Infection · UKMLA & AKT

Chlamydia

A free high-yield preview for the UKMLA Applied Knowledge Test. Below are the key points to recognise chlamydia — the full SA Note notes add investigations, management, complications and 10 practice questions.

Key high-yield points

  • Nucleic acid amplification tests (NAATs) are the investigation of choice - highest sensitivity and specificity. Specimen type differs by sex and is the highest-yield exam distinction.
  • Rectal or pharyngeal NAAT swab - if receptive anal or oral intercourse reported
  • Full STI screen - all confirmed cases offered testing for gonorrhoea, HIV, syphilis, and hepatitis B

Serology is NOT used for initial diagnosis - lower sensitivity and specificity than NAATs.

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