STI

Question 1

what STIs can be transmitted by genital contact only ?

Answer 1

pubic lice
scabies
warts
herpes

Question 2

what are symptoms of gonorrhoea ?

Answer 2

men;
thick profuse yellow discharge
dysuria
rectal and pharyngeal infection asymptomatic

women;
vaginal discharge
dysuria
intramenstrual/postcoital bleeding

Question 3

what are complications of gonorrhoea ?

Answer 3

epididymitis
PID
monoarthritis

Question 4

how do you diagnose gonorrhoea ?

Answer 4

NAAT on urine or swab

gram stained smear

Question 5

how do you treat gonorrhoea ?

Answer 5

ceftriaxone

Question 6

what are symptoms of chlamydia ?

Answer 6

men;
slight watery discharge
dysuria

female;
discharge
dysuria
intramenstrual/post-coital bleeding

Question 7

what are complications of chlamydia ?

Answer 7

epididymitis
PID- ectopic
infertility
reactive arthritis
eye infections

Question 8

how do you diagnose chlamydia ?

Answer 8

first void urine in men
swab
NAAT

Question 9

how do you treat chlamydia ?

Answer 9

doxycycline 100mg bd 1 week

azithromycin 1g once if pregnant

Question 10

what are symptoms of herpes ?

Answer 10

80% asymptomatic
recurring symptoms monthly annually 
burning/itching then blistering
tender inguinal lymphadenopathy
flu like symptoms
dysuria, neuralgic pain

Question 11

what are complications of herpes ?

Answer 11

autonomic neuropathy
neonatal infection
secondary infection

Question 12

how do you diagnose herpes ?

Answer 12

swab from lesion testing using PCR

Question 13

how do you treat herpes ?

Answer 13

primary - aciclovir
infrequent - lidocaine ointment
frequent - aciclovir

Question 14

what are symptoms of Trichomoniasis ?

Answer 14

men;
asymptomatic

women;
30% asymptomatic
thin vaginal discharge green foul-smelling
vulvitis

Question 15

what are complications of Trichomoniasis ?

Answer 15

miscarriage and preterm labour

Question 16

how is trichomoniasis diagnosed ?

Answer 16

PCR vaginal swab

Question 17

how do you treat trichomoniasis ?

Answer 17

metronidazole

Question 18

what causes anogenital warts ?

Answer 18

human papilloma virus 6, 11 (1)

Question 19

how do you treat anogenital warts ?

Answer 19

podophyllotoxin
imiquimod
cryotherapy

Question 20

what are stages/symptoms of syphilis ?

Answer 20

primary - local ulcer
secondary - rash, mucosal ulceration, neuro symptoms, alopecia
early latent - no symptoms <2 years since caught
late latente - no symptoms - > 2 years since caught
tertiary - neuro, CVS, gummatous

Question 21

how is syphilis diagnosed ?

Answer 21

serology for TP, Ig

PCR on sample from ulcer

Question 22

how do you treat syphilis ?

Answer 22

early - penicillin IM/doxycycline
late - penicillin IM
doycycline