STI and GIT

Question 1

How can infections be transmitted to the GI tract during sexual contact?

Answer 1

Oral/anal sex
Fomites (sex toys)
Ingestion of organism
exchange genital/sexual secretions

Question 2

Symptoms rectal gonorrhoea?

Answer 2

Rectal bleeding
Anal discharge
Tenesmus
Lower abdominal pain
May be asymptomatic

Question 3

Gonorrhoea on proctoscopy?

Answer 3

Inflamed mucosae

Purulent exudate

Question 4

Gonorrhea bacteria genus?

Answer 4

gram -ve diplococci

lipopolysachh with endotoxins

Question 5

T/F

Gonorrhea has a short incubation period

Answer 5

T

5-10 dys

Question 6

Causes rectal infection?

Answer 6

Gonorrhea
chlamydia trachomatis
lymphogranuloma venereum

Question 7

How is gonorrhoea spread?

Answer 7

Direct contact mucosal surface (pharynx, vagina, anus, penis)

Question 8

T/F

chlamydia and gnorrhea are spread in the same way

Answer 8

T

Question 9

T/F

70% of people with chlamydia are asymptomatic

Answer 9

T

Question 10

Symptoms chlamydia?

Answer 10

Less severe than gonorrhea
Anal itch, discomfort
discharge

Question 11

How is syphilis transmitted?

Answer 11

direct contact with infectious lesion

Question 12

Difference between primary syphilis and secondary syphilis?

Answer 12

Solitary painless ulcer
Secondary:
ulcers, condylomata lata (warts), systemic inflammation, hepatitis

Question 13

How is herpes simplex virus transmitted?

Answer 13

ano-genital or ano-oral

Question 14

Symptoms of herpes simplex virus

Answer 14

Pain, ulcers,painful defecation, bleeding, mucus

Question 15

T/F

HPV transmitted in the same way as herpes simplex virus

Answer 15

T

Question 16

Presentation of HPV?

Answer 16

Anal warts that can extend to rectum

Question 17

Who gets lymphogranuloma venerum?

Answer 17

HIV+ men who have sex with men

caused by some strains of chlamydia

Question 18

Clinical features of lymphogranuloma venerum?

Answer 18

Primary (3-30days): ulcer
Secondary (3-6m): Inguinal and ano-rectal syndrome
Tertiary: strictures, fistulae, gential elephantiasis

Question 19

T/F

gut associated lymphoid tissue is the largest immune compartment in the body

Answer 19

T