STIs

Question 1

Can you clear HSV?

Answer 1

no - will remain latent in sacral ganglia lifelong

Question 2

What is the most common aetiology of genital ulcers?

Answer 2

HSV

Question 3

What is more common -HSV1 or HSV2?

Answer 3

HSV-2

Question 4

How does transmission of HSV occur?

Answer 4

via contact with the mucosa or epithelial person who is shedding virus or in genital or oral secretions

Question 5

What is the primary genital infection?

Answer 5

first infection with absence of antibody

Question 6

How do recurrent infections differ from primary infections?

Answer 6

usually shorter, milder, typically unilateral lesions

Question 7

Is there a role for IgM serology in HSV?

Answer 7

no

Question 8

What is the treatment for first episode HSV?

Answer 8

10/7 of acyclovir or valacyclovir

Question 9

Which patient’s with HSV qualify for suppression therapy?

Answer 9

> 6 episodes per year
MSM
HIV risk

Question 10

By how much do suppressive therapy reduce HSV shedding?

Answer 10

70-80%

Question 11

What are the clinical features of primary syphilis?

Answer 11

usually painless single ulcer

Question 12

What are the three types of tertiary syphillis?

Answer 12

gummatous disease
CV syphillis (aortitis)
neurosyphillis

Question 13

What are the clinical features of congenital syphillis?

Answer 13

still birth
major organ failure
skin lesions
deformed bones/teeth
developmental delay

Question 14

When should patients be tested for syphillis?

Answer 14

sexually active people under 35
risk factors for STI
symptoms
diagnosed with STI/BBV
pregnant women 
sexual partners

Question 15

What is the treatment of syphillis?

Answer 15

IM penicillin G