S9) Infections of the Reproductive Tract Flashcards Preview

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Flashcards in S9) Infections of the Reproductive Tract Deck (55)
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1

What are the main public health messages required to limit STI's?

- Practice safe sexual behaviour

- Reduce total number of partners

- Seek better sexual health education

- Seek early treatment for suspected STI

- Avoid alcohol/illicit drug abuse

2

Identify 6 factors which affect the transmission of genital tract infections

- Age

- Condom use

- Sexual orientation

- Socioeconomic status

- Number of partners

- Ethnicity

 

3

Identify 5 of the most commonly occuring STI's

- Chlamydia

- Gonorrhea

- Genital herpes

- Genital warts

- Syphillis

4

What is the causative organism in chlamydia?

Chlamydia trachomatis

5

What is the causative organism in gonorrhea?

Neisseria gonorrhea

6

What is the causative organism in genital warts?

Human papilloma virus

7

What is the causative organism in genital herpes?

Herpes simplex virus (1&2)

8

Briefly, describe the incidence of different STI diagnoses in men

9

Briefly, describe the incidence of different STI diagnoses in women

10

Briefly, describe the incidence of different STI diagnoses in men by ethnic group

11

Briefly, describe the incidence of different STI diagnoses in women by ethnic group

12

How does chlamydia present in males?

- Urethritis

- Dysuria

- Epididymitis

- Prostatitis

- Conjunctivitis 

- Asymptomatic pharyngeal infection

13

How does chlamydia present in females?

- Increased discharge

- Dyspareunia (painful sex)

- Post coital bleeds 

- Intermenstrual bleeds

- Conjunctivitis

- Asymptomatic pharyngeal infection

14

How is chlamydia diagnosed in men?

- First catch urine NAAT (nucleic acid amplification testing)

- Rectal NAAT

- Pharyngeal NAAT

15

How is chlamydia diagnosed in women?

- Vulvovaginal & endocervical swabs for NAAT

- Rectal NAAT

- Pharyngeal NAAT

16

Describe the treatment of chlamydia in men and women

- Doxycycline / Azithromycin (1st line)

- Erythromycin / Ofloxacin (2nd line)

17

How does gonorrhea present in men?

- Urethral discharge

- Dysuria

- Anal discharge

- Asymptomatic pharyngeal infection

18

How does gonorrhea present in women?

- Altered discharge 

- Lower abdominal pain

- Asymptomatic pharyngeal infection

- Asymptomatic rectal infection

19

How is gonorrhea diagnosed?

- Microscopy of gram stained genital specimen

- NAATs

- Cultures 

20

Describe the treatment of gonorrhea

- Ceftriaxone & azithromycin

- Spectinomycin (alternative for penicillin allergy)

21

Why are both azithromycin and ceftriaxone given as treatment for gonorrhea?

Azithromycin prevents antibiotic resistance to ceftriaxone and also treats the possible co-infection of chlamydia

22

How does genital herpes present?

- Painful ulceration

- Dysuria

- Vagina discharge

- Fever

- Myalgia

23

How is genital herpes diagnosed?

- Type specific serology

- Virus detection of vesical fluid/ulcer base

24

Describe the treatment of HSV

- General advice

- Suppressive treatment for recurrent HSV

- Aciclovir, valciclovir/famciclovir

25

How do anogenital warts present?

Benign, painless outgrowths on penis / vulva, vagina, urethra and cervix

26

How are genital warts diagnosed?

Biopsy in atypical lesions

27

Describe the treatment of anogenital warts

- No treatment (spontaneous resolution)

- Topical application (podophyllotoxin)

- Physical ablation (excision, cryotherapy, electrosurgery)

28

What is a preventative measure for anogenital warts?

HPV vaccination

29

What is the causative organism in syphilus?

Treponema pallidum

30

How does syphilis present?

- 1– painless ulcer 

- 2– rash, mucosal lesions, multi-system involvement

- Latent – symptom-free years

- 3– neurosyphilis, CV syphilis, parenchymous (40 years later)