STI

Question 1

What does a classical STI screening test look for?

Answer 1

• chlamydia
• gonorrhoea
• HIV
• Syphilis

Question 2

What sampling can be performed for symptomatic discharge

Answer 2

• cervical microscopy
• vaginal microscopy
• urethral microscopy
• amines swab

Question 3

Amines swab is what?-

Answer 3

High vaginal swab

Question 4

What is a vulvovaginal swab used for?

Answer 4

• testing chlaymdia and gonorrhoea

- NAAT

Question 5

What is NAAT?

Answer 5

• Nucleic acid aplification test

- tests for chlamydia and gonorrhoea

Question 6

What is the commonest bacterial STI?

Answer 6

• Chlaymdia

Question 7

Symptoms of chlamydia?

Answer 7

• asymptomatic
• milky urethral discharge (males)
• vaginal discharge
• intermenstrual bleeding
• dysuria

Question 8

Complications of chlamydia?

Answer 8

• PID
• Ectopic pregnancy
• infertility
• reactive arthritis
• conjunctivitis

Question 9

Incubation time for chalmydia?

Answer 9

• 7-21 days

Question 10

When is testing performed for chlamydia?

Answer 10

• 14 days post exposure
• NAAT
• Endocervical or urine

Question 11

Treatment of chamlydia?

Answer 11

• doxyxcycline

Question 12

Symptoms of PID?

Answer 12

• Cervical excitation
• dysuria
• irregular bleeding
• abdo pain

Question 13

Treatment of PID?

Answer 13

• Ceftriaxone (IM) + Doxycycline + metrondiazole

Question 14

Incubation time for gonorrhoea?

Answer 14

• 2-5days

Question 15

Symptoms of gonorrhoea?

Answer 15

• asymptomatic
• mucopurluent urethral discharge
• dysuria
• irregular bleeding

Question 16

Tests for gonorrhoea?

Answer 16

• microscopy ( gram -ve diplococci)

- culture (antibiotics)

Question 17

Treatment of gonorrhoea?

Answer 17

• ceftiaxone IM

Question 18

LGV is what?

Answer 18

• lymphogranuloma venereum
• strain of chlaymdia
• MSM

Question 19

Explain primary infection genital herpes

Answer 19

• never been exposed before

- more profound symptoms

Question 20

Recurrent infection in HSV?

Answer 20

• Commoner in HSV 2

Question 21

Risk of HSV in pregnancy?

Answer 21

• inform O&G
• highest risk in 3rd trimester
• primary infection = 50% risk of transmission

Question 22

Genital herpes symptoms?

Answer 22

• genital ulcers
• external dysuria
• pain
• vaginal or urethral discharge

Question 23

Genital herpes treatment?

Answer 23

• aciclovir

Question 24

What organism caused syphilis?

Answer 24

• treponema pallidum

Question 25

How is syphilis diagnosed?

Answer 25

- serology testing (antibody) - dark field microscopy - PCR

Question 26

Treatment of early syphilis?

Answer 26

- benzathine penicillio single dose

Question 27

Treatment of late syphilis?

Answer 27

- benzathine penicillin weekly for 3 weeks

Question 28

Primary chancre is associated with what?

Answer 28

- primary syphilis

Question 29

Incubation time for primary syphilis?

Answer 29

- 9-90 days

Question 30

Incubation time for secondary syphilis?

Answer 30

- 6weeks - 6mnths

Question 31

Symptoms of a secondary syphilis?

Answer 31

- skin rash - lesions in mucous membranes - anterior uveitis

Question 32

Commonest viral STI?

Answer 32

- HPV

Question 33

Which HPV type is more associated with genital warts?

Answer 33

- type 6 + 11

Question 34

Which HPV type is oncogenic in nature?

Answer 34

- most oncogenic = hPV 16 | - also hpv 18

Question 35

Treatment of HPV genital warts?

Answer 35

- podophyllotoxin - imiquimod - cryotherapy

Question 36

Symptoms of bacterial vaginosis?

Answer 36

- bacterial overgrowth - vaginal discharge - fishy odor

Question 37

Treatment of bacterial vaginosis?

Answer 37

- metronidazole