Sexual Health

Question 1

HIV features

Answer 1

Basically a bad cold:
Sore throat
Lymphadenopathy
Malaise, myalgia, arthralgia
Diarrhoea
Maculopapular rash
Mouth ulcers
Rarely

Question 2

What is the test for HIV

Answer 2

HIV Antibodies and P24 antigens- if positive test again

Question 3

Management of HIV

Answer 3

HART: High antiretroviral therapy

Look at Cd4 cell count

Question 4

BV diagnosis

Answer 4

Imbalance of health bacteria in good bacteria

3 of the following:
thin white homonomous discharge
clue cells on microscopy
PH >4.5
Positive whiff test

Question 5

BV management

Answer 5

If women asymptomatic - treatment not usually required

If symptomatic- oral metronidazole 5-7 days

Question 6

Investigation of BV

Answer 6

Ph strip
Microscopy: clue cells
Whiff test with potassium hydroxide)

Question 7

Wat is the name of the histology tests for trichimonas

Answer 7

Wet mount - motile trophozytes

Question 8

What is the investigation for candida

Answer 8

Clinical - high vaginal swab unnecessary

Question 9

Investigation and management for syphillis

Answer 9

Syphilis serology - non treopnemal and treponemal test

IM benzylpenicillin, doxycycline as alternative