GUM

Question 1

Bacteria most commonly associated with bacterial vaginosis

Answer 1

Gardnerella vaginalis

Question 2

Risk factors for bacterial vaginosis

Answer 2

Multiple sexual partners
Excessive vaginal cleaning
Recent antibiotics
Smoking
Copper coil

Question 3

Presentation of bacterial vaginosis

Answer 3

Fishy-smelling watery grey discharge
50% asymptomatic

Question 4

Diagnosis of bacterial vaginosis

Answer 4

High vaginal swab - clue cells

Question 5

Management of bacterial vaginosis

Answer 5

Metronidazole

Question 6

Complications of bacterial vaginosis

Answer 6

Increased risk of catching STIs
Miscarriage
Pre-term delivery
Premature rupture of membranes
Chorioamnionitis
Low birth weight
Postpartum endometriosis

Question 7

Risk factors for vaginal candidiasis

Answer 7

Increased oestrogen
Poorly controlled diabetes
Immunosuppression
Broad-spectrum antibiotics

Question 8

Symptoms of severe candidiasis

Answer 8

Erythema
Fissures
Oedema
Painful intercourse
Dysuria
Excoriation

Question 9

Management options for vaginal candidiasis

Answer 9

Clotrimazole cream
Clotrimazole pessary
Fluconazole tablets

Question 10

What type of bacteria is chlamydia trachomatis

Answer 10

Gram-negative

Question 11

Presentation of chlamydia in women

Answer 11

Abnormal vaginal discharge
Pelvic pain
Abnormal vaginal bleeding
Painful sex
Painful urination

Question 12

Presentation of chlamydia in men

Answer 12

Urethral discharge or discomfort
Painful urination
Epididymo-orchitis
Reactive arthritis

Question 13

What test is used to diagnose chlamydia

Answer 13

NAAT

Question 14

Management for chlamydia

Answer 14

Doxycycline for 7 days

Question 15

Management of chlamydia in pregnant women

Answer 15

Erythromycin 7 days
Amoxicillin 7 days

Question 16

Complications of chlamydia infection

Answer 16

PID
Chronic pelvic pain
Infertility
Ectopic pregnancy
Epididymo-orchitis
Conjunctivitis
Lymphogranuloma venereum
Reactive arthritis

Question 17

Complications of chlamydia infection during pregnancy

Answer 17

Preterm delivery
Premature rupture of membranes
Low birth weight
Postpartum endometritis
Neonatal conjunctivitis/pneumonia

Question 18

What type of bacteria is Neisseria gonorrhoeae

Answer 18

Gram-negative diplococcus

Question 19

Presentation of gonorrhoea in women

Answer 19

Odourless purulent discharge (green/yellow)
Dysuria
Pelvic pain

Question 20

Presentation of gonorrhoea in men

Answer 20

Odourless purulent discharge (green/yellow)
Dysuria
Testicular pain/swelling

Question 21

Management of gonorrhoea

Answer 21

IM ceftriaxone
Test of cure

Question 22

Symptoms of disseminated gonococcal infection

Answer 22

Various non-specific skin lesions
Polyarthralgia
Migratory polyarthritis
Tenosynovitis
Fever
Fatigue

Question 23

Complications of mycoplasma genitalium

Answer 23

Urethritis
Epididymitis
Cervicitis
Endometritis
PID
Reactive arthritis
Preterm delivery
Tubal infertility

Question 24

Management of mycoplasma genitalium

Answer 24

Doxycycline 7 days then Azithromycin 2 days

Question 25

Complications of PID

Answer 25

Sepsis Abscess Infertility Chronic pelvic pain Ectopic pregnancy Fitz-Hugh-Curtis syndrome

Question 26

Potential complications of trichomoniasis

Answer 26

HIV Bacterial vaginosis Cervical cancer PID Preterm delivery

Question 27

Presentation of trichomoniasis

Answer 27

Vaginal discharge (frothy yellow green) Itching Dysuria Painful sex Balantitis

Question 28

Cervical appearance in trichomoniasis

Answer 28

Strawberry cervix due to haemorrhages

Question 29

Diagnostic investigation for trichomoniasis

Answer 29

Charcoal swab taken from posterior fornix of cervix

Question 30

Management of trichomoniasis

Answer 30

Metronidazole

Question 31

What type of bacteria is Treponema pallidum

Answer 31

Spirochete

Question 32

Incubation period of Syphilis

Answer 32

21 days

Question 33

Transmission of Syphilis

Answer 33

Sexual contact Vertical transmission IVDU Blood transfusion

Question 34

Stages of Syphilis

Answer 34

Primary Secondary Latent Tertiary

Question 35

Presentation of primary syphilis

Answer 35

Painless genital ulcer (Chancre) Local lymphadenopathy

Question 36

Presentation of secondary syphilis

Answer 36

Maculopapular rash Condylomata lata Low grade fever Lymphadenopathy Alopecia Oral lesions

Question 37

Presentation of tertiary syphilis

Answer 37

Gummatous lesions Aortic aneurysms Neurosyphilis

Question 38

Presentation of neurosyphilis

Answer 38

Headache Altered behaviour Dementia Tabes dorsalis Ocular syphilis Paralysis Sensory impairment Argyll-Robertson pupil

Question 39

Management of Syphilis

Answer 39

IM benzathine benzylpenicillin