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Flashcards in Microbiology and STIs Deck (95)
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1

Give examples of bacterial STIs

Chlamydia

Gonorrhoea

Syphilis

Mycoplasma genitalium

2

Give examples of viral STIs

Human papilloma virus

Herpes simplex virus

Hepatitis

HIV

3

Describe normal vaginal flora

Acidic environment

Lactobacillus predominates

4

Why are full STI screens done?

Co-infections are common, if a patient is ar risk of an STI, they are at risk of all STIs

5

Is candida an STI?

NO

6

What is the most common cause of candida?

Candida Albicans

7

Non-albicans candida is more common in which group of patients?

Immunosuppressed

8

What are some of the predisposing factors to getting candida?

Recent antibiotic treatment

Pregnancy

High oestrogen levels

Poorly controlled diabetes

Immunosuppression

9

How does candida present?

Intensely itchy

White vaginal discharge

10

How is candida diagnosed?

Self taken vulvovaginal swab

(or clinician takes endocervical swab)

11

What is the treatment for candida?

Clotrimazole

12

Is bacterial vaginosis an STI?

No - but it is more common in people who are sexually active

13

What is bacterial vaginosis?

Imbalance of bacteria in the vagina - anaerobes take over, turning the normally acidic environment alkaline

14

How does bacterial vaginosis present?

Foul smelling discharge

15

What are some of the possible consequences of bacterial vaginosis?

Increased rates of endometriosis

Increased risk of preterm delivery and infections in pregnancy

Increased risk of acquiring HIV

16

What is the treatment for bacterial vaginosis?

Oral metronidazole

17

Do you need to treat the partners of patients with bacterial vaginosis?

No

18

What is the organism which causes chlamydia?

Chlamydia trachomatis

19

Which sex is chlamydia more common in?

More common in women than men

20

What is the most common STI in the UK?

Chlamydia

21

Which STI is caused by an obligate intracellular bacteria which doesn't stain with gram stain?

Chlamydia trachomatis

22

Which of the serological groupings of chlamydia is responsible for causing genital infection?

Serovars D-K

23

Lymphogranuloma venereum is a serovar of chlamydia. How does it present?

Diagnosed in MSM

Rectal pain, discharge and bleeding

24

Irregular bleeding is the red flag for which STI?

Chlamydia

25

How does chlamydia present in female patients?

Dyspareunia

Lower abdominal pain

Oozing vaginal discharge

Intermenstrual or postcoital bleeding

26

How does chlamydia present in male patients?

Milky urethral discharge

Dysuria

Urethritis

Epididymo-orchitis

Proctitis

27

What are some of the possible complications of chlamydia?

Tubal infertility

Reiter's syndrome

Conjunctivitis

Fitz-Hugh-Curtis Syndrome (Perihepatitis)

Chronic pelvic pain

Ectopic pregnancy

28

What STI might be the cause of red eye in an infant?

Chlamydia

29

Transmission of chlamydia to neonates can cause what?

Conjunctivitis

Pneumonia

30

Which STI accounts for 50% of pelvic inflammatory disease?

Chlamydia