EXAM #1: STIs Flashcards
What is the most common STI?
Chlamydia
Define coitarche?
Age virginity is lost
When should patients be screened for Chlamydia/Gonorrhea?
- Annual under 25 y/o active
- Screen developmentally disabled (increased risk of abuse)
How is C/G screen for?
Nucleic acid amplification test
*Also, self-collected vaginal swab
When is Hepatitis C screening recommended?
One time if born between 1945-1965 and unknown status
What are the HIV screening recommendations?
At least once 13-64
Who should be screened for syphilis?
1) Sex for drugs
2) IVDA
3) Entering jail
4) Inner city
When should HIV be screened for?
Same for syphilis i.e.
1) Sex for drugs
2) IVDA
3) Entering jail
4) Inner city
+
5) MSM
6) Preconception
What are the 5 Ps of STD prevention?
- Partners
- Prevent pregnancy
- Protection from STD
- Practices
- Past history of STDs
What are the guidelines to obtaining a sexual history?
1) Open-ended questions
2) Understandable language
3) Normalizing language
What STIs are reportable in all states?
1) Gonorrhea
2) Syphilis
3) Chlamydia
4) HIV
5) AIDS
What additional STIs are reportable in Iowa?
All hepatitis infections
Who is Hepatitis B vaccination recommended for?
All unvaccinated, uninfected persons
What does Gardasil protect against?
HPV 6, 11, 16, and 18
- Condyloma 90%
- Cervical cancer 70%
When does the CDC recommended initial gardisil? What sexes?
11 - 12 years old
*For BOTH men and women
Why is spermicide not recommended with condoms?
Increases risk of UTIs
What kind of lube is best for use with condoms?
Water-based (KY/ astroglide)
What is the ideal pregnancy HIV screening?
“Opt-out”
Who needs to be retested for HIV during 3rd trimester of pregnancy?
1) Illicit drug use
2) STD during pregnancy
3) Multiple partners
4) HIV infected partner
When do you retest Syphilis during 3rd trimester?
At time of delivery if high risk patient
Is the Hep B vaccine safe during pregnancy?
Yes, should be done in women that are seeking STD care during pregnancy
When do you test chlamydia and gonorrhea in pregnancy?
3rd trimester if less than 25 and more than one partner during pregnancy
What women should be screened for Hepatitis C?
1) History of IVDA
2) Blood or organ transplant prior to 1992
What is required for a positive HIV western blot test?
2 HIV-1 specific antigens to be positive
