STIs

Question 1

presentation of LGV chlamydia?

Answer 1

rectal pain
discharge
bleeding
proctitis

Question 2

who gets LGV chlamydia?

Answer 2

MSM

Question 3

profuse mucopurulent discharge from the penis and painful urination…

Answer 3

gonorrhoea

Question 4

what STI can cause PID?

Answer 4

chlamydia

Question 5

highest age incidence of chlamydia?

Answer 5

20-24

Question 6

female presentation of chlamydia?

Answer 6

post-coital/intermenstrual bleeding
lower abdo pain
dyspareunia
mucopurulent cervicitis

Question 7

main red flag for chlamydia in women?

Answer 7

post coital/intermenstrual bleeding

Question 8

male presentation of male chlamydia?

Answer 8

urethral discharge
dysuria
urethritis
epididymoorchitis
proctitis

Question 9

complications of chlamydia?

Answer 9

PID
tubal damage
chronic pelvis pain
neonatal transmission
conjunctivitis
reiters

Question 10

Ix for chlamydia and when should it be done?

Answer 10

vulvovaginal swab 14 days after exposure

first void urine in men +/- rectal or oral swab if MSM

Question 11

Tx of chlamydia

Answer 11

doxycycline 100mg bd for 7 days

Question 12

mycoplasma genitaliun is associated with what symptoms?

Answer 12

non gonoccocal urethritis

PID

Question 13

Ix of mycoplasma genitalium

Answer 13

vulvovaginal swab (f)
first void urine (m)
\+/- rectal or oral swab

Question 14

gonorrhoea presentation?

Answer 14

urethral discharge ++
dysuria
CAN BE ASYMPTOMATIC

Question 15

gonorrhoea where can particularly be asymptomatic?

Answer 15

rectal gonorrhoea

Question 16

primary sites of infection of gonorrhoea?

Answer 16

mucous membranes of:
urethra
endocervix
rectum
pharynx

Question 17

incubation period of gonorrhoea?

Answer 17

2-5 days

Question 18

female presentation of gonorrhoea?

Answer 18

asymptomatic
increased/altered discharge
dysuria
pelvic pain

Question 19

how common is asymptomatic gonorrhoea in women?

Answer 19

50%

Question 20

lower GU complications of gonorrhoea?

Answer 20

bartholinitis
tysonitis
periurethral abscess
epididymitis

Question 21

upper GU complications of gonorrhoea?

Answer 21

endometritis
PID
infertility
ectopic
prostatitis

Question 22

Ix of gonorrhoea

Answer 22

screening swabs for microscopy +/- culture

Question 23

2nd line treatment of gonorrhoea?

Answer 23

cefixime 400mg oral

Question 24

incubation period of genital herpes?

Answer 24

3-6 days

Question 25

duration of genital herpes?

Answer 25

2-3 weeks

Question 26

presentation of herpes?

Answer 26

``` blistering and ulceration of the external genitalia pain external dysuria vaginal/urethral discharge local lymphadenopathy fever and myalgia (prodrome) ```

Question 27

prodromal features of genital HSV

Answer 27

fever | myalgia

Question 28

how many recurrent attacks will you get from genital HSV1

Answer 28

1 attack every 12-18 months

Question 29

how many recurrent attacks will you get for genital HSV2

Answer 29

4-6 per year

Question 30

herpes gets less severe over time T or F

Answer 30

T

Question 31

describe the distribution of recurrent herpes?

Answer 31

unilateral, small blisters and ulcers

Question 32

when should recurrent episodes of GHSV resolve?

Answer 32

5-7 days

Question 33

Ix herpes

Answer 33

swab base of ulcer for HSV PCR

Question 34

Tx of herpes (include dose and duration)

Answer 34

oral aciclovir 400mg TDS for 5 days saline bathing analgesia

Question 35

viral shedding is common in HSV_

Answer 35

2

Question 36

what prophylactic medication is given for HSV?

Answer 36

aciclovir 400mg bd for a year

Question 37

when would you qualify for recurrent HSV?

Answer 37

if youre having 6 or more attacks per year

Question 38

Ix of suspected herpes in 3rd trimester of pregnancy?

Answer 38

specific serology + HSV NAAT

Question 39

most common viral STI in the UK?

Answer 39

HPV

Question 40

name the low risk strains of HPV

Answer 40

6 and 11

Question 41

name the high risk strains of HPV

Answer 41

16 and 18

Question 42

what strains of HPV cause anogenital warts?

Answer 42

6 and 11

Question 43

what strains of HPV cause palmoplantar warts?

Answer 43

1 and 2

Question 44

incubation period of HPV?

Answer 44

3 weeks to 9 months

Question 45

transmission of more than one HPV type is common T or F

Answer 45

T

Question 46

how successful is genital warts treatment?

Answer 46

60% success | lower success rate in immunosuppressed

Question 47

Tx of genital warts

Answer 47

1. podophyllotoxin 2. imiquimod (except if anal warts, 1st line) 3. cryotherapy

Question 48

1st line Tx for anal warts?

Answer 48

imiquimod

Question 49

Tx for genital warts in a pregnant woman?

Answer 49

cryotherapy only

Question 50

what stages of syphilis are symptomatic?

Answer 50

primary | secondary

Question 51

how long after onset of disease do you fall into the late latent category of syphilis?

Answer 51

2yrs

Question 52

mean incubation period of syphilis

Answer 52

3 weeks

Question 53

chancres are always painful T or F

Answer 53

F, can sometimes be sore

Question 54

describe systemic symptoms of primary syphilis?

Answer 54

non-tender local lymphadenopathy

Question 55

incubation period of secondary syphilis?

Answer 55

6 weeks - 6 months

Question 56

presentation of secondary syphilis?

Answer 56

``` wart like lesions that ooze clear fluid generalised LNs lesions of mucous membranes skin rash on palms and soles patchy alopecia ```

Question 57

Ix for primary syphilis

Answer 57

1. viral swab for PCR | 2, serological testing (TTPA) and RPR (non treponemal)

Question 58

what do non-treponemal serological tests do?

Answer 58

measure of the activity of the disease to see how well its responding to treatment

Question 59

Tx of early syphilis

Answer 59

2.4 mu benzathine penicillin x1

Question 60

Tx of late syphilis

Answer 60

2.4mu benzathine penicillin x3

Question 61

when should you stop measuring RPR?

Answer 61

when it becomes negative

Question 62

signs of chlamydia infection in babies?

Answer 62

conjunctivitis