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Question 1 of 17
1. Question
1.With regards to syphilis: All of the following are false except?
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Question 2 of 17
2. Question
2.A 21-year-old woman comes to the accident and emergency unit complaining of bilateral lower abdominal pain. On examination, her temperature is 38.5 C with bilateral adnexal tenderness. She tested negative for gonorrhoea and chlamydia the previous week.What is the management for this woman?
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Question 3 of 17
3. Question
3.A 26-year-old woman comes to the accident and emergency unit complaining of abnormal vaginal bleeding, including post-coital and intermenstrual bleeding and menorrhagia. Her temperature is 38C. On bimanual vaginal examination, there is adnexal tenderness and cervical motion tenderness. A pregnancy test is negative. You diagnosed a pelvic inflammatory disease (PID). The patient tells you that she has been abroad and had unprotected sex. What is the recommended regimen for this patient?
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Question 4 of 17
4. Question
4. A 25-year-old woman comes to the outpatient clinic for follow-up after a diagnosis of PID three weeks previously. Results of swabs were negative for chlamydia and gonorrhoea. You explained the significance of PID and its sequelae. She stated that the symptoms resolved and she had her antibiotics regularly. What else should you check at this visit?
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Question 5 of 17
5. Question
5.A 24-year-old woman comes to the genitourinary medicine clinic complaining of small multiple groups of painful vulval ulcers. On examination, the base of the ulcer was erythematous and inguinal lymph nodes were painful.What is the most likely diagnosis?
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Question 6 of 17
6. Question
6.A 24-year-old woman comes to the genitourinary medicine clinic complaining of multiple painful ulcers on the vulval area. On examination, the ulcers are sharply circumscribed with a yellow exudate in the base. There are also painful inguinal lymph nodes on the left side.What is the most likely causative organism?
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Question 7 of 17
7. Question
7.A 23-year-old woman presents complaining of vaginal discharge. She has had recur- rent episodes of vulvovaginal candidiasis. You prescribe an induction and mainten- ance regimen for six months. She is worried about use of contraception as she had a copper intrauterine device (IUD) inserted two months earlier. What advice would you offer her?
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Question 8 of 17
8. Question
8.Which one of the following is correct in relation to syphilis?
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Question 9 of 17
9. Question
9.A21-year-old woman presents to the emergency department because she has not been able to pass urine for the last 8 hours. She reports malaise, a temperature and myalgia a few days ago. When you examine her to insert a catheter, you see multiple blisters on the labia bilaterally. What is the diagnosis?
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Question 10 of 17
10. Question
10.Which one of the following is correct in relation to diagnosing and treating acute pelvic inflammatory disease (PID)?
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Question 11 of 17
11. Question
11.A 21-year-old woman comes to the accident and emergency unit complaining of bilateral lower abdominal pain and fever. On examination, her temperature is 38.2 C with bilateral adnexal tenderness. What is your first line of investigation?
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Question 12 of 17
12. Question
12.A 21-year-old woman attends the emergency department with a genital ulcer. She is very anxious that this could be a sexually transmitted disease. A few weeks ago, she Visited friends in South-East Asia and had sexual Intercourse ‘with one of them. Examination reveals a single painless ulcer on the labia. What is the most likely infection?
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Question 13 of 17
13. Question
13.You made a diagnosis of moderate PID in a young 24-year-old woman who presented to the accident and emergency unit with lower abdominal pain and pyrexia. You prescribe a combination of a single intramuscular injection of ceftriaxone and oral doxycycline and antipyretics. She is worried about her future fertility as a result of her PID. Where is she best treated to preserve her fertility?
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Question 14 of 17
14. Question
14.With regards to genital herpes simplex. All of the following are false except?
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Question 15 of 17
15. Question
15. A 24-year-old presents to the A&E department with pelvic pain and vaginal discharge. On examination she is found to be pyrexial (38°C) with moderate lower abdominal tenderness. Vaginal examination confirms bilateral adnexal tenderness and cervical motion tenderness.Which of the following clinical features are not suggestive of PID?
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Question 16 of 17
16. Question
16. A 36-year-old para 2 who is HIV positive with a CD4 count of 73 has been recently started on antiretrovirals. She has attended for her routine cervical smear and mentions that she has developed an ulcer on her labia. Clinically this is vulval herpes simplex virus.What is the best treatment regime?
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Question 17 of 17
17. Question
17.A 28-year-old patient is referred from the A&E department with lower abdominal pain and vaginal discharge. On examination she has a temperature of 37.3°C, a pulse of 86 bpm and a BP of 120/83 mm Hg. Her abdomen is slightly tender in the LIF region. On vaginal examination there is a mild corresponding adnexal tenderness, the IUCD threads are seen and a swab of mucopurulent discharge is taken. She mentions that she has a new sexual partner and has not used barrier contraception. What is the most appropriate next step in her management?
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