Sexual Health - Sexually Transmitted Infections

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Chylamydia: Causative organism

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Front 2

Give........... for 3 types of Chylamydial organism:
a. Species
b. Serovar
c. Natural host
d. Human disease

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Front 3

Problems of Chylamydial infection in pregnancy

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Front 4

Chylamydia: Clinical diagnosis ♂ & ♀

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Chylamydia: Investigations

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Front 6

Chylamydia: Indications for testing

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Front 7

Chylamydia: Indications for Rx

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Front 8

What mammals are riddled with Rx resistant Chylamydia?

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Front 9

Chylamydia: Rx

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Front 10

Chylamydia: Rx in pregnant ♀

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Front 11

Chlamydia Mx of partners

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Front 12

Chlamydia: Complications

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Front 13

Lymphogranuloma vereneum

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+abdo pain

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Herpes: Ix

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Front 15

Herpes: Indications for Rx of 1st episode

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Front 16

Herpes: Mx 1st episode

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Front 17

Herpes: Additional Mx

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Herpes: Mx complications

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Front 19

Herpes: Mx recurrent HSV

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Front 20

Gonorrhoea: Sx in ♂

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Gonorrhoea: Sx in ♀

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Gonorrhoea: Sx in ♂ ♀
Complications?

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Gonorrhoea: Dx

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Front 24

Gonorrhoea: Δ tests (2)

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Front 25

Rx Uncomplicated Gonorrhoea (4)

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Gonorrhoea partner notification?

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Front 27

HIV at risk groups

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Front 28

Clinical indicator diseases for patients with HIV

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Front 29

Define urethritis

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Front 30

Symptoms of urethritis

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Front 31

Causes of urethritis

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Front 32

Rx for uncomplicated Chlamydia & NSU

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Front 33

Rx for uncomplicated Gonorrhoea

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Front 34

Partner notification for:
a. Gonhorroea
b. Chlamydia
c. NSU

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Front 35

Causes of abnormal vaginal discharge

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Front 36

Give..... for BV, Candidiasis & TV:
a. type of discharge
b. odour
c. associated Sx
d. Typical signs
e. vaginal pH

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Front 37

What is the normal vaginal pH?
What causes it to be acidic or alkalotic?
How do you measure vaginal pH?

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Front 38

Give treatment protocol for a woman with vaginal discharge

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Front 39

How useful are HSV?

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Front 40

MCC abnormal vaginal discharge
Trigger/pathogenesis?

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Front 41

BV 'associations'
Is BV a STI?
Protective factors?

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Front 42

BV: Sx & signs

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BV: Complications

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BV: Dx

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Front 45

BV: Sx and signs

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BV: Complications

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Front 47

BV: Dx

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Front 48

BV: Rx

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Front 49

BV: Rx in pregnancy

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Front 50

BV: Rx for:
a. Breast feeding mothers
b. if undergoing TOP
c. recurrent BV

Partner notification?
Follow-up?

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Front 51

Thrush: Aetiology organisms
Primary Vs Secondary

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Front 52

Candida: Sx & signs

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Candida: Complications
Can you determine type of species by Sx and signs?

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Front 54

Candida: Rx for uncomplicated cases
Topical
PO
Follow-up?

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Front 55

Candida: Rx in pregnancy

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Front 56

TV: Type of organism?
Is TV and STI?
Sx and signs in ♂ & ♀

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Front 57

TV: Complications

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Front 58

PID: definition
Where can infection spread to?

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Front 59

PID: Sx

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PID: Signs

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Front 61

ΔΔ for abdo pain in ♀ of reproductive age (7)

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Front 62

PID: Aetiology

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Front 63

PID: Rf (6)

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Front 64

PID: 1st line Rx
Give 2 courses

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Front 65

Epydidymo-orchitis: Def & Aetiology

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Viral: mumps orchitis is most common. Coxsackievirus A, varicella and echoviral infections are rare.[5][6]
Bacterial and pyogenic infections: E. coli, Klebsiella, Pseudomonas, Staphylococcus and Streptococcus species are unusual.[7]
Granulomatous: syphilis, TB, leprosy, Actinomyces spp. and fungal diseases are rare.[1][8][9]
Trauma.
Idiopathic.

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Epydidymo-orchitis: Sx & signs

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Epydidymo-orchitis: ΔΔ

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Epydidymo-orchitis: Rx for likely STI cause

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Front 69

Epydidymo-orchitis: Rx for:
a. ? UTI
b. ? TB
c. ? Mumps

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Epydidymo-orchitis: Complications

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1. Infertility - the relationship between epididymo-orchitis and infertility is poorly understood. Men who present with obstructive azoospermia are usually found to have epididymal obstruction when explored for sperm retrieval, which may be a consequence of previous infection.

2. Mumps epididymo-orchitis can lead to testicular atrophy. Of those with bilateral orchitis, 13% will have reduced fertility.

3. Reactive hydrocele.

4. Abscess formation and infarction of the testicle (both are rare).

Front 71

Syphylis: Sx & Definition

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Venereal syphilis is a contagious, systemic disease caused by Treponema pallidum. T. pallidum enters via abraded skin or intact mucous membrane and distributes via the bloodstream and lymphatics after an incubation period of around 3 weeks.

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3° Syphilis manifestations (5)

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General paralysis of the insane = neurosyphilis

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Syphylis: Natural Hx
What is a chancre?
How is it formed?
Is it painful?
How does it spread?
Over what time frame?

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Front 74

Syphylis: Sx
1° Vs 2° Vs 3°?

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Front 75

Genital warts: Cause
Pathogenesis
How many types ofthe virus?

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Front 76

Give a summary of HPV type and the tpyes of skin leision they all cause

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Genital warts: Pathogenesis

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Front 78

Genital warts: Sx

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Front 79

Genital warts: ΔΔ

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Genital warts: Rx options and mechanism of action

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Front 81

Give the...... for Hep A, B & C:
a. Incidence
b. Incubation period
c. Infectious period
d. chance of persistent infection
e. contacts

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ABC... it's as simple as 123

Front 82

Give the...... for Hep A, B & C:
a. risks of infection during pregnancy
b. risks of breast-feeding

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Front 83

Give the...... for Hep A, B & C:
a. general advice
b. follow-up
c. diagnosis

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Front 84

Genital Scabies: Mx

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Front 85

Genital Molluscum Contagiosum: Causative organism
Is it an STI?
Transmission?
♂ : ♀?
Risks of Mother to Child transmission?
Facial MC...?

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Front 86

Genital Molluscum Contagiosum: Sx and signs

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Genital Molluscum Contagiosum: Complications
Impact in HIV+ve?

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Front 88

Genital Molluscum Contagiosum: Mx

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Front 89

Balanitis: Definition & Aetiology

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Front 90

Balanitis: Give the Sx, Signs and Rx for:
a. Candida
b. HSH
c. Anaerobic Balanitis
d. Staph/Strep
e. Circinate Balanitis
f. Plasma cell Balanitis
g. Lichen sclerosis
h. Carcinoma-in-situ

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Front 91

Balanitis:
a. Zoon's Balanitis?
b. Bowen's disease of Penis?
c. Erythroplasia of Queyrat

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a. Plasma cell balanitis
b. Squamous cell carcinoma (SCC) in situ that is aka karetanising (PIN) III
c. HPV related Penile Intraepithelial Neoplasia (PIN) III ie aka non-keratinising CIS