EXAM #1: STIs

Question 1

What is the most common STI?

Answer 1

Chlamydia

Question 2

Define coitarche?

Answer 2

Age virginity is lost

Question 3

When should patients be screened for Chlamydia/Gonorrhea?

Answer 3

• Annual under 25 y/o active

- Screen developmentally disabled (increased risk of abuse)

Question 4

How is C/G screen for?

Answer 4

Nucleic acid amplification test

*Also, self-collected vaginal swab

Question 5

When is Hepatitis C screening recommended?

Answer 5

One time if born between 1945-1965 and unknown status

Question 6

What are the HIV screening recommendations?

Answer 6

At least once 13-64

Question 7

Who should be screened for syphilis?

Answer 7

1) Sex for drugs
2) IVDA
3) Entering jail
4) Inner city

Question 8

When should HIV be screened for?

Answer 8

Same for syphilis i.e.

1) Sex for drugs
2) IVDA
3) Entering jail
4) Inner city

+

5) MSM
6) Preconception

Question 9

What are the 5 Ps of STD prevention?

Answer 9

• Partners
• Prevent pregnancy
• Protection from STD
• Practices
• Past history of STDs

Question 10

What are the guidelines to obtaining a sexual history?

Answer 10

1) Open-ended questions
2) Understandable language
3) Normalizing language

Question 11

What STIs are reportable in all states?

Answer 11

1) Gonorrhea
2) Syphilis
3) Chlamydia
4) HIV
5) AIDS

Question 12

What additional STIs are reportable in Iowa?

Answer 12

All hepatitis infections

Question 13

Who is Hepatitis B vaccination recommended for?

Answer 13

All unvaccinated, uninfected persons

Question 14

What does Gardasil protect against?

Answer 14

HPV 6, 11, 16, and 18

• Condyloma 90%
• Cervical cancer 70%

Question 15

When does the CDC recommended initial gardisil? What sexes?

Answer 15

11 - 12 years old

*For BOTH men and women

Question 16

Why is spermicide not recommended with condoms?

Answer 16

Increases risk of UTIs

Question 17

What kind of lube is best for use with condoms?

Answer 17

Water-based (KY/ astroglide)

Question 18

What is the ideal pregnancy HIV screening?

Answer 18

“Opt-out”

Question 19

Who needs to be retested for HIV during 3rd trimester of pregnancy?

Answer 19

1) Illicit drug use
2) STD during pregnancy
3) Multiple partners
4) HIV infected partner

Question 20

When do you retest Syphilis during 3rd trimester?

Answer 20

At time of delivery if high risk patient

Question 21

Is the Hep B vaccine safe during pregnancy?

Answer 21

Yes, should be done in women that are seeking STD care during pregnancy

Question 22

When do you test chlamydia and gonorrhea in pregnancy?

Answer 22

3rd trimester if less than 25 and more than one partner during pregnancy

Question 23

What women should be screened for Hepatitis C?

Answer 23

1) History of IVDA

2) Blood or organ transplant prior to 1992

Question 24

What is required for a positive HIV western blot test?

Answer 24

2 HIV-1 specific antigens to be positive