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Reproduction Week 2 2018/19 > 6: STIs > Flashcards

Flashcards in 6: STIs Deck (53)
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1

What is the most common STI in the UK?

Chlamydia

2

How does Chlamydia appear on a Gram stain?

Gram negative

But it's very difficult to stain

3

What is a rare consequence of chlamydia infection?

Pelvic inflammatory disease (PID)

4

What type of bleeding occurs in chlamydia infection?

Post-coital and intermenstrual bleeding

5

How does chlamydia present in females?

Post-coital / intermenstrual bleeding

Mucopurulent discharge

Abdominal pain

Dyspareunia

 

6

How does chlamydia present in males?

Urethral discharge

Dysuria

 

7

Apart from PID, what are other complications of chlamydia infection?

Tubal damage --> infertility

Neonatal transmission (look out for conjunctivitis)

Reiter's syndrome

8

What rheumatological condition can people get following chlamydia infection?

Reactive arthritis

i.e Reiter's disease

9

Chlamydia is more common in (men / women).

women

10

Which variant of chlamydia is more severe than average and presents primarily in MSM?

Lymphogranuloma venereum (LGV)

11

LGV is primarily found in MSM.

What are the symptoms?

Rectal pain / discharge / bleeding

often misdiagnosed as GI problem

12

Chlamydia is likely to ___ with other STIs.

coexist

13

When is chlamydia tested for?

14 days following exposure

14

What are the NAAT tests used to detect chlamydia, 14 days after exposure, in

a) men

b) women?

a) First pass urine sample +/- rectal swab

b) Vulvovaginal swab

15

How is chlamydia treated?

Doxycycline 100mg BD 1/52

16

Which antibiotic is used second-line for chlamydia infection?

Azithromycin

17

How does Neisseria gonorrhoeae appear on a Gram stain?

Gram negative intracellular diplococci

18

What is the incubation time of gonorrhoea?

2 - 5 days

19

Gonorrhoea is more common in (men / women).

men

as opposed to chlamydia

20

How does gonorrhoea present in men?

Purulent urethral discharge

Dysuria

21

WHERE must you swab in men with suspected gonorrhoea infection?

Urethra

Rectum

Pharynx...

all the sites

22

What percentage of women have gonorrhoea and are asymptomatic?

How do they present otherwise?

50%

Vaginal discharge, pelvic pain

23

How is gonorrhoea screened for?

NAAT testing

First pass urine in men, VV swab in women

Concurrently tests for chlamydia

24

How is gonorrhoea investigated in patients who are symptomatic?

Culture

25

How is gonorrhoea treated?

Ceftriaxone 500mg IM

26

How is gonorrhoea treated if an IM injection of ceftriaxone is rejected by the patient?

Cefixime 400mg PO

27

What must be done two weeks after antibiotic treatment in all patients with gonorrhoea?

Test of cure

28

What is the presentation of a primary infection of genital herpes?

Extreme pain

Blistering and ulceration of genitalia

Dysuria

Discharge (urethral / vaginal)

Enlarged inguinal lymph nodes

Viral prodrome (fever and myalgia)

29

Which subtype of HSV causes recurrent genital herpes?

HSV-2

30

How often does genital herpes recur when the causal agent is

a) HSV-1

b) HSV-2?

a) Every 1-2 years

b) Every 2-3 months