Sexually Transmitted Infections (STI) Flashcards

1
Q

What are STIs?

A

Sexually transmitted infections spread by sexual activity.

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2
Q

How prevalent are STIs?

A

1 million new STIs are globally acquired daily.

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3
Q

What are the top ten most common STIs in the UK? (10)

A
  • Genital warts
  • Genital herpes
  • Gonorrhoea
  • HIV
  • Hepatitis B
  • Hepatitis C
  • Chlamydia
  • Pubic Lice
  • Syphilis
  • Trichomonas
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4
Q

How many people in the world are estimated to heave genital herpes?

A

Over 500 million people.

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5
Q

What are the forms of sexual contact? List them in progressive order of risk. (6)

A
  • Mutual Masturbation
  • Genital Contact
  • Oral sex
  • Vaginal sex
  • Anal sex
  • Group sex
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6
Q

What STI is often shared during group sex?

A

Hepatitis C

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7
Q

What STIs can be shared through genital contact alone? (4)

A

1) Scabies [Sarcoptes scabeii]
2) Herpes [Herpes Simplex Virus 1 & 2]
3) Warts [HPV 6 & 11]
4) Pubic Lice [Pthuris pubis]

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8
Q

What are the common features amongst most STIs? (4)

A
  • Transmissible
  • Avoidable
  • Mostly Asymptomatic
  • All manageable (not always curable)
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9
Q

What is initially examined if a patient suspected of having an STI? (6)

A
  • Examination of genitalia
  • Inguinal Nodes
  • Pubic hair

Males:

  • Scrotum
  • Subprepubital space
  • Male urethra
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10
Q

What investigations do we do for Chlamydia? (2)

A

PCR

Urine Dipstick

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11
Q

How do we test for N. Gonorrhoeae?

A

Urethral Smear

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12
Q

What STI’s call for a blood test? (3)

A
  • Syphilis
  • Hepatitis
  • HIV serology
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13
Q

Where can swabs be taken from in women with suspected STI? (3)

A
  • Vaginal Swab
  • Urethral Swab (for chlamydia)
  • Ulcer Swab (for HSV)
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14
Q

What are condoms good for (other than preventing pregnancy)?

A

Preventing transmission of some STIs. However not so good at preventing herpes and warts?

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15
Q

What two things should we advise against when someone is showing at risk behaviour for STIs?

A
  • Advise against oral sex

- Advise against durgs & alcohol

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16
Q

What are the types of partner notifications? (2)

A

1) Client Referral - patient tells contacts

2) Provider Referral - NHS tells contacts

17
Q

How do we treat chlamydia?

A

Azithromycin (2 / 4 tablets at once)

OR

Doxycycline (2 tablets daily for a week)

18
Q

How do we treat Gonorrhoea?

A

IV Ceftriaxone with

Azithromycin or Doxycycline

19
Q

How do we treat Syphilis?

A

Penicillin

if allergic give azithro or doxycyc

20
Q

How do we treat Hep B?

A

Pegylated Interferon

Antivirals

21
Q

How do we treat Hep C?

A

DAA (direct acting antivirals)