Attending the Sexual Health Clinic Flashcards
What is partner notification?
The process of informing people who have been in contact with an STI.
What does ‘look-back’ period depend upon?
STI
You can’t MAKE someone tell their partners/tell you who their partners are
TRUE
What kind of process is partner notification?
Voluntary !!!
What is partner notification not needed for? Why?
- Warts.
- Herpes.
- Vaginal thrush.
- Bacterial vaginosis.
These are NOT STI’s and won’t cause harm to the person
Describe the methods of partner notification.
PN Agreement:
- Pt referral.
- Provider referral.
- Provisional referral.
Follow up.
Who is HBV (hep B vaccine) given to?
- MSM.
- Those in high prevalence countries.
- People who’ve been sexually assaulted.
- Contacts.
Aside from girls 11-13, who is the HPV vaccine now offered to?
MSM <46 years old
What types of HPV does the vaccine currently cover?
Types 6, 11, 16 and 18.
What is PreP?
Medicine taken BEFORE exposure to reduce risk of infection.
What drug is given in HIV PreP?
Truvada – TDF/FTC.
How can the dosing of Truvada be?
Daily or event based
What effect has HIV PreP been shown to have on HIV incidence?
Reduces HIV incidence by 86%.
Who is HIV PreP given to?
High risk patients
What is PEPSE?
Medicine taken AFTER exposure to reduce risk of infection.
What is the PEPSE procedure for Hep B?
- HBV vaccine – up to 7 days.
* Immunoglobulin – for vaccine non-responders.
What is the PEPSE procedure for HIV exposure?
- 3 antiretrovirals.
- Start within 72 hours.
- 28 days total.
How effective is PEPSE?
Probs about 80%.
What is rape defined as?
Penetration of the vagina, anus or mouth by the penis without consent.
When is consent invalidated?
- If incapacitated by alcohol or drugs.
- If incarcerated.
- If violence or threat of violence.
Perpetrators are usually known to the victim
TRUE
What psychological sequel of rape is common?
- PTSD.
- Anxiety/depression.
- Psychosexual morbidity.
What things should you consider in someone who has recently been raped?
- Consider forensic examination.
- Immediate safety.
- Injuries.
- HBV vaccination.
- Consider PEPSE.
- STI/pregnancy care.
Outline the medium/long term management post-rape.
- Screening for STI’s.
- Assessment of coping abilities.
- PTSD.
- HBV vaccines if indicated.
- Practical and psychosocial support.
Who is gender-based violence usually towards?
Women and children
Who is gender based violence usually by?
Men
Give examples of gender based violence.
- Domestic abuse.
- Rape and sexual assault.
- Childhood sexual abuse.
- Commercial sexual exploitation.
- Stalking/harassment.
- Harmful traditional practices.
What is the main risk factor for gender based violence?
Being female :(
Suggest other factors which increase your vulnerability to gender-based violence.
- Disability
- Pregnancy
- Addictions
- HIV
