Sexual health

doi:10.1136/bmj.b4043

Published 7 October 2009, doi:10.1136/bmj.b4043
Cite this as: BMJ 2009;339:b4043

Endgames

OnExamination quiz

Sexual health

The answers to this question, and more questions on this topic,are available from www.onexamination.com/endgames until midnighton Wednesday.

This week’s quiz is on sexual health and is taken fromthe OnExamination revision questions for a variety of exams.

Presentation 1

A 34 year old woman presents with lower abdominal pain, an increasein yellow sanguineous vaginal discharge, deep dyspareunia, anddysuria.

Presentation 2

A 31 year old woman presents with pruritus vulvae and thickvaginal discharge. Examination reveals erythema and oedematousvulva.

Presentation 3

A 23 year old man presents with flu-like illness and painfulgenital ulceration and vesiculation.

Presentation 4

A 45 year old man presents with a painless penile ulcer, andpainless rubbery inguinal lymphadenopathy.

Presentation 5

A 23 year old man returns from the Far East with a small painlesspenile ulcer, together with painful inguinal and femoral lymphnodes. The overlying skin is taut, red, and dusky.

For each of these presentations, choose the single most likelycause from the list of options below. Each option may be usedonce, more than once, or not at all.

A Candida albicans

B Chlamydia trachomatis

C Hepatitis B

DHerpes simplex

E HIV

F Human papillomavirus

G Neisseriagonorrhoeae

H Pediculosis pubis

I Treponema pallidum

JTrichomonas vaginalis

K Ureaplasma urealyticum

Cite this as: BMJ 2009;339:b4043