SHUSH
Rachel Anderson
Created on November 10, 2023
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Transcript
Time to escape!
Use your sexual health knoweledge to complete the challenges and unlock the door!
GO!
Index
Collect all the numbers by completing each of the challenges, and enter them in order in the final section to finish the game.
Introduction
Escape!
01 Quiz
02 Find!
03 Correct image
04 True or false
NEXT
INTRODUCTION
Use your sexual health knowledge to answer all questions in each section correctly
At the end of each section, if you get all questions right, you will be provided with 1 number of a 4 number code. Remember all 4 numbers and enter them at the end to escape!
start
QUIZ
Complete the following quiz, and getthe first number towards your reward!
QUIZ
question 1/5
Which of the following is a feature of Bactieral Vaginosis
Strawberry cervix
Vaginal itching / discomfort
Thin grey-white vaginal discharge
next
RIGHT!
QUIZ
Well done!Bacterial vaginosis is associated with a thin, grey-white vaginal discharge often with a fishy odour
question 2/5
Which of the following is the correct management for Chlamydia infection
Doxycycline 100mg BD for 7 days
1g IM Ceftriaxone STAT
Metronidazole 400mg BD for 5 days
QUIZ
NEXT
RIGHT!
QUIZ
Well done!Doxycycline 100mg BD for 7 days is the correct answer.1g IM Ceftriaxone STAT is the management of Gonorrhoea.Metronidazole 400mg BD for 5 days is the mangement for bacterial vaginosis
QUESTION 3/5
Which of the following is not a typical feature of Trichomonas vaginalisis
Cottage cheese discharge
Green / yellow frothy discharge
Strawberry Cervix
QUIZ
NEXT
RIGHT!
QUIZ
Well done!Cottage cheese discharge is more commonly seen with candida infection. Green / yellow frothy discharge and strawberry cervix are common features of Trichomonas vaginalis
QUESTION 4/5
In which of the following scenarios would PEP be offered
Unprotected sex (receptive) with a known HIV+ve individual with an unknown viral load, 1 week ago
Needlestick injury from a known HIV +ve individual with an unknown viral load, yesterday
Unprotected sex (receptive) with a known HIV+ve individual with an undetectable viral load, yesterday
QUIZ
NEXT
RIGHT!
QUIZ
Well done! PEP is offered when one of the following exposures has occured from an indiviudal with an unknown or detectable viral load: Receptive anal or vaginal sex, occupational exposure, contaminated needle sharing, considered in insertive sex
QUESTION 5/5
Which of the following is an example of an AIDS-defining illness
Vaginal candidiasis
Cytomegalovirus infection
Osteosarcoma
QUIZ
NEXT
RIGHT!
QUIZ
Well done!Examples of AIDS-defining illnesses are as follows:Kaposi’s sarcoma Pneumocystis jirovecii pneumonia (PCP) Cytomegalovirus infection Candidiasis (oesophageal or bronchial) Lymphomas Tuberculosis
Wrong!That's not quite right, back to the start you go!
ERROR!
TRY AGAIN
QUIZ
FIND!
From among all the statements you discover,click only on the correct ones
START
CLICK ONLY ON THE CORRECT STATEMENT 1/5
You can drag the light to search through the darkness
Pelvic inflammatory disease requires IV antibiotics to treat it
The most common causative organism for pelvic inflammatory disease is E.Coli
The mangement for pelvic inflammatory disease is Doxycycline 100mg BD for 7 days and 1g IM ceftriaxone stat
Pelvic inflammatory disease can lead to a tubo-ovarian abscess
CLICK ONLY ON THE CORRECT STATEMENT 2/5
You can drag the light to search through the darkness
Primary syphilis is treated with 2.4M IU Penicillin V, STAT
Condylamata lata are a feature of tertiary syphilis
Syphilis is caused by S. Syphilisius
Gumma are a feature of tertiary syphilis
Chancre are only found on the genitals
RIGHT!
CLICK ONLY ON THE CORRECT STATEMENT 3/5
You can drag the light to search through the darkness
HIV can be transmitted through saliva when kissing an HIV+ve positive individual with a detectable viral load
AIDS-defining illnesses are seen when CD4 count drops below 50
The higher the viral load, the higher the CD4 count
Viral load is said to be undetectable when it drops below 50
Window period refers to the length of time it takes a test to become negative
RIGHT!
CLICK ONLY ON THE CORRECT STATEMENT 4/5
You can drag the light to search through the darkness
Cryotherapy is the only managment option for genital warts
If genital warts are left untreated they will spontaneously resolve
The diagnosis of gential warts is confirmed by doing a PCR swab
Genital warts are caused by HPV 16 & 18
Genital warts are often painful
CLICK ONLY ON THE CORRECT STATEMENT 5/5
You can drag the light to search through the darkness
Bacterial vaginosis is is caused by Staph and Strep species
Bacterial vaginosis causes vulval itching and discomfort
Bacterial vaginosis causes green frothy discharge
Bacterial vaginosis can be managed with oral metronidazole 2g STAT
ERROR!
Wrong!That statement is incorrect, time to start again!
TRY AGAIN
CORRECT IMAGE
Choose the correct image
start
Which microscopy image represents bacterial vaginosis
RIGHT!
which of the following patients needs treatment with aciclovir
RIGHT!
Which picutre shows chancre
RIGHT!
Which of the following conditions displayed on microscopy would need treating with 1g ceftriaxone im stat?
RIGHT!
WHich of the following is a normal anatomical variant
ERROR!
TRY AGAIN
START
TRue or false
Select the correct answer for each statement
True or false
True
False
Oral imadazoles are contraindicated in pregnancy
next
TRUE!
QUIZ
Well done!Oral imidazoles, such as Clotrimazole, are contraindicated in pregnancy. Alternative routes are usually used, for example Clotrimazole 500mg Pessary for the treament of vaginal candida in pregnancy
True or false
True
False
The Fraser Guidelines allow provision of sexual health advice, treatment and contraception advice to <16-year-olds, providing their parents consent
next
FALSE!
QUIZ
Well done!The Fraser Guidelines (previously Gillick competence) enable the provision of sexual health advice, treatment and contraception to be given to those under 16 without parental consent, providing the following conditions are met1. Sufficient maturity to understand implications2. Cannot be persuaded to tell parents3. Likely to continue having sex4. Physical / mental health likely to suffer if treatment / advice withheld5. Advice / treatment in best interests
True or false
True
False
Screening for Chlamydia / Gonorrhoea in males is done by taking a urethral swab
next
FALSE!
QUIZ
Well done!All individuals accessing sexual health services will be offered screening for Chlamydia, Gonorrhoea, HIV and syphilis HIV and syphilis are tested using serology (blood tests) for both sexesChlamydia and Gonorrhoea are screened for using a NAAT testIn males, this is taken from a first catch urine sampleIn females, this is taken via a vulvovaginal swab
True or false
True
False
Lymphogranuloma venereum is a complication of untreated Chlamydia infection
next
True!
QUIZ
Well done!Lymphogranuloma venereum is a complication of specific strains of Chlamydia which affects lymph tissue around the original site of infection. It commonly affects MSM, rare in females. It occurs in 3 stages: 1. Painless ulcer (male: penis, female: vaginal wall, rectum after anal sex) 2. Lymphadenitis (usually inguinal / femoral) 3. Proctitis / proctocolitis causing pain, change in bowel habit, discharge, tenesmus, PR bleedingIn a lot of cases, it isn't detected until stage 3, and patients often end up going for uncessary invasive investigations like colonoscopies Management: doxycycline 100mg BD for 21 days
True or false
True
False
Herpes simplex virus cannot be spread when an infected individual does not have any active disease
next
FALSE!
QUIZ
Well done!Herpes simplex virus comes in 2 strains – HSV-1, HSV-2 After initial infection, the virus lays dormant in sacral nerve ganglia, it is never fully curedIt is spread through direct contact with mucous membranes by viral shedding in mucous secretions – meaning it can be spread when asymptomatic Treatment is with Aciclovir 400mg TDS for 5 days, as well as salt water bathing to help lesions heal, and topical anaesthetic to help with discomfort
True or false
True
False
Molluscum contagiosum can be treated with immune modulators
next
FALSE!
QUIZ
Well done!Molluscum contagiousum is often managed conservatively, however it can take 12-18m to resolve fully Topical steroid / emollients can be used for symptomatic reliefTopical Podophyllotoxin (immune modulator) can be used to try and resolve the lesions faster Topical liquid nitrogen (no evidence) Avoid shaving / waxing to prevent spread, avoid sharing towels etc as molluscum is highly infectious
True or false
True
False
Partner notification is required for any genital infection presenting to sexual health
next
FALSE!
QUIZ
Well done!Partner notification is only required for sexually transmitted infections
True or false
True
False
Ciprofloxacin can be used to treat gonorrhoea
next
FALSE!
QUIZ
Well done!Ciprofloxacin is the management for gonorrhoea infection when sensitivies are known (and the strain is sensitive to ciprofloxacin)
True or false
True
False
Pelvic inflammatory disease is managed with a combination of ceftriaxone, doxycycline and fluconazole
next
FALSE!
QUIZ
Well done!Pelvic inflammatory disease is managed with Ceftriaxone (to treat gonorrhoea), Doxycycline (to treat chlamydia) and Metronidazole (to treat TV / anaerobes)
True or false
True
False
The management for Trichomonas vaginalis is metronidazole 500mg BD for 7/7
next
FALSE!
QUIZ
Well done!The management for TV is metronidazole 400–500 mg twice daily for 7 days. An alternative option is Metronidazole 2 g orally in a single dose (but there's less good evidence for this).
ERROR!
Wrong!That's not quite right, back to the start for you!
ERROR!
TRY AGAIN
7
GREAT!
THE FIRST NUMBER IS:
BACK TO INDEX
0
GREAT!
THE SECOND NUMBER IS:
BACK TO INDEX
9
GREAT!
THE THIRD NUMBER IS:
BACK TO INDEX
2
GREAT!
THE FOURTH NUMBER IS:
BACK TO INDEX
ENTER THE SECRET CODE
Congratulations!
Your excellent knowledge in sexual health has allowed you to answer all questions correctly and reveal the secret code. Well done!