4.1

Question 1

How should you approach to take a sexual Hx?

Answer 1

History should be straightforward, and non-judgmental with appropriate counseling regarding risk-taking behaviors

Question 2

What are some risk factors for STI’s?

Answer 2

• Young age (15-24 yo)
• African-american race
• Unmarried status
• Geographical residence
• New sex partner in past 60 days
• Multiple sexual partners
• History of a prior STI
• Illicit drug use
• Admission to correctional facility or juvenile detention center
• Meeting partners on the internet
• Contact with sex workers

Question 3

Who should be offered HIV testing?

Answer 3

All patients being evaluated for STIs should be offered counseling and referral for HIV testing

Question 4

What are some Sx of gonorrhea?

Answer 4

can lead to urethritis cervicitis, pharyngitits and anorectal infection

Question 5

What is the most common STI in the US?

Answer 5

Chlamydia

Question 6

What are some Sx of chlamydia?

Answer 6

Can lead to urethritis, cervicitis, epididymitis and proctitis

Question 7

What might chlamydia progress into if left untreated in women?

Answer 7

Untreated infection can lead to tubal pregnancy, infertility and chronic pelvic pain

Question 8

What might chlamydia progress into if left untreated in men?

Answer 8

chlamydial infection can result in infertility, chronic prostatitis, reactive arthritis and urethral strictures

Question 9

What type of bug causes trichomoniasis?

Answer 9

A protozoan

Question 10

What are the Sx of trichomoniasis?

Answer 10

are urethritis in males and diffuse malodorous vaginal discharge with vulvar irritation in females

Question 11

What are the Sx of syphilis?

Answer 11

firm, round, small and painless sores on the genitals, anus or mouth, or a rash on the body, especially on the palms of the hands or the soles of the feet

Question 12

What are the Sx of HSV1/2?

Answer 12

ulcerative lesions in the mouth or genitals

Question 13

What is the etiology of Hep A?

Answer 13

from food borne outbreaks or sexual contact

Question 14

What is the etiology of Hep B?

Answer 14

by percutaneous or mucous membrane exposure to infected blood or body fluids that contain blood.

Question 15

What are the risk factors for Hep C?

Answer 15

risk factors are sexual transmission from an infected partner or exposure to multiple sex partners

Question 16

What type of cancer might HPV cause?

Answer 16

Anorectal in men and cervical in women

Question 17

Certain strains of HPV might cause what?

Answer 17

genital warts

Question 18

Which STD’s should pregnant women be screened for?

Answer 18

should be screened for gonorrhea, chlamydia, HIV, hep B and syphilis

Question 19

Which STD’s should MSM be screened for?

Answer 19

HIV antibody, urethral or urine test for gonorrhea and chlamydia, pharyngeal culture for gonorrhea, rectal gonorrhea and chlamydia, and syphilis serology. Testing for Hepatitis C antibody should also be done.

Question 20

Which STD’s should WSW be screened for?

Answer 20

for chlamydia and syphilis should be performed. Should also be tested for cervical cancers via pap smear

Question 21

Which STD’s should HIV+ pt’s be annually screened for?

Answer 21

syphilis, gonorrhea, chlamydia, hepatitis A, B and C.

Question 22

If a health dept finds a pt with a + STI, what should happen next?

Answer 22

Notification of the pt’s sexual partners to prevent further spread of the STI