Genital herpes

Question 1

Symptoms of genital herpes (4)

Answer 1

Painful blistering
External dysuria
Discharge
Local lymphadenopathy

Question 2

What kind of prodromal symptoms may be experienced? (2)

Answer 2

Fever and myalgia

Question 3

What is the name for a first episode of symptoms in a previously infected individual?

Answer 3

Non-primary first episode

Question 4

Where does the virus become latent?

Answer 4

Dorsal root ganglia

Question 5

How are episodes in recurrent infection different? (4)

Answer 5

Usually shorter, milder, unilateral, fewer systemic symptoms

Question 6

Diagnosis of genital herpes

Answer 6

HSV PCR on swab of ulcer

Question 7

Management of genital ulcers (4)

Answer 7

Oral aciclovir
Topical lidocaine
Saline bathing
Analgesia

Question 8

Which serotype has the higher shedding rate?

Answer 8

HSV-2

Question 9

What is the most risky circumstance of infection in pregnancy?

Answer 9

Third trimester primary infection

Question 10

Why is it important to do serological testing in third trimester cases of herpes?

Answer 10

Establish whether its not a primary episode- greatly reduces the risk