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4th year revision > Sexual Health > Flashcards

Sexual Health Flashcards

1
Q

Most common STI in UK?

A

Clamydia

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2
Q

What kind of pathogen is clamydia trachomatis?

A

Gram -ve rod bacteria

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3
Q

How does Clamydia typically present?

Diagnosis?

A

Dysuria, Dyspareunia, abnormal discharge, pelvic pain

Diagnosis
Men - first catch urine or urethral swab for culture
Women - endocervical or vulvovaginal swab

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4
Q

Treatment for chlamydia in patient with no allergies?

If first line contraindicated/patient pregnant?

A

Doxy 100mg BD for 7 days

Azithromycin 1g for Day 1 then 500mg for 2 days

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5
Q

25 year old male, profuse purulent discharge, last had unprotected sex with casual partner 7 days ago. No ulceration, swelling or blistering. Gram -ve intracellular diplococci evident, diagnosis?

How is this STI diagnosed?

A

Gonorrhoea

Diagnosed via an endocervical swab and NAAT testing

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6
Q

How do you treat Gonorrhoea?

A

Single dose IM Ceftriaxone

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7
Q

Treatment of Molluscum Contagiosum presentation in genital region?

A

No treatment is advised for Molluscum Contagiosum presentation, regardless of region of the body

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8
Q

Offensive, ‘fishy smelling’, profuse, green-ish vaginal discharge. No visable lesions present. Diagnosis?

How is it diagnosed?

A

Trichomonas vaginalis

High vaginal swab for culture
NAAT testing is possible

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9
Q

Type of pathogen responsible for Trichomonas vaginalis?

A

Flagellated, anaerobic protozoa

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10
Q

Treatment for Trichomonas vaginalis?

A

Oral Metronidazole (5 days)

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11
Q

20 year old female presents with fishy smelling, thin, grey vaginal discharge. Diagnosis?

Pathogen causing this?

A

Bacterial vaginosis

Gardnerella vaginalis

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12
Q

Is BV an STI?

A

No caused by overgrowth of commensal bacteria within the vagina. It is more prevalent in sexually active women though

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13
Q

How is BV diagnosed?

A

High vaginal swab for culture

pH test is also useful - normal vaginal pH is 4-4.5, pH over this can be indicative of BV

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14
Q

Management of BV?

A

Oral Metronidazole 400mg BD for 5-7 days

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15
Q

What are HPV 6 & 11 associated with?

A

Genital warts

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16
Q

What are HPV 16 and 18 associated with?

A

Cervical cancer

17
Q

What is the triad of Reactive Arthritis?

A

Arthritis, Conjunctivitis and Urethritis

18
Q

Painless indurated ulcer which is positive to dark-field examination?

A

Primary Syphilis

19
Q

Pathogen responsible for Syphillis?

A

Treponema pallidum

20
Q

How many stage of Syphilis are there? What are they?

Roughly when do they come on?

A

Primary - single painless ulcer/chancre at inoculation site
- 3-4 weeks after exposure
Secondary - maculopapular rash on palms and soles, condylomata lata, snail track ulcers (white patches) in mouth,
- 3-10 weeks after disappearance of chancre
Latent - asymptomatic, approx 1 year after exposure
Tertiary - Infects internal organs - neurosyphilis, cardiovascular system affects, dementia etc etc
- 1-10 years after exposure

21
Q

How do you diagnose syphilis?

A

VDRL - non specific
Treponema pallidum agglutination assay (TPPA) - specific

Diagnostic - serology
(can be positive from 4 weeks but can take up to 3 months)

22
Q

Management for Syphilis?

A

Primary - benzathine benzylpenicillin IM

2nd line - Oral Azithromycin or Doxy

23
Q

Best contraceptive option for young woman in stable relationship not wanting children soon who suffers from menorrhagia and FH of migraines with aura…

A

Mirena coil (IUS)

24
Q

Best contraceptive for a young (21) female who had unprotected sex at a party two days ago. She doesn’t want children in the next 5 years…?

A

Copper coil (IUD)

25
Q

Female patient, aged over 35 years who is a smoker, looking for contraceptives. Which contraceptive should be avoided?

A

COCP

26
Q

When should the implant be fitted in a womans cycle?

A

On day 1-5 of menstrual cycle, after this – precautions for 7 days are recommended

27
Q

Which contraceptive is linked to weight gain?

A

Depot injection

28
Q

What is the main SE of the POP?

A

Main SE - unscheduled/irregular bleeding - should settle after 3 months though

Can also have breast tenderness, headache and acne

4th year revision (14 decks)

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