STD-gonorrhea

Question 1

Gonorrhea pathogenesis

Answer 1

• caused by Neisseria gonorrhoeae, a gram-negative diplococcus.
  *Cause an acute pelvic inflammatory disease (acute PID).
• The long-term sequelae arise from pelvic adhesions, causing chronic pain
  and infertility.

Question 2

Gonorrhea ,Lower genital tract infection symptoms

Answer 2

vulvovaginal discharge, itching, and burning
with dysuria or rectal discomfort.
** Vulvovaginitis is seen on inspection.
2. Mucopurulent cervical discharge is seen on speculum exam.

Question 3

Gonorrhea , Upper genital tract infection ,symptoms :

Answer 3

• : bilateral abdominal-pelvic pain.

Question 4

Disseminated gonorrhea symptoms :

Answer 4

characterized by dermatitis, polyarthralgia,
and tenosynovitis.
**Petechial skin lesions, septic arthritis, and, rarely, endocarditis or
meningitis, may demonstrate with disseminated gonorrhea.

Question 5

Gonorrhea Diagnosis

Answer 5

Nucleic acid amplification test (NAAT) of either cervical discharge
or urine is used.

Question 6

Gonorrhea Management

Answer 6

Single dose of IM ceftriaxone 1 gm plus a single oral dose of
azithromycin 1 gm

**af allergic to penicillin give clindamycin