Lower and upper tract gynelogical infections

Question 1

screening recommendation for gonorrhea and chlamydia

• what is most sensitive

Answer 1

annual for sexually active under 25 yo and over 25 if RF

• PCR is most sensitive

Question 2

hepatitis C screening recommendation

Answer 2

one time testing if born from 1945-1965 and unknown status

Question 3

HIV screening recommendation

Answer 3

• screen at least once age 13-64
• annual screening based on risk factors
• opt out screening is ideal

Question 4

what are the preexposure vaccines

Answer 4

HBV
HAV
HPV

Question 5

when is the HBV recommended?

Answer 5

all unvaccinated, uninfected persons being evaluated for STD

Question 6

gardasil protects against which HPV strains?

Answer 6

6, 11, 16, 18

Question 7

which HPV strains cause 90% of condylomas?

Answer 7

HPV 6 and 11

Question 8

which HPV strains cause 70% of cervical cancer?

Answer 8

HPV 16 and 18

Question 9

when should HPV vaccine be administered?

Answer 9

between 11 and 26

Question 10

which type of lubricants are best?

Answer 10

water based

Question 11

are condoms with spermicide recommended? why or why not?

Answer 11

no

increased UTI risk

Question 12

what is the ideal type of screening for HIV? when is it done for pregnant patients?

Answer 12

opt out (screen everyone unless they opt out)

retest in 3rd trimester if high risk

Question 13

when is syphilis tested for pregnant patients?

Answer 13

3rd trimester

Question 14

when is chlamydia and gonorrhea retesting done for pregnant patients?

Answer 14

3rd trimester

Question 15

what % of people are unaware that they are HIV positive?

Answer 15

1 in 5 (18%)

Question 16

what is required for the HIV western blot diagnosis?

Answer 16

positive test requires at least 2 specific HIV-1 antigens (p24, GP41, GP120/160)