Urethritis & Cervicitis: Chlamydia, Gonorrhoea, & NGU

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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?

Lower abdominal pain (A) Signup and view all the answers

What is the typical presentation of rectal chlamydia infection?

Asymptomatic (B) Signup and view all the answers

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

Superinfection with candida and streptococcal species (D) Signup and view all the answers

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

800mg bd 5 days (C) Signup and view all the answers

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

3-8 weeks (A) Signup and view all the answers

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

25% (B) Signup and view all the answers

What is a characteristic of the rash in secondary syphilis?

It is widespread and may be itchy (D) Signup and view all the answers

What is the primary mode of acquiring conjunctivitis in adults?

Sexual contact (D) Signup and view all the answers

What is the typical presentation of chlamydial conjunctivitis in adults?

Unilateral chronic, low-grade irritation (D) Signup and view all the answers

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

PID (C) Signup and view all the answers

What is the primary method of diagnosis for symptomatic women?

Gram or wet film examination (C) Signup and view all the answers

What is the recommended treatment for pregnant women?

Intravaginal treatment for 7 days (B) Signup and view all the answers

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

Bacterial vaginosis (A) Signup and view all the answers

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

pH 4.5-6.0 (A) Signup and view all the answers

Why is speciation to albicans/non-albicans essential?

If complicated disease is suspected or present (A) Signup and view all the answers

What is the recommended treatment for recurrent VC?

Oral fluconazole every 72 hours for 3 doses then once a week for 6 months (A) Signup and view all the answers

What is the primary risk factor for bacterial vaginosis?

All of the above (D) Signup and view all the answers

What is the goal of general advice for VC?

To improve vulval health (A) Signup and view all the answers

What is the Whiff test used to diagnose?

Bacterial vaginosis (A) Signup and view all the answers

What is the primary cause of vulvovaginal candidiasis?

Candida albicans (C) Signup and view all the answers

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

HSV-1 (B) Signup and view all the answers

What is the characteristic discharge of vulvovaginal candidiasis?

Off-white, curdy discharge (D) Signup and view all the answers

What is the incubation period for genital herpes?

2 days to 2 weeks (D) Signup and view all the answers

What is the characteristic of local symptoms in genital herpes?

Painful ulceration, dysuria, vaginal or urethral discharge (B) Signup and view all the answers

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

Hepatosplenomegaly (D) Signup and view all the answers

What is the recommended treatment for adults with syphilis?

All of the above (D) Signup and view all the answers

What is a risk factor for HIV transmission?

Mucosal damage (B) Signup and view all the answers

What is a common opportunistic infection in people with HIV?

All of the above (D) Signup and view all the answers

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

All of the above (D) Signup and view all the answers

What is a recommended treatment for congenital syphilis in children?

Benzyl penicillin sodium 60–90mg/kg daily IV (B) Signup and view all the answers

What is a systemic presentation of HIV?

Tuberculosis (D) Signup and view all the answers

What is a skin condition associated with HIV?

All of the above (D) Signup and view all the answers

Why is serological testing ordered in some cases?

To screen for other sexually transmitted infections (C) Signup and view all the answers

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

Gonorrhea (C) Signup and view all the answers

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

Generally favourable (B) Signup and view all the answers

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

The patient will be at risk of developing complications such as pelvic inflammatory disease (C) Signup and view all the answers

Urethritis & Cervicitis: Chlamydia, Gonorrhoea, & NGU

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Questions and Answers

What percentage of individuals with chlamydial infection are asymptomatic?

What is the highest prevalence of genital chlamydia infection in?

What is the primary cause of chlamydial infection?

What is a common symptom of chlamydial infection in women?

What is the typical presentation of rectal chlamydia infection?

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

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

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

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

What is a characteristic of the rash in secondary syphilis?

What is the primary mode of acquiring conjunctivitis in adults?

What is the typical presentation of chlamydial conjunctivitis in adults?

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

What is the primary method of diagnosis for symptomatic women?

What is the recommended treatment for pregnant women?

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

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

Why is speciation to albicans/non-albicans essential?

What is the recommended treatment for recurrent VC?

What is the primary risk factor for bacterial vaginosis?

What is the goal of general advice for VC?

What is the Whiff test used to diagnose?

What is the primary cause of vulvovaginal candidiasis?

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

What is the characteristic discharge of vulvovaginal candidiasis?

What is the incubation period for genital herpes?

What is the characteristic of local symptoms in genital herpes?

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

What is the recommended treatment for adults with syphilis?

What is a risk factor for HIV transmission?

What is a common opportunistic infection in people with HIV?

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

What is a recommended treatment for congenital syphilis in children?

What is a systemic presentation of HIV?

What is a skin condition associated with HIV?

Why is serological testing ordered in some cases?

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

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

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

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