STIs

Question 1

Gonorrhoea

Answer 1

Neisseria gonorrhoea
Thick yellow discharge, dysuria
Vaginal discharge, dysuria, insert menstrual bleeding/post coital
More common in MSM

Question 2

Gonorrhoea diagnosis

Answer 2

Nucleic acid amplification test on urine
swab vag, rectum, throat
Gram stained smear urthera/cervix/rectum

Question 3

Gonorrhoea treatment

Answer 3

Cefriaxone 500mg IM

Azithromycin 1g if needed

Question 4

Herpes

Answer 4

Burning itching
Blistering
Tender ulceration
Tender inguinal lymphadenopathy w flu like symptoms
Dysuria, back pain

Question 5

Herpes diagnosis

Answer 5

Clinical impression

Swab lesion using PCR

Question 6

Herpes treatment

Answer 6

Aciclovir 400mg for 5 days and lidocaine ointment

Question 7

Trichomoniasis

Answer 7

Trichomonas vaginalis
A sympt in men
Some women thin vaginal discharge- green, frothy and foul swelling
Vulvitis
Miscarriage and pre term labour

Question 8

Trichomoniasis diagnosis and treat

Answer 8

PCR vagina swab

Metronidazole 400mg 6 days or 2g single dose

Question 9

Anogenital warts

Answer 9

HPV 6 and 11
Lumps w califlower texture
Itching and bleeding occasionally

Question 10

Anogenital warts diagnosis and treat

Answer 10

Appearance
Biopsy if unusual
Podophyllotoxin
Imiquimod
Cryotherapy

Question 11

Syphilis

Answer 11

Local ulcer
Rash, ulceration, patchy alopecia, neuro symptoms
Early latent= less than 2 year
Late latent= more than 2 years
Most MSM

Question 12

Syphilis diagnosis and treatment

Answer 12

Clinical signs
Serology
PCR ulcer
Early- benzathine penicillin or doxycycline 14 days
Late- benzathine penicillin 3X or doxycycline 28 days

Question 13

Chlamydia

Answer 13

Discharge
Pain peeing
Bleeding after sex/between periods
Stomach pain
Painful swollen testes

Question 14

Chlamydia treatment and diagnosis

Answer 14

Swabs

Doxycycline 100mg 7 days