STIs

Question 1

what causes syphilis?

Answer 1

treponema pallidum

Question 2

signs of primary syphilis?

Answer 2

painless chancre at site of inoculation

Question 3

features of secondary syphilis?

Answer 3

lymphadenopathy
alopecia
condylomata lata
rash on palms and soles

Question 4

if patient has a lesion, what Ix should be done?

Answer 4

dark field microscopy

Question 5

what two blood tests are done to confirm syphilis?

Answer 5

serum trepenomal EIA (screening)

serum TPPA

Question 6

what are present during infection and for life in syphilis?

Answer 6

serum trepenomal EIA
serum TPPA

IgM acute, IgG for life

Question 7

Tx for syphilis?

Answer 7

IM benzylpenicillin

Question 8

for syphilis, what can be measured to see if Tx is working?

Answer 8

rapid plasma reagin

Question 9

complications of syphilis?

Answer 9

CVS

neuro deficits

Question 10

what types of HPV cause genital warts?

Answer 10

6 and 11

Question 11

what types of HPV are assoc with cancer?

Answer 11

16 and 18

Question 12

what type of HPV is assoc with palmar/plantar warts?

Answer 12

1 and 2

Question 13

what Tx is given for HPV?

Answer 13

imiquimod (topical)/podophyllotoxin
cryotherapy
electrocautery

Question 14

who and when is vaccination for HPV given?

Answer 14

MSM >45yrs
HIV +ve
11-13yr old F

Question 15

complications of HPV?

Answer 15

SSC

adenocarcinoma

Question 16

what causes gonorrhoea? features on gram stain?

Answer 16

neisseria gonorrhoea

gram -ve diplococcus

Question 17

features of gonorrhoea in M and F?

Answer 17

M

• asymp
• dysuria
• mucopurulent urethral discharge

F

• asymp
• discharge
• dysuria
• pelvic/abdo pain

Question 18

Ix for gonorrhoea? where is swab taken?

Answer 18

NAAT from
urethral/vulvovaginal/endocervical/pharyngeal/rectal
culture

Question 19

Tx for gonorrhoea?

Answer 19

ceftriaxone and azithromycin IM

no sex for 7 days

Question 20

does gonorrhoea have a test of cure and when?

Answer 20

yes

2wks after meds

Question 21

what causes genital herpes?

Answer 21

HSV 1 + 2

Question 22

pathology of herpes?

Answer 22

replicates in skin and moves to nerve endings
causes pain
settles in sacral root ganglion
can be reactivated

Question 23

features of genital herpes?

Answer 23

blistering and ulceration
pain
dysuria
discharge
fever
myalgia

Question 24

Ix for herpes?

Answer 24

swab ulcer and PCR

Question 25

Ix for HPV?

Answer 25

none (clinical diagnosis)

Question 26

Tx for herpes?

Answer 26

acyclovir and pain relief

Question 27

what usually causes genital candida infections?

Answer 27

candida albicans

Question 28

what risk factors are there for candida infections?

Answer 28

antibios high oestrogen diabetes immunocomp

Question 29

features of candida infections?

Answer 29

itch | white vaginal discharge

Question 30

Ix for candida infections?

Answer 30

clinical

Question 31

Tx for candida infections?

Answer 31

clotrimazole (topical) | fluconazole (oral)

Question 32

what causes bacterial vaginosis?

Answer 32

imbalance of vaginal bacteria becomes alkaline bacteria replaced with anaerobic species

Question 33

features of bacterial vaginosis?

Answer 33

fish smell itchy bubbly discharge M - spotty rash on penis

Question 34

Ix for bacterial vaginosis?

Answer 34

swab culture microscopy - clue cells whiff test

Question 35

Tx for bacterial vaginosis?

Answer 35

FEMALES ONLY | metronidazole

Question 36

what causes chlamydia?

Answer 36

chlamydia trachomatis

Question 37

what serovars of chlamydia cause what?

Answer 37

A-C eye infection D-K STI L1-L2 lymphogranuloma venerum

Question 38

features of chlamydia?

Answer 38

``` asymp dysuria discharge intermenstural/postcoital bleeding lower abdo pain ```

Question 39

features of lymphogranuloma venerum?

Answer 39

``` rectal pain discharge bleeding tenesmus proctitis ```

Question 40

Ix for chlamydia? where are swabs?

Answer 40

NAAT vulvovaginal first void urine (M) rectal

Question 41

Tx for chlamydia?

Answer 41

azithromycin | erythromycin if pregnant

Question 42

for chlamydia, who gets test of cure? when?

Answer 42

pregnant rectal infection 3 wks after

Question 43

Tx for pubic lice?

Answer 43

malathion lotion

Question 44

symptoms of acute bacterial prostatitis?

Answer 44

``` lower abdo pain perineal pain penile pain tender prostate UTI symptoms ```

Question 45

how can acute bacterial prostatitis arise?

Answer 45

complication of UTI

Question 46

usual infecting organisms in acute bacterial prostatitis?

Answer 46

e coli chlamydia gonorrhoea

Question 47

tx for prostatis?

Answer 47

ciprofloxacin

Question 48

what is trichomonas vaginalis?

Answer 48

single celled parasite

Question 49

features of trichomonas vaginalis?

Answer 49

bubbly discharge green fish odour strawberry cervix

Question 50

Ix for trichomonas vaginalis?

Answer 50

microscopy | shows flagella

Question 51

Tx for trichomonas vaginalis?

Answer 51

metronidazole

Question 52

PID Tx?

Answer 52

IM ceftriazone metronidazole doxycycline