Urethritis & Cervicitis: Chlamydia, Gonorrhoea, & NGU
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Questions and Answers

What percentage of individuals with chlamydial infection are asymptomatic?

  • 20-30%
  • 40-50%
  • 10-20%
  • The majority (correct)

    • What is the highest prevalence of genital chlamydia infection in?

  • 25-34 year-olds
  • 45-54 year-olds
  • 35-44 year-olds
  • 15-24 year-olds (correct)

    • What is the primary cause of chlamydial infection?

  • Ureaplasmas
  • Mycoplasma genitalium
  • Trichomonas Vaginalis
  • Chlamydia trachomatis (correct)

    • What is a common symptom of chlamydial infection in women?

    <p>Lower abdominal pain</p> Signup and view all the answers

    What is the typical presentation of rectal chlamydia infection?

    <p>Asymptomatic</p> Signup and view all the answers

    What is the rate of pharyngeal chlamydia infection in MSM?

    <p>0.5-2.3%</p> Signup and view all the answers

    What percentage of patients with recurrent disease experience lymphadenitis?

    <p>30%</p> Signup and view all the answers

    What is a common complication of lesions in the second week of progression?

    <p>Superinfection with candida and streptococcal species</p> Signup and view all the answers

    What is the dose and frequency of Aciclovir for recurrent disease?

    <p>800mg bd 5 days</p> Signup and view all the answers

    How long does the chancre of primary syphilis typically resolve over?

    <p>3-8 weeks</p> Signup and view all the answers

    What percentage of patients with primary syphilis will develop secondary syphilis if left untreated?

    <p>25%</p> Signup and view all the answers

    What is a characteristic of the rash in secondary syphilis?

    <p>It is widespread and may be itchy</p> Signup and view all the answers

    What is the primary mode of acquiring conjunctivitis in adults?

    <p>Sexual contact</p> Signup and view all the answers

    What is the typical presentation of chlamydial conjunctivitis in adults?

    <p>Unilateral chronic, low-grade irritation</p> Signup and view all the answers

    What is the most common complication of chlamydial conjunctivitis in women?

    <p>PID</p> Signup and view all the answers

    What is the primary method of diagnosis for symptomatic women?

    <p>Gram or wet film examination</p> Signup and view all the answers

    What is the antibiotic susceptibility trend of N. gonococcus patients from 2001 to 2007?

    <p>Decreased susceptibility to ciprofloxacin</p> Signup and view all the answers

    What is the recommended treatment for pregnant women?

    <p>Intravaginal treatment for 7 days</p> Signup and view all the answers

    What is the cure rate for topical and oral azoles in uncomplicated cases?

    <p>Over 70%</p> Signup and view all the answers

    What is the primary cause of abnormal discharge in women of childbearing age?

    <p>Bacterial vaginosis</p> Signup and view all the answers

    What is the characteristic pH of vaginal fluid in bacterial vaginosis?

    <p>pH 4.5-6.0</p> Signup and view all the answers

    Why is speciation to albicans/non-albicans essential?

    <p>If complicated disease is suspected or present</p> Signup and view all the answers

    What is the primary risk factor for bacterial vaginosis?

    <p>All of the above</p> Signup and view all the answers

    What is the recommended treatment for recurrent VC?

    <p>Oral fluconazole every 72 hours for 3 doses then once a week for 6 months</p> Signup and view all the answers

    What is the Whiff test used to diagnose?

    <p>Bacterial vaginosis</p> Signup and view all the answers

    What is the goal of general advice for VC?

    <p>To improve vulval health</p> Signup and view all the answers

    What is the primary cause of vulvovaginal candidiasis?

    <p>Candida albicans</p> Signup and view all the answers

    What is the usual cause of oro-labial herpes in the UK?

    <p>HSV-1</p> Signup and view all the answers

    What is the characteristic discharge of vulvovaginal candidiasis?

    <p>Off-white, curdy discharge</p> Signup and view all the answers

    What is the median recurrence rate for genital herpes after a symptomatic first episode?

    <p>0.34 recurrences/month</p> Signup and view all the answers

    What is the incubation period for genital herpes?

    <p>2 days to 2 weeks</p> Signup and view all the answers

    What is the characteristic of local symptoms in genital herpes?

    <p>Painful ulceration, dysuria, vaginal or urethral discharge</p> Signup and view all the answers

    What percentage of untreated cases can occur many years after initial infection?

    <p>One third</p> Signup and view all the answers

    What is a common complication of congenital syphilis that occurs within two years of birth?

    <p>Hepatosplenomegaly</p> Signup and view all the answers

    What is the recommended treatment for adults with syphilis?

    <p>All of the above</p> Signup and view all the answers

    What is a risk factor for HIV transmission?

    <p>Mucosal damage</p> Signup and view all the answers

    What is a common opportunistic infection in people with HIV?

    <p>All of the above</p> Signup and view all the answers

    What is a characteristic of congenital syphilis that occurs after two years of birth?

    <p>All of the above</p> Signup and view all the answers

    What is a recommended treatment for congenital syphilis in children?

    <p>Benzyl penicillin sodium 60–90mg/kg daily IV</p> Signup and view all the answers

    What is a systemic presentation of HIV?

    <p>Tuberculosis</p> Signup and view all the answers

    What is a skin condition associated with HIV?

    <p>All of the above</p> Signup and view all the answers

    What is a complaint presented by the 27-year-old IT specialist in the clinical scenario?

    <p>Penile discharge and dysuria</p> Signup and view all the answers

    What is the primary purpose of a physical examination in Case 1?

    <p>To examine the genital area for signs of inflammation, discharge, or ulcers</p> Signup and view all the answers

    What is the main objective of laboratory tests in Case 1?

    <p>To identify the causative organism and guide treatment</p> Signup and view all the answers

    Why is serological testing ordered in some cases?

    <p>To screen for other sexually transmitted infections</p> Signup and view all the answers

    What is the likely diagnosis based on the patient's presentation and laboratory findings?

    <p>Gonorrhea</p> Signup and view all the answers

    What is the first-line treatment for gonorrhea in Case 1?

    <p>IM Ceftriaxone 1g single dose</p> Signup and view all the answers

    What is the importance of partner notification and treatment in Case 1?

    <p>To prevent further transmission of the infection</p> Signup and view all the answers

    Why is education and counselling crucial in Case 1?

    <p>To educate the patient on safe sexual practices and reduce the risk of reinfection</p> Signup and view all the answers

    What is the purpose of a follow-up visit in Case 1?

    <p>To monitor the patient's response to treatment</p> Signup and view all the answers

    What is the prognosis for gonorrhea with appropriate antibiotic treatment and patient compliance?

    <p>Generally favourable</p> Signup and view all the answers

    What can occur if the patient fails to adhere to treatment or continues high-risk behaviour?

    <p>The patient will be at risk of developing complications such as pelvic inflammatory disease</p> Signup and view all the answers

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