Sexually Transmitted Infection

Question 1

What are the bacterial sexuall transmitted infecitons

Answer 1

Chlaymdia
Gonorrhea
MGEN
LGV
Syphillis 
Chancroid 
Donovanosis

Question 2

What is the most common bacterial STI

Answer 2

Chlaymdia

Question 3

What is the presentation of chlaymdia

Answer 3

Majority is asymptomatic 
Increased vaginal discharge 
Post coital and intermenstural bleedin 
Dysuria 
Lower abdominal pain
In men urethral discharge

Question 4

What are the complications of chlamydia

Answer 4

Pelvic inflammatory disease 
Ectopic pregancy
Infertility 
SARA
Epididymis orchitis

Question 5

Which people are commonly affected with SARA more

Answer 5

HLA B27 gene

Question 6

What is the diagnosis of chlamydia by

Answer 6

Nucleic acid test:

• 1st urine in men
• swab in women

Question 7

What is the treatment of chlamydia

Answer 7

Doxycycline for 1 week

Contact tracing and treatment of partners

Question 8

What is LGV

Answer 8

Part of chlaymdia and is serova l1-3

Question 9

What is the presentation of LGV

Answer 9

Ulcer 
Papulae
Haemorrhagic proctitis 
Fistulae
Strictures

Question 10

What is the treatment for LGV

Answer 10

Doxycycline for 3 weeks

Question 11

What is the diagnosis if LGV

Answer 11

Nucleic acid test

Question 12

Who does LGV occur in

Answer 12

Men who have sex with men

Question 13

What type of bacteria is gonorrhoea

Answer 13

Gram negative cocci: neisseria gonorrhea

Question 14

What is the presentation of gonorhhea in men

Answer 14

Discharge (thick and creamy)

Question 15

What is the presenation of gonorrhea in females

Answer 15

Dicharge and abdominal pain

Question 16

What is the complication of gonorrhea

Answer 16

Pelvic inflammatory pain
Prostatitis
Disseminated GC infection i.e when the infection spreads to the skin, joints and tenosynovitis

Question 17

How is gonorrhoea disagnosed

Answer 17

Microscopy
Nucleic acid test
Culture

Question 18

What will the microscope of gonorrhea show

Answer 18

Gram negative cocci

Question 19

How is gonorrhea treated

Answer 19

Ceftriaxone IM

Full STI screen after management

Question 20

What does MGEN (mycoplasme genitalium) present like

Answer 20

Chlaymdia

Question 21

How do we mamage MGEN

Answer 21

Macorlide if not resistant

Question 22

What does syphylisis present with

Answer 22

Ulcers

Question 23

How do we diagnose syphyillis

Answer 23

Dark ground microscopy
PCR swab
Blood test
Serology

Question 24

What are the ways sphyilis can present as

Answer 24

Primary: ucler
Secondary: rash
Tertiary; develops after many years as cardiovascular disease

Question 25

What is the management of early sphyillis

Answer 25

Benzathine (penicillin) single dose

Question 26

What is the management of late sphyillis

Answer 26

Benzanthine penicillin weekly dose for 3 weeks

Question 27

What impact does sphyilis have

Answer 27

Has a long term impact on a developing foetus

Question 28

What are the viral STI that can occur

Answer 28

HPV Herpes Molluscum contagiosum

Question 29

What are the types of HPV that cause STI

Answer 29

Type 6 and 11

Question 30

What are the types of herpes (HSV) that cause STI

Answer 30

Type 1 and 2

Question 31

What is the treatment of HPV

Answer 31

Topical | Ablate the wart

Question 32

What is the treatment for herpes

Answer 32

Aciclovir

Question 33

What is the treatment for molluscum contagiousum

Answer 33

No treatment

Question 34

What is the symptoms for herpes (HSV)

Answer 34

``` Asymptomatic Painful ulceration Vaginal or urethral discharge Fever Myalgia ```

Question 35

What is the diagnosis of HSV (herpes)

Answer 35

Nucleic acid testing | HSV type specific antibodies blood test

Question 36

What are the other infections that can occur to cause vaginal dishcharge

Answer 36

Bacterial vaginosis Thrush Trichomonas vaginalis

Question 37

What is the treatment for thrush

Answer 37

Anti fungal treatment

Question 38

What are the risk factors for UTI

Answer 38

Immunocompromised Pregnancy Diabetes

Question 39

What are the symptoms of acute pyelonephritis (kidney)

Answer 39

``` Flank pain High fever Shaking and chilld Nausea Vomiting ```

Question 40

What are the symptoms for bladder cystitis

Answer 40

``` Pelvic pressure Lower abdomen discomfort Nocturia Dysuria Blood in urine ```

Question 41

What are the symptoms for urethritis

Answer 41

Dysuria | Dishcharge

Question 42

How do we diagnose UTIs

Answer 42

``` Urine dipstick Urine microscopy Urine culture Imaging Blood culture ```