GUM

Question 1

What GUM screens would you do on asypmtommatic patients?

Answer 1

First void urine sample- Chlamydia/Gonorrhoea
(NAAT- nucleic acid amplification test)
HIV and syphilis bloods test
Hep B and C if high risk

Question 2

What groups are high risk for Hep B?

Answer 2

IVDU
MSM
Sex workers
High risk areas (war zones etc)

Question 3

What tests would you do on symptomatic patients?

Answer 3

High vaginal swabs
Urethral swabs
Pharyngeal and rectal swabs (depending on exposure)
Urinanalysis

Question 4

What are primary preventions for GUM?

Answer 4

Education
Awareness
Free condoms
Hep B Vaccination
HPV vaccination

Question 5

What are secondary preventions for GUM?

Answer 5

Targeted screening
Partner notification
Contact tracing

Question 6

What are tertiary preventions for GUM?

Answer 6

Treat diseases fast to reduce mortality and morbidity

Question 7

How long is the incubation period of chlamydia and gonorrhoea?

Answer 7

2 weeks

Question 8

What is the treatment for chlamydia?

Answer 8

7 days Azithromycin

Question 9

What kind of organism is gonorrhoea?

Answer 9

Gram negative diplococci

Question 10

What is the treatment for gonorrhoea?

Answer 10

Single dose IM Ceftriaxone

Question 11

How can syphilis be transmitted?

Answer 11

Horizontally and Vertically

Question 12

What is the primary presentation of syphilis?

Answer 12

Painless genital sores in days to weeks CHANCRE

Question 13

What is the secondary presentation of syphilis?

Answer 13

Blotchy Red Rash anywhere, often on palms or soles
Skin Growths (like genital warts)– on the vulva or anus
White patches in mouth
Tiredness, headaches, joint pains, fever
Lyphadenopathy
Patchy hair loss

Question 14

What is tertiary syphilis?

Answer 14

Meningitis
Strokes
Dementia
Loss of co-ordination
Numbness
Vision problems or blindness 
Heart problems

Question 15

How do you diagnose Syphilis?

Answer 15

Serology

Question 16

How do you treat Syphilis?

Answer 16

IM Penecillin

Question 17

What is Trachomonas vaginalis and what are symptoms?

Answer 17

Protozoal STI
Frothy green discharge
Strawberry cervix

Question 18

How do you treat Trachomonas vaginalis?

Answer 18

Metronidazole

Question 19

What advice must you give people on metronidazole?

Answer 19

Avoid alchohol

Question 20

How do you treat BV?

Answer 20

Metronidazole

Question 21

Is BV an STI and what causes it?

Answer 21

No

Anaerobes

Question 22

What is BV discharge?

Answer 22

Grey and fishy

Question 23

How do you diagnose BV and Trachomonas vaginalis?

Answer 23

High vag swab

Question 24

What is candidiasis infection/

Answer 24

Yeast

Can be STI in men

Question 25

What are the symptoms of Candidiasis?

Answer 25

``` Itchy Local inflammation Dyparaneuria Odourless white discharge Low pH on swabs ```

Question 26

What causes genital warts?

Answer 26

HPV

Question 27

What are treatments for warts?

Answer 27

Over the counter creams | Cryotherapy