Genital Tract Infections

Question 1

What condition may a baby of a mother who had chlamydia infection develop?

Answer 1

Neonatal conjunctivitis

Question 2

What is the treatment for chlamydia trachomatis infection?

Answer 2

First line doxyclycline or azithromycin
Erythromycin or ofloxcalin 2nd line
Rectal - Doxycycline.

Question 3

Give some complications of Neisseria gonorrhoeae infection.

Answer 3

Epididymo-orchitis
Prostatism
PID
Disseminated gonococcal infection

Question 4

What infection may mothers with gonorrhoea pass on to child?

Answer 4

Ophthalmia neonatorum

Question 5

What is the Tx for gonorrhoea?

Answer 5

IM Ceft
PO Azithromycin

If penicillin allergy then spectinomycin

Question 6

What is the most infectious stage of a syphillis infection?

Answer 6

Secondary syphillis

Question 7

What are the primary screening tests for syphillis?

What is a confirmatory test that can be done?

What are some quantitative test that can be done to assess the activity of syphillis and its response to Tx?

Answer 7

Treponema EIA
TPPA

IgG immunoblot

VDRL and RPR

Question 8

What is the treatment for syphillis?

Answer 8

Early - Ben Pen G x 1 IM
Late latent, CVS or gummatous - Ben Pen G x3
Neurosyphillis - Procaine penicillin + Probenecid x 14 days

Question 9

What type of virus is herpes simplex virus?

Answer 9

Enveloped DNA double stranded

Question 10

What is the Tx for herpes infection?

Answer 10

Aciclovir, Valciclovir and Famciclovir

Question 11

What are the most common symptoms of Trichomonas Vaginalis infection seen in males?

Answer 11

While discharge

Dysuria

Question 12

What is the Tx for trichomonas vaginalis?

Answer 12

Metronidazole

Question 13

What are the symptoms of trichomonas vaginalis in women?

How is diagnosis made?

Answer 13

Yellow and frothy discharge
Vulvitis, vaginitis and strawberry cervix in 2% of cases.

High vaginal swabs (wet preparation and culture

Question 14

What is the Tx of scabies?

Answer 14

Permethrin

Question 15

What is the treatment for pubic lice?

Answer 15

Malathion

Question 16

What are some topical Tx for anogenital warts?

What is the vaccination?

Answer 16

Podophyllotoxin
Imiquimod
5-flurouracil

Gardasil

Question 17

Give some bacteria that most commonly cause bacterial vaginiosis.

Answer 17

Gardnerella vaginalis
Mobiluncus spp
Mycoplasma hominis

Question 18

Give some risk factors for getting bacterial vaginosis

What is significant about the discharge?

What is the Tx?

What is the lab diagnosis made off?

Answer 18

Vaginal douching 
Black race
Recent partner change 
Smoking
STI 
Receptive cunnilingus

Offensive fishy discharge

Metronidazole

High vagina gram stain and evaluated with Hay/Ison criteria or Amsel’s criteria (clue cells present)

Question 19

How can you distinguish vulvovaginal candidiasis from bacterial vaginosis?

Answer 19

Vaginal discharge is typically curdy and non-offensive in vulvovaginal candidiasis
Soreness in candidiasis
Dyspareunia in candidiasis
itch in candidiasis

Question 20

What are some risk factors for vulvovaginal candidiasis?

How is it diagnosed?

Answer 20

Pregnancy 
ABx
Oestrogen oral contraceptives 
Diabetes 
Immunosupression 
Atopy history 

High vaginal smear +/- culture

Question 21

What are the causative organisms in

Chancroid

Donovanosis

Answer 21

Haemophilus ducreyi

Klebsiella granulomatis

Question 22

Give 4 general complications and systemic presentations of STI.

Answer 22

PID
Epididymo-orchitis
SARA
Prostatis