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Repro > Accessing Care in the Sexual Health Clinic > Flashcards

Accessing Care in the Sexual Health Clinic Flashcards

1
Q

What are benefits of partner notification?

A

Effective form of case finding
Cost effective
Early diagnosis reduces morbidity/mortality
Reduces incidence of STI in community

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2
Q

What is the partner notification look back periods for Chlamydia?

A

Male urethra - 4 weeks

Any other infection is 6 months

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3
Q

What is the partner notification look back periods for Gonorrhoea?

A

Male urethra - 2 weeks

Any other infection - 3 months

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4
Q

What is the partner notification look back periods for non-specific urethritis?

A

4 weeks

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5
Q

What is the partner notification look back periods for Trichomonas vaginalis?

A

4 weeks

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6
Q

What is the partner notification look back periods for Epididymitis?

A

as XT/GC or if negative, 6 months

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7
Q

What is the partner notification look back periods for PID?

A

as CT/GC or of negative, 6 months

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8
Q

What is the partner notification look back periods for HIV?

A

3 months before negative test or before most likely time of infection

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9
Q

What is the partner notification look back periods for syphilis?

A

Primary - 90 days
Secondary - 2 years
Other infections - 3 months before most recent -ve test

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10
Q

What infections is partner notification not needed for?

A

Warts
Herpes
Vaginal thrush
Bacterial vaginosis

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11
Q

What are the 3 methods of partner notification?

A

Patient referral
Provider referral
Provisional referral

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12
Q

What is the definition of rape?

A

Penetration of the vagina, anus or mouth without consent (Sexual Offences (Scotland) Act 2009)

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13
Q

When is consent invalidated?

A

Incapacitated by alcohol or drugs
Incarcerated
Violence or threat of violence

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14
Q

What issues can arise from rape?

A

Injuries
Unwanted pregnancy
STI
Psychological damage e.g. PTSD, anxiety/depression, psychosexual morbidity

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15
Q

What should be done regarding a recent rape?

A 
Consider forensic examination
Immediate safety
Injuries
HBV vaccination
Consider PEPSE
STI/pregnancy care
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16
Q

What is the long term management of rape?

A 
Screening for STI's
Assessment of coping abilities
PTSD
HBV vaccines if indicated
Practical and psychosocial support
17
Q

Give some examples of Gender Based Violence

A 
Domestic abuse
Rape and sexual abuse
Childhood sexual abuse
Commercial sexual exploitation
Stalking/harassment
Harmful traditional practices
18
Q

What factors increase gender based violence incidences?

A

Disability
Pregnancy
Addictions
HIV

19
Q

How can you help someone directly in a clinic setting?

A 
Ask directly
Listen to patient
Assess safety
Offer assistance if wanted
Consider child protection

Repro (46 decks)

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