STIs

Question 1

Candida/thrush symptoms?

Answer 1

red sore vulva, itchy white vaginal discharge

Question 2

Candia test?

Answer 2

high vaginal swab for C. albicans, budding seen on gram film

Question 3

Treatment of candida?

Answer 3

oral fluconazole

topical clortimazole

Question 4

Watery, fishy discharge?

Answer 4

Bacterial Vaginosis

Question 5

High vaginal swab shows what in BV?

Answer 5

CLUE CELLS

Question 6

Treatment of BV?

Answer 6

oral metronidazole

Question 7

Treatment of trichomonas vaginalis?

Answer 7

oral metronidazole

Question 8

What type of infection is trichomonas?

Answer 8

protazoa

Question 9

Strawberry cervis?

Answer 9

trichomonas

Question 10

Symptoms of trichomonas?

Answer 10

discharge, irritation

Question 11

Treatment of pubic lice?

Answer 11

malathion lotion

Question 12

Commonest viral STI?

Answer 12

genital warts (HPV, most often 6 and 11)

Question 13

Treatment of genital warts?

Answer 13

cryotherapy, lotion

Question 14

What causes genital herpes?

Answer 14

Herpes Simplex Virus 1 and 2

Question 15

Which type of HSV, 1 or 2, is recurrent?

Answer 15

2

Question 16

Treatment of HSV?

Answer 16

aciclovir and analgesia

Question 17

Test for HSV?

Answer 17

PCR of deroofed blister

Question 18

Does chlamydia gram stain?

Answer 18

no

Question 19

Chlamydia types related to eye?

Answer 19

A-C

Question 20

Chlamydia types related to genital?

Answer 20

D-K

Question 21

Chlamydia types related to MSM?

Answer 21

L1-L3

Question 22

Female symptoms of chlamydia?

Answer 22

post coital/ intermenstrual bleeding
lower abdo pain
dyspareunia

Question 23

Tests will reveal chlamydia when after exposure?

Answer 23

14 days

Question 24

Test for males chlamydia?

Answer 24

first past urine

Question 25

Test for females chlamydia?

Answer 25

high vaginal swab

Question 26

Treatment for chlamydia?

Answer 26

1g azithromycin | If MSM, Doxycycline 100mg BD for 1 week

Question 27

Syphilis treatment?

Answer 27

penicillin

Question 28

Spirocheates on microscopy?

Answer 28

syphilis

Question 29

Is male to female risk or female to male risk high in gonorrhea?

Answer 29

male to female risk higher

Question 30

Who are more likely to have symptoms in gonorrhea?

Answer 30

men e.g. discharge, dysuria

Question 31

What does gonorrhea look like on culture?

Answer 31

2 kidney beans

Question 32

Tests for gonorrhea?

Answer 32

males - first past urine females - high vaginal swab (Same as chlamydia)

Question 33

Treatment of gonorrhea?

Answer 33

IM ceftriaxone AND oral azithromycin

Question 34

Second line for gonorrhea treatment?

Answer 34

cefixime

Question 35

What must be done after gonorrhea treatment?

Answer 35

Test of cure

Question 36

What is more common, HIV 1 or 2?

Answer 36

1

Question 37

What type of infections does HIV cause increased susceptibility to?

Answer 37

viral, fungal, mycobacterial | NOT BACTERIAL

Question 38

When is there a very high risk of HIV transmission?

Answer 38

2-4 weeks post infection,

Question 39

Survival of HIV without treatment?

Answer 39

9-11 years

Question 40

Treatment of HIV?

Answer 40

3 drugs from at least 2 classes eg tenofovir, emtricitbine and efavirez