Clinical Skills in Reproductive and Sexual Health Medicine

Question 1

What is syphilis?

Answer 1

• a bacterial infection usually spread by sexual contact

Question 2

How does Syphilis initially present?

Answer 2

• small sores around genitals or bottom

- a rash (usually on your hands or feet) and white patches in the mouth

Question 3

What is the Venereal Diseases Regulations 1916 act?

Answer 3

• act imposed on NHS

- under no obligation to share info about people with venereal (sexual interacts) disease

Question 4

When attending a Genitourinary medicine (GUM) clinic what are the 5 major differences between a GUM clinic and a GP?

Answer 4

1 - Anonymous
2 - Self-referral
3 - Direct access
4 - Free
5 - Confidential

Question 5

What is dyspareunia?

Answer 5

• pain during sexual intercourse

Question 6

What is Dysuria?

Answer 6

• pain when urinating

Question 7

What are some basic reasons why a sexual medical history is required?

Answer 7

• clinical presentation
• assess risk of STI/HIV
• abnormal menstrual cycle
• determine specimens that need collecting
• new sexual partner
• sex worker (vaccination requirements)

Question 8

If we suspect a patient with HIV, what other conditions may be associated?

Answer 8

• TB
• lymphoma
• infection
• weight loss

Question 9

In a patient with cardiac problems and/or diabetes, what other symptoms may we see sexually?

Answer 9

• erectile dysfunction

Question 10

What are the 3 Cs when thinking about intimate examinations?

Answer 10

1 - consent
2 - communication
3 - chaperone