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DipGUM > BASHH Guideline general > Flashcards

BASHH Guideline general Flashcards

1
Q

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

A

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

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2
Q

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

A

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

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3
Q

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

A

MSM on PREP for HIV

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4
Q

Which STIs were reduced if doxycycline PEP was taken?

A

chlamydia

syphilis

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5
Q

Which test is indicated for HIV infection?

A

4th generation antigen/antibody assay of venous blood sample

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6
Q

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

A

3%

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7
Q

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

A

1/5 (a fifth)

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8
Q

Minimum sexual history if asymptomatic

A 
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
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9
Q

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

A

2 x 20min

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10
Q

How many behaviour change intervention sessions are suggested for MSM?

A

10

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11
Q

What is the risk of condom slippage associated with?

A

lack of training/incorrect use

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12
Q

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

A

1/3

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13
Q

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

A

17%

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14
Q

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

A

Anal - reduce condom breakage

Vaginal - risk of condom slippage doubled

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15
Q

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

A

HSV-1 transmission

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16
Q

What benefit does promoting abstinence have?

A

PROMOTION of abstinence NO benefit

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17
Q

What lubricant should be advised with condoms for anal sex?

A

Water based

18
Q

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

A

Very low

19
Q

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

A

No

20
Q

Is there risk of BBV through mouth to mouth resuscitation?

A

No

21
Q

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

A

30%

22
Q

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

A

3%

23
Q

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

A

3 in 1000

24
Q

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

A

No risk

25
Q

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

A

Low risk

26
Q

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

A

Very >95%

27
Q

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

A

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

28
Q

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

A

If high risk of HCV

29
Q

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

A

Encourage wounds to bleed

Irrigate with lots of water

30
Q

What proportion of women and men report domestic abuse?

A

Women 28.5% (quarter)

Men 14.7% (sixth)

31
Q

What proportion of maternal deaths have features of domestic abuse?

A

70 out of 295 (quarter)

32
Q

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

A

Blunt force trauma to FOREARMS

33
Q

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

A

Twice as likely

34
Q

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

A

The police

IMMEDIATELY

35
Q

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

A

Adult can decline referral if with capacity

36
Q

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

A

Health advisor once medical examination/tests complete

37
Q

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?

A

Transgender > MSM > WSW/heterosexual women > heterosexual men

38
Q

What gender are perpetrators of domestic abuse?

A

Male (mainly)

39
Q

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

A

50%

40
Q

What is the current routine recall for cervical smear

A

3 yrs 25-49

5 yrs 50-64

41
Q

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

A

recall interval 3 to 5 years

42
Q

What age do cervical smears stop

A

65 yrs

DipGUM (39 decks)

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