STI's Self-Learning Guide

Question 1

What is the causative organism of gonorrhea?

Answer 1

Neisseria gonorrhoeae (bacterium)

Question 2

Epidemiology of gonorrhoeae

Answer 2

15-24
Men who have sex with men

Question 3

Symptoms of gonorrhea in men

Answer 3

• 10% asymptomatic
• Thick yellow discharge
• Dysuria
• Tender inguinal nodes

Question 4

Symptoms of gonorrhea in women

Answer 4

• 50% asymptomatic
• Vaginal discharge
• Dysura
• Intermenstural bleeding
• Post-sex bleeding

Question 5

Extra-genital symptoms of gonorrhea

Answer 5

• Pharyngitis
• Rectal pain
• Discharge
• Disseminated infection

Question 6

Complications of gonorrhea

Answer 6

Men:

• Epididymitis

Women:

• Pelvic inflammatory disease
• Bartholin’s abscesses

Both:

• Acute monoarthritis (elbow/shoulder)
• Skin lesions

Question 7

Incubation period of gonorrhoeae

Answer 7

5-6 days

Question 8

Investigations of gonorrhea

Answer 8

• Nucleic Acid Amplification Test

Question 9

Treatment of gonorrhea

Answer 9

• Blind treatment with ceftriaxone
• Follow up 2 weeks & 3 months

Question 10

What is the causative organism of chlamydia?

Answer 10

Chlamydia trachomatis serovars D-K

Question 11

Epidemiology of chlamydia

Answer 11

<25yrs

Women

Question 12

Symptoms of chlamydia in men

Answer 12

• 70% asymptomatic
• Watery discharge
• Dysuria

Question 13

Symptoms of chlamydia in women

Answer 13

• 80% asymptomatic
• Vaginal discharge
• Dysura
• Intermenstural bleeding
• Post-sex bleeding

Question 14

Extra-genital symptoms of chlamydia

Answer 14

Conjunctivitis

Question 15

Complications of chlamydia

Answer 15

Men:

• Epididymitis

Women:

• Pelvic inflammatory disease
• Ectopic pregnancy
• Pelvic pain
• Infertility

Both:

• Reactive arthritis
• Urethritis/Cervicitis
• Conjunctivitis
• Arthritis

Question 16

Diagnosis of chlamydia

Answer 16

NAAT:

• Endo/cervical swab
• Urethral swab

Question 17

Treatment of chlamydia

Answer 17

• Doxycycline
• Azithromycin (if pregnant)

Follow up:

3-12 months