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Flashcards in 12 - Repro - Infections Deck (45):
1

Name the 5 most common STI's affecting the UK:

1) Genital warts
2) Chlamydia
3) Genital herpes
4) Gonorrhoea
5) Syphilis

2

Name the organism which causes genital warts:

Human Papilloma Virus (HPV)

3

Name the organism which causes Chlamydia:

Chlamydia trachomatis

4

Name the organism which causes Genital herpes:

Herpes simplex virus

5

Name the organism which causes Gonorrhoea:

Neisseria gonorrhoeae

6

Name the organism which causes Syphilis:

Treponema palladium

7

List some causes of genital ulceration:

- Syphilis
- Chancroid
- Lymphogranuloma venereum
- Donovanosis
- Herpes simplex virus
- Herpes zoster virus
- Molloscum contagiosum
- Carcinoma
- Trauma

8

What is the name of the organism which causes Lymphogranuloma venereum?

Chlamydia trachomatis

9

What are the symptoms of urethritis?

Dysuria +/- discharge

10

List some causes of urethritis:

- N. gonorrhoea
- Chlamydia trachomatis
- Mycoplasma
- Trichomonas vaginalis
- Herpes simplex virus
- Herpes papilloma virus
- UTI
- Syphilis
- Physical/chemical trauma
- Urethral stricture

11

What are the symptoms of vulvo-vaginitis and cervicitis?

- Vaginal discharge
- Odour
- Itch
- Dyspareunia
- Soreness

12

What is the most common cause of infective vulvo-vaginitis and cervicitis?

Bacterial vaginitis due to overgrowth of normal flora ie Gardnerella vaginalis

13

List some non-infective causes of vulvo-vaginitis and cervicitis:

- Cervical polyps
- Neoplasm
- Retained products ie tampons
- Chemical irritation

14

What are the symptoms of Pelvic Inflammatory Disease?

- Pyrexia
- Lower abdominal pain
- Deep dyspareunia
- Discharge
- Bleeding

15

Which organisms often contribute to Pelvic Inflammatory Disease?

- Chlamydia trachomatis
- Neisseria gonorrhoea
- Gardnerella vaginalis
- Mycoplasma
- Other anaerobes

16

What name is given to the infective form of chlamydia trachomatis?

Elementary body

17

What are the symptoms of a Chlamydia infection?

Females:
- Usually asymptomatic
- Dysuria
- Discharge
- Lower abdominal pain
- Dyspareunia
- Abnormal bleeding

Males:
- Usually dysuria + discharge

18

How do infants with a chlamydia infection usually present?

Conjunctivitis
May progress to pneumonia

19

Apart from the genital tract, what other part of the body is commonly affected by chlamydia trachomatis?

Eyes - conjunctivitis common, can lead to blindness

20

What method of specimen collection is used for chlamydia infections?

- Endocervical swab
- Urethral swab
- 1st void urine
- Conjunctival swab

21

What is the main antibiotic used to treat Chlamydia?

Adults - Azithromycin
Children - Erythromycin

22

What are the usual symptoms of gonorrhoea?

Female:
- Usually asymptomatic

Male:
- Dysuria
- Discharge

23

What are the symptoms of disseminated gonorrhoea infection?

- Painful joints
- Tenosynovitis
- Rash

24

What methods of specimen collection are used to detect gonorrhoea?

- Endocervical swab
- Urethral swab
- Rectal swab
- Pharyngeal swab
- Urine

25

What is the treatment for gonorrheoa?

IM Ceftriaxone

26

Penicillin resistance is most common with which type of STI?

Gonorrhoea

27

What is the usual presentation of genital herpes?

- Extensive painful genital ulceration
- Dysuria
- Fever
- Inguinal lymphadenopathy

28

Which common STI can lie latent in the dorsal root ganglia?

Genital herpes (Herpes simplex virus)

29

What is the treatment for genital herpes?

Aciclovir

30

Which herpes simplex virus most commonly causes genital herpes?

HSV2

31

Which human papilloma viruses most commonly cause benign genital wart formation?

HPV 6 + 11

32

Which human papilloma viruses most commonly cause oncogenic genital wart formation?

HPV 16 + 18

33

What is the presentation of genital warts?

Benign, painless, verrucous outgrowths of:
- Penis
- Vulva
- Vagina
- Cervix
- Urethra
- Perianal skin

34

What is the treatment for genital warts?

None:
Spontanous resolution <1yr ~ 70%, ,2yrs 90%

Topical podophyllin

Cryotherapy

Surgery

35

The HPV vaccine offered to girls (Gardasil) protects against which human papilloma viruses?

HPV 6, 11, 16 + 18

36

Who is most at risk of contracting syphilis?

Men (particularly MSM)

37

What is the treatment for syphilis?

Penicillin

38

What type of organism is Trichomonas vaginalis?

Flagellated protozoan

39

Name the organism which causes Trichomoniasis:

Trichomonas vaginalis

40

What are the symptoms of trichomoniasis?

- Thin, frothy discharge
- Irritation
- Dysuria

41

What is the treatment for trichomoniasis?

Metronidazole

42

What are the symptoms of vulvovaginal candidiasis?

Profuse, white, itchy curd-like discharge

43

What is the treatment for vulvovaginal candidiasis?

- Topical azoles/nystatin
- Oral fluconazole

44

What is the symptom of bacterial vaginosis?

Little but offensive 'fishy' discharge

45

What is the treatment for bacterial vaginosis?

Metronidazole