STI Infections of the Genital Tract Flashcards

1
Q

What is a commensal micro-organism?

A

Micro-organism that derives food from other organism without hurting it

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2
Q

What is the difference between an STI and STD?

A

Infection which can be transmitted vs. a disorder of function which can be passed by sexual activity

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3
Q

What are the venereal diseases?

A

Syphilis
Gonorrhoea
Chancroid

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4
Q

Which STI are controversial whether they are infections or colonisations?

A

Mycoplasma hominis
Ureaplasma urealyticum
Bacterial vaginosis
Genital candidosis

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5
Q

What are the characteristics of an STI?

A

Transmissible
Asymptomatic (mostly)
Manageable but not all curable
Avoidable

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6
Q

Which infections can be transmitted by genital contact only?

A

Pubic lice
Scabies
Warts (HPV)
Herpes

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7
Q

Which strains of HPV are responsible for genital warts?

A

Types 6 and 11

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8
Q

What activity is required for the transmission of Hep C?

A

Group sex

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9
Q

What are the typical physical symptoms of a possible STI?

A
Ulceration
Lumps 
Discharge
Discharge 
Rashes
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10
Q

What are the typical systemic symptoms of a possible STI?

A
Fever
Rash
Lymphadenopathy
Malaise
Infertility 
Cancer (HPV) 
Adverse pregnancy
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11
Q

Why are STIs important?

A

Common
Use resources
Morbidity/mortality

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12
Q

How common are STIs?

A

1M acquired every day

500M have genital herpes

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13
Q

What factors are leading to changing STI Dx rates?

A
Change in number of cases
Less transmissibility
More sex
More MSM
More cases being diagnosed
More awareness of testing
Better tests
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14
Q

What is assortative mixing in STI spread?

A

People have sex with people with similar lifestyles
High prevalence within subpopulation
Syphilis - IVDA
HCV - HIV+ve men

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15
Q

How is STI managed?

A

Partner notification
HIV testing
Health promotion

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16
Q

Why is a sexual history necessary in STI diagnosis?

A

Possible cause of Sx
Detecting high-risk behaviour
Tracing contacts

17
Q

What is involved in the male risk assessment for STI?

A
Ever had sexual contact with a man?
Ever injected Drugs?
Ever with IVDA?
Ever with outside UK partner?
Medical treatment outside UK
Prostitution use
18
Q

What are the methods of partner notification?

A

Patient tells contacts (client referral)

NHS tells contacts (provider referral)

19
Q

Why should you offer further testing for STI patients?

A

Most STI risk factors are HIV risk factors

If they have one, may have another

20
Q

What factors can be promoted in health promotion?

A

Condoms prevent transmission
Oral sex carries risk (higher for fellatio)
Alcohol and other drugs