Attending the Sexual Health Clinic

Question 1

What is partner notification?

Answer 1

The process of informing people who have been in contact with an STI.

Question 2

What does ‘look-back’ period depend upon?

Answer 2

STI

Question 3

You can’t MAKE someone tell their partners/tell you who their partners are

Answer 3

TRUE

Question 4

What kind of process is partner notification?

Answer 4

Voluntary !!!

Question 5

What is partner notification not needed for? Why?

Answer 5

• Warts.
• Herpes.
• Vaginal thrush.
• Bacterial vaginosis.

These are NOT STI’s and won’t cause harm to the person

Question 6

Describe the methods of partner notification.

Answer 6

PN Agreement:

• Pt referral.
• Provider referral.
• Provisional referral.

Follow up.

Question 7

Who is HBV (hep B vaccine) given to?

Answer 7

• MSM.
• Those in high prevalence countries.
• People who’ve been sexually assaulted.
• Contacts.

Question 8

Aside from girls 11-13, who is the HPV vaccine now offered to?

Answer 8

MSM <46 years old

Question 9

What types of HPV does the vaccine currently cover?

Answer 9

Types 6, 11, 16 and 18.

Question 10

What is PreP?

Answer 10

Medicine taken BEFORE exposure to reduce risk of infection.

Question 11

What drug is given in HIV PreP?

Answer 11

Truvada – TDF/FTC.

Question 12

How can the dosing of Truvada be?

Answer 12

Daily or event based

Question 13

What effect has HIV PreP been shown to have on HIV incidence?

Answer 13

Reduces HIV incidence by 86%.

Question 14

Who is HIV PreP given to?

Answer 14

High risk patients

Question 15

What is PEPSE?

Answer 15

Medicine taken AFTER exposure to reduce risk of infection.

Question 16

What is the PEPSE procedure for Hep B?

Answer 16

• HBV vaccine – up to 7 days.

* Immunoglobulin – for vaccine non-responders.

Question 17

What is the PEPSE procedure for HIV exposure?

Answer 17

• 3 antiretrovirals.
• Start within 72 hours.
• 28 days total.

Question 18

How effective is PEPSE?

Answer 18

Probs about 80%.

Question 19

What is rape defined as?

Answer 19

Penetration of the vagina, anus or mouth by the penis without consent.

Question 20

When is consent invalidated?

Answer 20

• If incapacitated by alcohol or drugs.
• If incarcerated.
• If violence or threat of violence.

Question 21

Perpetrators are usually known to the victim

Answer 21

TRUE

Question 22

What psychological sequel of rape is common?

Answer 22

• PTSD.
• Anxiety/depression.
• Psychosexual morbidity.

Question 23

What things should you consider in someone who has recently been raped?

Answer 23

• Consider forensic examination.
• Immediate safety.
• Injuries.
• HBV vaccination.
• Consider PEPSE.
• STI/pregnancy care.

Question 24

Outline the medium/long term management post-rape.

Answer 24

• Screening for STI’s.
• Assessment of coping abilities.
• PTSD.
• HBV vaccines if indicated.
• Practical and psychosocial support.

Question 25

Who is gender-based violence usually towards?

Answer 25

Women and children

Question 26

Who is gender based violence usually by?

Answer 26

Men

Question 27

Give examples of gender based violence.

Answer 27

• Domestic abuse.
• Rape and sexual assault.
• Childhood sexual abuse.
• Commercial sexual exploitation.
• Stalking/harassment.
• Harmful traditional practices.

Question 28

What is the main risk factor for gender based violence?

Answer 28

Being female :(

Question 29

Suggest other factors which increase your vulnerability to gender-based violence.

Answer 29

• Disability
• Pregnancy
• Addictions
• HIV