STIs Part 1

Question 1

difference between an STI and STD

Answer 1

STI is the infection whereas STD is the manifestation of that infection e.g. HPV and genital warts

Question 2

true/false - most people with an STI are asymptomatic most of the time

Answer 2

true

Question 3

true/false contact tracing is essential in warts and herpes

Answer 3

false - usually don’t because there’s no way of testing or treating in asymptomatic

Question 4

organism of gonorrhoea

Answer 4

neisseria gonorrhoea

Question 5

who’s more likely to be symptomatic from gonorrhoea, men or women?

Answer 5

men - 90%

women <50%

Question 6

male presentation of gonorrhoea

Answer 6

thick and profuse yellow discharge

dysuria

Question 7

female presentation of gonoorrhoea

Answer 7

yellow vaginal discharge
dysuria
post-coital or intermenstrual bleeding

Question 8

give two female specific complications of gonorrhoea

Answer 8

pelvic inflammatory disease

bartholin’s abscess

Question 9

what is the one male specific complication of gonorrhoea

Answer 9

epidydymitis

Question 10

what STI has complications of acute monoarthritis and pustular skin lesions

Answer 10

gonorrhoea - the skin lesions are a gonococcal infection

Question 11

how do you investigate gonorrhoea

Answer 11

NAAT of urine or swab
gram stained smear
culture of swab

Question 12

treatment of gonorrhoea

Answer 12

ceftriaxone

Question 13

follow up in gonorrhoea

Answer 13

test of cure at 2 weeks

test of reinfection at 3 months

Question 14

what STI is caused by chlamydia trachomatis

Answer 14

chlamydia

Question 15

how often is chlamydia asymptomatic

Answer 15

70% in men

80% in women

Question 16

slight watery discharge and dysuria is what STI in a man

Answer 16

chlamydia

Question 17

vaginal discharge, dysuria and intermenstrual or post-coital bleeding could be what STIs in women

Answer 17

chlamydia or gonorrhoea

Question 18

non-genital symptoms of chlamydia in men and women

Answer 18

conjunctivitis

Question 19

what STIs can cause epididymitis

Answer 19

gonorrhoea or chlamydia

Question 20

treatment of chlamydia

Answer 20

doxycycline for a week

Question 21

treatment of chlamydia in pregnancy

Answer 21

azithromycin

Question 22

investigtion of chlamydia

Answer 22

NAAT of first void urine in men

NAAT of cervix/urethra/rectum swab

Question 23

complications of chlamydia in women

Answer 23

PID
ectopic pregnancy
pevlic pain
infertility

Question 24

what STI can result in reactive arthritis

Answer 24

chlamydia

Question 25

non-genital complications of chlamydia in men and women

Answer 25

reactive arthritis

conjunctivitis

Question 26

what is reiter’s syndrome

Answer 26

reactive arthritis

Question 27

treatment of reactive arthritis

Answer 27

NSAIDs, corticosteroid injection and DMARDs

antibiotics if chlamydia caused

Question 28

what group of people are the most likely to have chlamydia

Answer 28

sexually active teenage women

Question 29

what viruses cause herpes

Answer 29

HSV type 1 and 2

Question 30

true/false - 80% of herpes infections are symptomatic

Answer 30

false - 80% are asymptomatic

Question 31

presentation of herpes

Answer 31

burning/itching the blistering and ulceration
tender inguinal nodes
flu-like symptoms
dysuria
neuralgic pain in back, pevlis and legs

Question 32

what STI presents with neuralgic pain the back, pelvis and legs

Answer 32

herpes

Question 33

investigation of herpes

Answer 33

swab from lesion for PCR

Question 34

what is NAAT

Answer 34

Nucleic Acid Amplificiation Test

Question 35

what % of UK population has herpes

Answer 35

15-20%

Question 36

which HSV is an important co-factor in the transmission of HIV

Answer 36

HSV type 2

Question 37

treatment of herpes

Answer 37

primary outbreak - aciclovir 5 days and lidocaine ointment
infrequent recurrences - lidocaine ointment till symptoms go
frequent recurrences - aciclovir as long-term supression

Question 38

complications of herpes

Answer 38

autonomic neuropathy
neonatal infection
secondary infections