STI

Question 1

what should be done first speculum or STI check

Answer 1

STI check

Question 2

how to test for GC/CT in female

Answer 2

Vulvovaginal swab - NAAT

Question 3

how to test for STI in men

Answer 3

first void urine

Question 4

what extra test should you perform is symptomatic eg discharge

Answer 4

microscopy

Question 5

what is a normal vaginal pH

Answer 5

3.5-4.5

Question 6

what additional step must be done in vaginal microscopy

Answer 6

wet prep

Question 7

treatment of chlamydia

Answer 7

doxycycline 100mg BD for 1 week

Question 8

treatment of PID

Answer 8

1G ceftriaxone IM, Doxycycline 100mg BD 2weeks, metronidazole 400mg BD 2 weeks

Question 9

most common STI

Answer 9

chlamydia

Question 10

incubation of chlamydia

Answer 10

7-21 days

Question 11

what serovars of chlamydia are responsible for neonatal conjunctivitis and PID

Answer 11

serovars D-K

Question 12

what serovars of chlamydia are responsible for

lymphogranuloma venerum

Answer 12

serovars L1-L3

Question 13

what discharge colour is seen in chlamydia in men

Answer 13

milky

Question 14

what type of organism is gonorrhoea

Answer 14

gram negative intracellular diplococci

Question 15

treatment of gonorrhoea

Answer 15

Im ceftriaxone 1G

Question 16

what STI should test for cure be done in

Answer 16

gonorrhoea

Question 17

incubation time for gonorrhoea

Answer 17

1-5 days

Question 18

management of HSV 1

Answer 18

aciclovir

Question 19

cause of genital blisters

Answer 19

HSV 1

Question 20

what causes syphilis

Answer 20

treponema pallidum

Question 21

sphiroceate

Answer 21

syphilis

Question 22

how is syphilis diagnosed

Answer 22

serology - PCR

Question 23

treatment of syphilis

Answer 23

benzylypenicillin

Question 24

condylomata lata

Answer 24

syphilis

Question 25

macular follicular pustular rsh on palms and soles

Answer 25

syphilis

Question 26

what test must be done in syphilis until negative

Answer 26

rapid plasma reagent

Question 27

most common viral STI

Answer 27

HPV

Question 28

high risk HPV

Answer 28

18, 16

Question 29

low risk hpv

Answer 29

6,11

Question 30

what HPVS are vaccinated for

Answer 30

6,11,16,18

Question 31

what HPV responsible for palmer warts

Answer 31

1/2

Question 32

cauliflower warts

Answer 32

HPV

Question 33

treatment of HPV warts

Answer 33

podophyllotoxin imiquimid cryotherapy

Question 34

what type of HIV was responsible for epidemic

Answer 34

group M of HIV -1

Question 35

what HIV Is seen mostly in Africa

Answer 35

HIV 2

Question 36

What surface antigens are seen on an HIV cell

Answer 36

GP120, GP 40

Question 37

what receptor does HIV bind to on a non infected cell

Answer 37

CCR5 co-receptor and CD4 receptor

Question 38

what enzyme is responsible for replicating viral DNA

Answer 38

reverse transcriptase

Question 39

how long after HIV exposure is infection established

Answer 39

72 hours

Question 40

how long after HIV exposure is PEP effective

Answer 40

72 hours

Question 41

how is HIV disseminated

Answer 41

via lymph

Question 42

what cells are targeted in HIV

Answer 42

CD4+ cells (T-cells)

Question 43

what is a normal CD4 count

Answer 43

500-1600

Question 44

a CD4 count of less than what is bad

Answer 44

200

Question 45

average time to death from HIV without treatment

Answer 45

9-11

Question 46

what is the CD4 count seen in Pneumocystic pneumonia -PCP (pneumocystis jiroveci)

Answer 46

<200

Question 47

what CD4 count is toxoplasmosis seen at

Answer 47

<150

Question 48

multiple ring enhancing lesions on CT in HIV

Answer 48

toxoplasmosis

Question 49

CD4 count when infected with CMV

Answer 49

<50

Question 50

what causes progressive multifocal leukoencephalopathy seen in HIV and what is CD4 count

Answer 50

John Cunningham virus cd4<100

Question 51

what is HAART - how many drugs, how many classes

Answer 51

HIghyl active anti-retroviral therapy combo of 3 drug for at least 2 different drug classes

Question 52

a viral load of what is untransmissable

Answer 52

<200

Question 53

what drugs make up PrEP

Answer 53

tenofovir and emricitabine

Question 54

how long is post exposure prophylaxis taken for

Answer 54

4 weeks

Question 55

what is condylomata acuminata

Answer 55

genital warts caused by HPV

Question 56

what rashes are seen in secondary syphilis

Answer 56

condylomata lata maculo rash on palms, soles and trunk buccal snail trail

Question 57

examples of non -treponemal tests in syphilis

Answer 57

Rapis plasma reagent venreal disease researh lab

Question 58

treatment of syphilis

Answer 58

IM ben pen

Question 59

things seen in teritary syphilis

Answer 59

argyly robertson pupil gumma

Question 60

what is argyl robertson pupil

Answer 60

accomodates but doesnt constrict to light

Question 61

incubation time of syphilis

Answer 61

9-90 days

Question 62

symptoms of epidydimo-orchitis

Answer 62

testcular pain and swelling discharge may be present but often not

Question 63

causes of epididymo-orchitis

Answer 63

younger adults -chlamydia and gonorrhoea older - e.coli

Question 64

investigation of epididymo-orchitis

Answer 64

younger- STI screen older - MSU and culture + microscopy

Question 65

causes of non-gonococcal urethritis

Answer 65

chlamydia ureaplasm ureatylicum mycoplasma genitalium

Question 66

order ivestigation in STI chec for urethritis

Answer 66

urethral swabs for gram stain and culture First void urine for NAAT revtal swab??

Question 67

how long after gonorrhoea treatment do you test for cure do you need to partner notify

Answer 67

2-3 weeks yes

Question 68

what colour bottle is used to swab for culture nad microscopy

Answer 68

blue

Question 69

what complication seconday to PID involving th eliver may occure

Answer 69

heaptic adhesin s- fitz-hugh curtis