STIs, HPV & Cervical Dysplasia Flashcards
What pathogen causes syphilis?
Treponema pallidum
What is the treatment for syphilis?
Penicillin G
What is the treatment for genital herpes?
Acyclovir
What are the RFs for HPV?
Early onset of sex Multiple sexual partners (4-5) Smoking Immunosuppression Increased parity
What is the bug that causes chancroids?
Hemophilus ducreyl
What is the treatment for chancroid?
Azithromycin
A 23 year old male presents with soft, painful chancre lesions on his penis. He also has pelvic lymphadenopathy. What is the likely diagnosis?
Chancroid
What are the RFs for developing cervical cancer?
Increased age HPV+ or lack of vaccine Smoking Multiple sexual partners Lack of PAPs High risk sexual partner Immunosuppression Young sexual debut DES exposure
Who should have increased surveillance for cervical cancer (q1 year PAPs)?
Biopsy confirmed HSIL
Adenocarcinoma in situ
Invasive cervical cancer
Total hysterectomy with previous HSIL , AIS or invasive cervical cancer
What is the treatment for granuloma inguinale?
Granuloma inguinale is treated with doxycycline. The pathogen is calymmato-bacterium granulomatis.
What is the treatment for granuloma inguinale?
Granuloma inguinale is treated with doxycycline. The pathogen is calymmato-bacterium granulomatis.
What is the treatment for lymphogranuloma venerum?
Doxycycline
Pathogen is C. trachomatis.
What is the treatment of chlamydia?
Azithromycin. Must treat all sexual partners within 60 days as well.
What is the treatment of gonorrhoea?
Cefixime + Azithromycin (treat chlamydia as well). Must treat all sexual partners within 60 days as well.
What is the definition of Mucopurulent Cervicitis?
MPC is inflammation of the cervix with:
a) cervical discharge (mucopurulent or purulent)
OR
b) cervical bleeding with insertion of swab
AND
c) negative for chlamydia and gonorrhoea
