethra/cervix/rectum

tested with the NAAT (nucleic acid amplification test)

(test for reinfection after 3-12 months)

Question 16

how do you treat chlamydia?

Answer 16

doxycycline (100mg)

axithromycin (if pregnant)

Question 17

what is the bacteria responsible for herpes?

Answer 17

herpes simplex virus (types 1 and 2)

Question 18

what are the common symptoms of herpes?

Answer 18

80% are asymptomatic

burning/itching then blistering under a tender ulceration

tender lymphadenopathy

flu-like symptoms

dysuria

neuralgic pain

Question 19

how common is herpes?

Answer 19

very common (15-20% of the UK)

Question 20

how do you diagnose herpes?

Answer 20

clinical signs

swab from lesion tested with PCR

Question 21

how do you treat herpes?

Answer 21

aciclovir

Question 22

syphilis is caused by what bacteria?

Answer 22

treponema pallidum

Question 23

who is most likely to get syphilis?

Answer 23

MSM

Question 24

5 stages of symptoms of syphilis

Answer 24

primary (local ulcer)

secondary (rash, mucosal ulceration, neuro symptoms, patchy alopecia, other symptoms)

early latent (no symptoms but less than 2 years ago it was caught)

late latent (no symptoms but more than 2 years ago it was caught)

tertiary (neuro/cardio/gummatous/ skin lesions)

Question 25

complications of syphilis

Answer 25

neurosyphilis (cranial nerve palsies are the most common)

cardiac or aortal involvement

Question 26

how do you diagnose syphilis?

Answer 26

clinical signs

serology for TP IgG EIA, TPPA

PCR from an ulcer

Question 27

treating syphilis

less or more than 2 years with no neuro involvement

Answer 27

benzathine penicillin

or

doxycycline

Question 28

trichamoniasis is uncommon (mostly middle aged woman)

symptoms are…?

Answer 28

men: asymtomatic
women: asymptomatic or vaginal discharge, vulvitis

Question 29

how do you diagnose trichamoniasis?

Answer 29

PCR of a vaginal swab

microscopy of vaginal discharge

Question 30

anogential warts are caused by what bacteria?

Answer 30

HPV (different strain to the cervical cancer)

types 6 and 11

Question 31

common symptoms of anogential warts

Answer 31

lumps with a surface texture of a small cauliflower

occasional itching or bleeding

Question 32

how to diagnose genital warts

Answer 32

appearance

biopsy if unusual (exclude neoplasia)

Question 33

how do you treat anogential warts?

Answer 33

warticon/ condyline

cryotherapy