STIs

Question 1

Chlamydia:
Organism?
Main Sx?
Ix?
Tx?

Answer 1

1. chalmydia trachomatis
2. unusual discharge
3. NAAT
4. doxycycline (pregnant = azithromycin)

Question 2

Gonorrhoea:
Organism?
Main Sx?
Ix?
Tx?

Answer 2

1. neisseria gonorrhoea
2. purulent green discharge
3. NAAT and charcoal
4. ciprofloxacin or ceftriaxone

Question 3

Syphilis:
Organism?
Main Sx?
Ix?
Tx?

Answer 3

1. Treponema pallidum
2. painless chancre
3. antibody testing and dark field microscopy or PCR
4. single IM benzathine benzylpenicillin

Question 4

Herpes:
Organism?
Main Sx?
Ix?
Tx?

Answer 4

1. HSV 2
2. painful ulcers
3. clinical and PCR swab
4. aciclovir

Question 5

Bacterial vaginosis:
Organism?
Main Sx?
Ix?
Tx?

Answer 5

1. garnerella vaginalis
2. grey fishy discharge
3. high vaginal swab –> clue cells
4. metronidazole

Question 6

Trichomonas:
Organism?
Main Sx?
Ix?
Tx?

Answer 6

1. trichomonas vaginalis
2. green/yellow frothy discharge
3. high vaginal charcoal swab
4. metronidazole

Question 7

Thrush:
Organism?
Main Sx?
Ix?
Tx?

Answer 7

1. candida albicans
2. thick white discharge
3. charcoal swab
4. clotrimazole/fluclonazole

Question 8

PID:
Risk factors?
Symptoms?
Management?
Complication?

Answer 8

1. IUD/IUS, existing/prev. STI, prev.PID, multiple partners, unprotected sex
2. pain, fever, abnormal discharge (brown)/bleeding, dysuria, dyspareunia, cervical motion tenderness, inflamed cervix
3. single IM ceftriaxone
   + doxycycline + metronidzaole
4. infertility, sepsis, ectopics, Fitz Hugh Curtis

Question 9

What is Fitz Hugh Curtis?

Answer 9

Complication of PID where liver capsule gets infected, causing adhesions between liver and peritoneum.

Causes RUQ and shoulder tip pain.

Requires laparoscopic adhesiolysis.

Question 10

What cell count is aids defining in HIV?

Answer 10

< 200

Question 11

Screening time for:
Chlamydia, gonorrhoea, trichomnas?

HIV?

Syphilis and herpes?

Answer 11

1. 2 weeks
2. 7-8 weeks
3. 12 weeks

Question 12

Symptoms of secondary syphilis?

Examples of tertiary syphilis?

Answer 12

1. generalised/hands and feet maculopapular rash, fever, lymphadenopathy, alopecia, oral lesions
2. cardiogenic and neurosyphilis (argyll robertson pupil), gummatous lesions