BASHH Guideline general

Question 1

Which guideline should I refer to for STIs in UNDER 16s

Answer 1

BASHH guideline on STI and Related Conditions in Children and Young people

Question 2

Why is doxycycline not endorsed by BASHH as post exposure prophylaxis for STIs?

Answer 2

Any potential benefits will be outweighed by the considerable potential to select resistance in STI pathogens and other bacterial species

Question 3

What group of people was the trial on doxycycline as post exposure prophylaxis studying?

Answer 3

MSM on PREP for HIV

Question 4

Which STIs were reduced if doxycycline PEP was taken?

Answer 4

chlamydia

syphilis

Question 5

Which test is indicated for HIV infection?

Answer 5

4th generation antigen/antibody assay of venous blood sample

Question 6

What percentage of new diagnosis HIV are identified through partner notification?

Answer 6

3%

Question 7

What proportion of new HIV diagnoses are recently acquired and therefore high levels of viraemia, conferring much greater risk of transmission?

Answer 7

1/5 (a fifth)

Question 8

Minimum sexual history if asymptomatic

Answer 8

Confirm lack of symptoms
Fraser competence/vulnerable adult
Last sexual contact
Partners past 3 months
Gender, type of sex, condoms
Previous STI
LMP, contraception, smear
BBV risk and vaccination history
GBV assessment
EToH & drugs history
Agree method of giving results

Question 9

In behaviour change intervention what is the number of sessions should to reduce STIs and Increase condom use in heterosexuals?

Answer 9

2 x 20min

Question 10

How many behaviour change intervention sessions are suggested for MSM?

Answer 10

10

Question 11

What is the risk of condom slippage associated with?

Answer 11

lack of training/incorrect use

Question 12

What proportion of heterosexual men report problems/errors with condoms?

Answer 12

1/3

Question 13

What proportion of MSM men report problems/errors with condoms?

Answer 13

17%

Question 14

What is the impact of lubricant use on condoms for anal sex? and vaginal sex?

Answer 14

Anal - reduce condom breakage

Vaginal - risk of condom slippage doubled

Question 15

Which STI is the risk from oral transmission not lower that with anal or vaginal sex?

Answer 15

HSV-1 transmission

Question 16

What benefit does promoting abstinence have?

Answer 16

PROMOTION of abstinence NO benefit

Question 17

What lubricant should be advised with condoms for anal sex?

Answer 17

Water based

Question 18

What is the risk of HIV transmission in occupational exposure if VL undetectable?

Answer 18

Very low

Question 19

Is it possible to acquire BBVs through activities such as shaking hands, hugging, kissing, sharing utensils or using the same toilet?

Answer 19

No

Question 20

Is there risk of BBV through mouth to mouth resuscitation?

Answer 20

No

Question 21

What is the rate of HBV transmission from a puncture injury?

Answer 21

30%

Question 22

What is the rate of HCV transmission from a puncture injury?

Answer 22

3%

Question 23

What is the rate of HIV transmission from a puncture injury?

Answer 23

3 in 1000

Question 24

What is the risk of HCV transmission from a splash injury?

Answer 24

No risk

Question 25

What is the rate of HBV, HCV and HIV transmission from a biting injury?

Answer 25

Low risk

Question 26

HOw effective is HBV vaccination following exposure to HBV infection at reducing seroconversion?

Answer 26

Very >95%

Question 27

What is the follow up testing for a person exposed to BBV?

Answer 27

4-6 weeks HBsAg, HCV Ag/PCR, HIV Ag/Ab 3 months HBsAg, HCV Ab, HIV Ag/Ab 6 months HBsAg, HCV Ab

Question 28

When might a HCV antigen or PCR be performed at 3months instead of Ab following BBV exposure?

Answer 28

If high risk of HCV

Question 29

Following puncture injury what should you do first if there is risk of BBV?

Answer 29

Encourage wounds to bleed | Irrigate with lots of water

Question 30

What proportion of women and men report domestic abuse?

Answer 30

Women 28.5% (quarter) | Men 14.7% (sixth)

Question 31

What proportion of maternal deaths have features of domestic abuse?

Answer 31

70 out of 295 (quarter)

Question 32

Domestic abuse will often present with injury to head, face and neck, but evidence of injury elsewhere should raise suspicion?

Answer 32

Blunt force trauma to FOREARMS

Question 33

How much more likely are women who experience domestic abuse to be affected by depression or alcohol misuse?

Answer 33

Twice as likely

Question 34

If a person is at risk of death or severe injury who should a GBV case be reported to? And when?

Answer 34

The police | IMMEDIATELY

Question 35

What is the difference between an adult safeguarding referral vs a child safeguarding referral?

Answer 35

Adult can decline referral if with capacity

Question 36

If domestic abuse is disclosed in a sexual health setting who should be involved as part of the assessment?

Answer 36

Health advisor once medical examination/tests complete

Question 37

Thinking about sexual orientation/gender groups and risk of GBV, who is most likely to have experienced domestic abuse? MSM, heterosexual women, WSW, heterosexual men, transgender people?

Answer 37

Transgender > MSM > WSW/heterosexual women > heterosexual men

Question 38

What gender are perpetrators of domestic abuse?

Answer 38

Male (mainly)

Question 39

What proportion of stalking/threatening to kill result in actual murder?

Answer 39

50%

Question 40

What is the current routine recall for cervical smear

Answer 40

3 yrs 25-49 | 5 yrs 50-64

Question 41

What change occurs to cervical smear programme for women 50 and older?

Answer 41

recall interval 3 to 5 years

Question 42

What age do cervical smears stop

Answer 42

65 yrs