STDs

Question 1

AMSEL CRITERIA for bacterial vaginosis

Answer 1

1. Objective signs of increased white homogenous vaginal discharge
2. Vaginal discharge pH > 4.5
3. Liberation of distinct fishy odor
4. Clue cells

Question 2

Rx bacteria vaginosis

Answer 2

Metronidazole 500 TId X 7 days

Question 3

Silent partner of urethritis in men

Answer 3

Mucoprulent cervicitis MPC

> 30 PMNs

Question 4

Causes of MPC

Like urethritis

Answer 4

N gonorrheae

C trachoma this

Question 5

Violet string adhesions over the liver

Answer 5

Fits high Curtis syndrome

Question 6

MC cause of PID

Answer 6

N gonorrhoeae

Question 7

Organism causing fits Hugh Curtis syndrome

Answer 7

Chlamydia trachoma this

Question 8

Recommended regimen for PID

Outpatient

Answer 8

Outpatient:
Ceftriaxone 250 mg IM
Doxycycline 100 PO BID X 14
Metronidazole (if tolerated) 500 X 14 d

Inpatient
Cefotetan/ cefoxitin
+ doxycycline

Clindamycin + Gentamicin

Question 9

MC cause of genital ulceration in developing countries

Answer 9

Herpes