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Sexually Transmitted Infections — Written Clinical Reasoning
DCE-style written reasoning for Sexually Transmitted Infections.
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Target exams
SAQ 1 — Integrated plan (12 marks)
Prompt: Provide a prioritised problem list and management sequence for this presentation. [1] [2]
Model Answer
1. Frame and red flags (3 marks) [1]
State the working diagnosis/syndrome, acuity, and what would force emergency treatment now. [1] [2]
2. Discriminating assessment (3 marks) [2]
List the key history, examination and investigations that separate dangerous differentials from benign mimics. [1] [2]
3. Treatment sequence (4 marks) [1] [3]
Immediate stabilisation, disease-specific therapy, monitoring, and complications prevention. [1] [2] [3]
4. Follow-up and communication (2 marks) [2]
Disposition, safety-net advice, and who owns follow-up. [1] [2]
References6ShowHide
- [1]Workowski KA, Bachmann LH, Chan PA, et al. Sexually Transmitted Infections Treatment Guidelines, 2021. MMWR Recomm Rep, 2021.PMID 34292926
- [2]Unemo M, Seifert HS, Hook EW 3rd, et al. Gonorrhoea. Nat Rev Dis Primers, 2019.PMID 31754194
- [3]Barbee LA, St Cyr SB Management of Neisseria gonorrhoeae in the United States: Summary of Evidence From the Development of the 2020 Gonorrhea Treatment Recommendations and the 2021 Centers for Disease Control and Prevention Sexually Transmitted Infection Treatment Guidelines. Clin Infect Dis, 2022.PMID 35416971
- [4]Chevalier FJ, Bacon O, Johnson KA, et al. Syphilis: A Review. JAMA, 2025.PMID 41100079
- [5]Hamill MM, Ghanem KG, Tuddenham S State-of-the-Art Review: Neurosyphilis. Clin Infect Dis, 2024.PMID 37593890
- [6]Wood GE, Bradshaw CS, Manhart LE Update in Epidemiology and Management of Mycoplasma genitalium Infections. Infect Dis Clin North Am, 2023.PMID 37105645