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Question 1
A 22-year-old woman presents to a GUM clinic with post-coital bleeding and mucopurulent cervical discharge. Nucleic Acid Amplification Testing (NAAT) confirms Chlamydia trachomatis infection. She is not pregnant. According to BASHH guidelines, what is the first-line antibiotic treatment?
Correct Answer:
Doxycycline 100 mg orally twice daily for 7 days
Question 2
A 25-year-old man presents with acute purulent urethral discharge and dysuria. Microscopy of urethral smear demonstrates Gram-negative intracellular diplococci. Culture and susceptibility testing are pending. According to BASHH guidelines, what is the recommended first-line empiric treatment for uncomplicated anogenital gonorrhoea when antimicrobial susceptibility is unknown?
Correct Answer:
Ceftriaxone 1 g IM as a single dose
Question 3
A 30-year-old man presents with a single, painless, indurated ulcer on the glans penis accompanied by non-tender bilateral inguinal lymphadenopathy. Dark-field microscopy of ulcer exudate demonstrates motile treponemes. What is the first-line treatment for primary syphilis according to BASHH guidelines?
Correct Answer:
Benzathine benzylpenicillin 2.4 million units IM as a single dose
Question 4
A 28-year-old man has persistent non-gonococcal urethritis (NGU) despite completing a 7-day course of doxycycline. NAAT testing is positive for Mycoplasma genitalium, and macrolide resistance testing demonstrates a 23S rRNA mutation (macrolide-resistant). What is the recommended second-line treatment according to BASHH guidelines?
Correct Answer:
Moxifloxacin 400 mg orally once daily for 7 days
Question 5
A 29-year-old woman presents with a frothy yellow-green vaginal discharge, vulval pruritus, and a 'strawberry cervix' (punctate cervical haemorrhages) on speculum examination. Wet mount microscopy reveals flagellated motile protozoa. What is the first-line pharmacological treatment?
Correct Answer:
Metronidazole 400 mg orally twice daily for 7 days (or 2 g single dose)
Question 1
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About this Exam

Prepare with the Diploma in Genitourinary Medicine Practice Questions - Diploma in Genitourinary Medicine (DipGUM Apothecaries) Exam practice quiz. This question bank includes 100 questions covering year-old, presents, guidelines, woman, and treatment. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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Diploma in Genitourinary Medicine Practice Questions - Diploma in Genitourinary Medicine (DipGUM Apothecaries) Exam

This practice set contains 100 questions from the matching question bank and focuses on year-old, presents, guidelines, woman, and treatment. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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