MBBS OSCE · General Medicine

OSCE — Gonorrhoea & Chlamydia (Urogenital STIs)

Eight-minute OSCE station on Gonorrhoea & Chlamydia (Urogenital STIs): focused history, examination priorities, investigations, emergency and definitive management.

8 min stationVerification in progress
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Exam tags

NEET-PGINICETUSMLEPLAB

Brief (to candidate)

You will assess a patient with a presentation consistent with Gonorrhoea & Chlamydia (Urogenital STIs).[1][3] You have 8 minutes to take a focused history, outline examination, investigations, and management including red flags.[1]

Clinical context

Gonorrhoea (Neisseria gonorrhoeae) and chlamydia (Chlamydia trachomatis serovars D-K) are the commonest bacterial sexually transmitted infections, causing urethritis, cervicitis, proctitis and pharyngitis, and — in women — ascending infection causing pelvic inflammatory disease (PID), ectopic pregnancy and tubal-factor infertility, plus neonatal conjunctivitis/pneumonia. Most infections are asymptomatic, so the clinical skill is screening high-risk, asymptomatic people and treating empirically + tracing partners. Disseminated gonococcal infection produces migratory polyarthralgia, tenosynovitis and a pustular rash. Diagnosis is NAAT on urine and genital, rectal and pharyngeal swabs. Gono[1][3]

Candidate tasks

  1. Clarify onset, severity, associated features, and red-flag symptoms.[1]
  2. State focused examination priorities.
  3. List first-line investigations and any named score/criteria.[1]
  4. Give immediate resuscitation steps.
  5. Outline definitive management with doses/routes where standard.[1]
  6. Name complications and disposition (ward / HDU / theatre / discharge safety-net).[1]
  7. Mention one special-population modifier (pregnancy, child, elderly, CKD).[1]

Examiner checklist

DomainPass behaviours
DefinitionCorrect working diagnosis language
AssessmentFocused, prioritised, red flags sought
InvestigationsAppropriate first-line + interpretation
Emergency careABC / time-critical actions first
Definitive careSpecific drugs/procedures, not generic phrases
SafetyUrethral or vaginal discharge with dysuria in a sexually active adult - gonorrho
SafetyPelvic pain, cervical motion tenderness, fever and discharge in a woman - pelvic
SafetyYoung adult with migratory polyarthralgia, tenosynovitis and pustular rash - dis
CommunicationClear plan and safety-netting

Model outline

Lead with the working diagnosis and life threats. Resuscitate before definitive tests when unstable. Use guideline-standard therapy with named agents and doses. Document escalation criteria and follow-up. A safe candidate is specific, structured, and never delays critical care for non-urgent imaging.[1]

References3Show
  1. [1]Workowski KA, Bachmann LH, Chan PA, et al. Sexually Transmitted Infections Treatment Guidelines, 2021 MMWR Recomm Rep, 2021.PMID 34292926
  2. [2]Luckey A, Balasegaram M, Barbee LA, et al. Zoliflodacin versus ceftriaxone plus azithromycin for treatment of uncomplicated urogenital gonorrhoea: an international, randomised, controlled, open-label, phase 3, non-inferiority clinical trial Lancet, 2026.PMID 41391465
  3. [3]Peuchant O, Lhomme E, Martinet P, et al. Doxycycline versus azithromycin for the treatment of anorectal Chlamydia trachomatis infection in women concurrent with vaginal infection (CHLAZIDOXY study): a multicentre, open-label, randomised, controlled, superiority trial Lancet Infect Dis, 2022.PMID 35550262
OSCE — Gonorrhoea & Chlamydia (Urogenital STIs) · MBBS OSCE · NeetVellum