SHUSH

GO!

Use your sexual health knoweledge to complete the challenges and unlock the door!

Time to escape!

04 True or false

03 Correct image

02 Find!

01 Quiz

Escape!

Introduction

Collect all the numbers by completing each of the challenges, and enter them in order in the final section to finish the game.

Index

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!

Use your sexual health knowledge to answer all questions in each section correctly

INTRODUCTION

NEXT

Complete the following quiz, and getthe first number towards your reward!

QUIZ

start

Thin grey-white vaginal discharge

Vaginal itching / discomfort

Strawberry cervix

Which of the following is a feature of Bactieral Vaginosis

question 1/5

QUIZ

Well done!Bacterial vaginosis is associated with a thin, grey-white vaginal discharge often with a fishy odour

QUIZ

RIGHT!

next

QUIZ

Metronidazole 400mg BD for 5 days

1g IM Ceftriaxone STAT

Doxycycline 100mg BD for 7 days

Which of the following is the correct management for Chlamydia infection

question 2/5

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

QUIZ

RIGHT!

NEXT

QUIZ

Strawberry Cervix

Green / yellow frothy discharge

Cottage cheese discharge

Which of the following is not a typical feature of Trichomonas vaginalisis

QUESTION 3/5

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

QUIZ

RIGHT!

NEXT

QUIZ

Unprotected sex (receptive) with a known HIV+ve individual with an undetectable viral load, yesterday

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 unknown viral load, 1 week ago

In which of the following scenarios would PEP be offered

QUESTION 4/5

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

QUIZ

RIGHT!

NEXT

QUIZ

Osteosarcoma

Cytomegalovirus infection

Vaginal candidiasis

Which of the following is an example of an AIDS-defining illness

QUESTION 5/5

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

QUIZ

RIGHT!

NEXT

QUIZ

TRY AGAIN

ERROR!

Wrong!That's not quite right, back to the start you go!

START

From among all the statements you discover,click only on the correct ones

FIND!

Pelvic inflammatory disease can lead to a tubo-ovarian abscess

The mangement for pelvic inflammatory disease is Doxycycline 100mg BD for 7 days and 1g IM ceftriaxone stat

The most common causative organism for pelvic inflammatory disease is E.Coli

Pelvic inflammatory disease requires IV antibiotics to treat it

You can drag the light to search through the darkness

CLICK ONLY ON THE CORRECT STATEMENT 1/5

RIGHT!

Chancre are only found on the genitals

Gumma are a feature of tertiary syphilis

Syphilis is caused by S. Syphilisius

Condylamata lata are a feature of tertiary syphilis

Primary syphilis is treated with 2.4M IU Penicillin V, STAT

You can drag the light to search through the darkness

CLICK ONLY ON THE CORRECT STATEMENT 2/5

RIGHT!

Window period refers to the length of time it takes a test to become negative

Viral load is said to be undetectable when it drops below 50

The higher the viral load, the higher the CD4 count

AIDS-defining illnesses are seen when CD4 count drops below 50

HIV can be transmitted through saliva when kissing an HIV+ve positive individual with a detectable viral load

You can drag the light to search through the darkness

CLICK ONLY ON THE CORRECT STATEMENT 3/5

Genital warts are often painful

Genital warts are caused by HPV 16 & 18

The diagnosis of gential warts is confirmed by doing a PCR swab

If genital warts are left untreated they will spontaneously resolve

Cryotherapy is the only managment option for genital warts

You can drag the light to search through the darkness

CLICK ONLY ON THE CORRECT STATEMENT 4/5

Bacterial vaginosis can be managed with oral metronidazole 2g STAT

Bacterial vaginosis causes green frothy discharge

Bacterial vaginosis causes vulval itching and discomfort

Bacterial vaginosis is is caused by Staph and Strep species

You can drag the light to search through the darkness

CLICK ONLY ON THE CORRECT STATEMENT 5/5

TRY AGAIN

Wrong! That statement is incorrect, time to start again!

ERROR!

start

Choose the correct image

CORRECT IMAGE

Which microscopy image represents bacterial vaginosis

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

RIGHT!

TRY AGAIN

ERROR!

Select the correct answer for each statement

TRue or false

START

Oral imadazoles are contraindicated in pregnancy

False

True

True or false

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

QUIZ

TRUE!

next

The Fraser Guidelines allow provision of sexual health advice, treatment and contraception advice to <16-year-olds, providing their parents consent

False

True

True or false

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 met 1. Sufficient maturity to understand implications 2. Cannot be persuaded to tell parents 3. Likely to continue having sex 4. Physical / mental health likely to suffer if treatment / advice withheld 5. Advice / treatment in best interests

QUIZ

FALSE!

next

Screening for Chlamydia / Gonorrhoea in males is done by taking a urethral swab

False

True

True or false

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 sexes Chlamydia and Gonorrhoea are screened for using a NAAT test In males, this is taken from a first catch urine sample In females, this is taken via a vulvovaginal swab

QUIZ

FALSE!

next

Lymphogranuloma venereum is a complication of untreated Chlamydia infection

False

True

True or false

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 bleeding In 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

QUIZ

True!

next

Herpes simplex virus cannot be spread when an infected individual does not have any active disease

False

True

True or false

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 cured It 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

QUIZ

FALSE!

next

Molluscum contagiosum can be treated with immune modulators

False

True

True or false

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 relief Topical 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

QUIZ

FALSE!

next

Partner notification is required for any genital infection presenting to sexual health

False

True

True or false

Well done! Partner notification is only required for sexually transmitted infections

QUIZ

FALSE!

next

Ciprofloxacin can be used to treat gonorrhoea

False

True

True or false

Well done! Ciprofloxacin is the management for gonorrhoea infection when sensitivies are known (and the strain is sensitive to ciprofloxacin)

QUIZ

FALSE!

next

Pelvic inflammatory disease is managed with a combination of ceftriaxone, doxycycline and fluconazole

False

True

True or false

Well done! Pelvic inflammatory disease is managed with Ceftriaxone (to treat gonorrhoea), Doxycycline (to treat chlamydia) and Metronidazole (to treat TV / anaerobes)

QUIZ

FALSE!

next

The management for Trichomonas vaginalis is metronidazole 500mg BD for 7/7

False

True

True or false

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).

QUIZ

FALSE!

next

TRY AGAIN

ERROR!

Wrong!That's not quite right, back to the start for you!

ERROR!

BACK TO INDEX

THE FIRST NUMBER IS:

GREAT!

BACK TO INDEX

THE SECOND NUMBER IS:

GREAT!

BACK TO INDEX

THE THIRD NUMBER IS:

GREAT!

BACK TO INDEX

THE FOURTH NUMBER IS:

GREAT!

You have reached the last step... Enter the password!

Enter password