Care in Sexual Health Clinic Flashcards
1
Q
What is the role of the sexual health clinic?
A
- dx and managment of STIs
- Partner notification
- infection prevention
- genital dermatology
- contraception
- community gynaecology
- menopause
- psychosexual counselling
2
Q
What are the benefits of partner notification?
A
- Effective form of case finding
- Cost effective
- Early diagnosis reduces morbidity/mortality
- Reduces incidence of STI in community
3
Q
What conditions do not require PN? Why?
A
- warts
- herpes
- vaginal thrush
- bacterial vaginosis
> why: no benefit in asymptomatic case finding —nothing to do about it
not STI (candidiasis and BV)
4
Q
What is partner notification?
A
- Process of informing people who have been in contact with STI
- Look-back period depends upon STI
- Public health benefit
- Voluntary
5
Q
Methods of PN
A
- PN agreement: Patient, provider referral (anonymously informed) and provisional referral
6
Q
How to prevent Hep B?
A
Vaccinations for people with: MSM High prevalence countries Sexual assault Contacts
7
Q
MSM pts should get which additional vaccinations; apart from Hep B?
A
- Hep A (rimming; seen in Gay men)
- HPV (<46y.o)
8
Q
Name PrEP drugs…
A
- Tenofovir
- Disoproxil
- Emtricitabine
9
Q
How effective is PrEP rx?
A
- reduces HIV incidence by 86%
10
Q
Who is eligible for PrEP in Scotland?
A
- MSM condomless anal sex with 2+ partners in last year and likely in next 3 months
- Rectal bacterial STI in last year
- Partner of someone with HIV VL >50
11
Q
What is HIV PEPSE?
A
- 3 antiretrovirals
- Start within 72 hours
- 28 days total
- Probably 80% effective
12
Q
Hep B PEPSE?
A
HBV vaccine (up to 7 days) Immunoglobulin (vaccine non-responders)
13
Q
Define rape
A
Penetration of the vagina, anus or mouth by the penis without consent
14
Q
When is consent invalidated?
A
- incapacitated by ALCOHOL or DRUGS
- incarcerated
- violence or threat of violence
15
Q
Sequelae of rape
A
- Injuries
-Unwanted pregnancy - STI
-Psychological sequelae common:
>PTSD
>Anxiety/depression
>Psychosexual morbidity
