STIs and tropical diseases

Question 1

dysuria =

Answer 1

painful urination

Question 2

pyuria =

Answer 2

pus in the urine

Question 3

pneumaturia =

Answer 3

air bubbles in the urine

Question 4

Hepatitis viruses that are STIs

Answer 4

Hep A, B and C

Question 5

40% of people with gonorrhea also have ___

Answer 5

chlamydia

Question 6

Tests for gonorrhea =

Answer 6

urethral swab - microscopy
blood culture
PCR

Question 7

coffee bean shaped diplococci that is gram -ve

Answer 7

Neisseria gonorrhea

Question 8

transmission of Neisseria gonorrhea and chlamydia trachomatis is by ___

Answer 8

direct contact of mucosa surfaces

Question 9

Incubation period for gonorrhea =

treatment =

Answer 9

5-10 days
ceftriaxone 500mg IM immediately
doxycycline 100mg bds for a wk

Question 10

Signs of gonorrhea (and chlamydia - but is milder)

Answer 10

low abdo pain
rectal bleeding
anal discharge
tenesmus
may lead to abscess and makes more susceptible to HIV

Question 11

treatment for chlamydia trachomatis

Answer 11

azithromycin immediately

doxycycline for a wk

Question 12

the mimicker disease

Answer 12

syphilis

Question 13

primary presentation of syphilis =

2ndry=

Answer 13

solitary painless ulcer
2ndry - mucosal patches and ulcers in mouth, anogenital and rectal - raised edge and snail track
condylomata lata (rash between butt cheeks)
systemic inflam
may cause hepatitis

Question 14

transmission of herpes simplex virus and HPV=

Answer 14

ano-genital/oro-anal

Question 15

symptoms and signs of herpes simplex virus

Answer 15

pain, ulcers, painful defaecation, bleeding, mucus, viraemic symptoms

Question 16

HPV signs=

Answer 16

genital/ anal warts, neoplasms

Question 17

Lymphogranuloma venereum is spread by

Answer 17

men w men
group sex
drug use
syphilis and HIV associated

Question 18

Primary 2ndry and tertiary presentation of lymphogranuloma venereum

Answer 18

1) ulcer (3-30 days)
2) inguinal and ano-rectal syndrome (3-6 months)
3) strictures, fistulae, genital elephantitis

Question 19

If diagnosed with LGV should also test for

Answer 19

HIV, Hep. C, syphilis etc.

Question 20

HIV needs ___ to get into blood

Answer 20

CD4+ T cells

Question 21

HIV has a great effect on the GI tract because ___ presents with ___

Answer 21

GALT is largest immune compartment

diarrhoea

Question 22

dysentery =

Answer 22

infection of intestines causing blood and mucus in diarrhoea

Question 23

Salmonella typhi/paratyphi are common in ___ (geog)

Answer 23

India

SE Asia

Question 24

Typhoid and parathyphoid patients must be ___

Answer 24

isolated

Question 25

Eosinophilia is commonly associated with ___ infections

Answer 25

Parasitic