module 10 adolescent and young adult sexual health

Question 1

onset of puberty

Answer 1

11-21

- trouble with abstract thinking, egocentric

Question 2

risk reduction

Answer 2

STI

contraceptives

Question 3

sexual hx

Answer 3

age of menarche
age of first intercourse 
number of partners 
sex partners: male, female, both 
type of sex occuring
birth control vs STI prevention 
hx STI
LMP 
G/P 
Intimate partner violence

Question 4

pap smears

Answer 4

goal to detect high grade squamous intraepithelial lesion

Question 5

LSIL: low grade squamous intraepithelial lesion

Answer 5

usually benign with high regression rate

Question 6

30-65 pap/HPV combo

Answer 6

combo with PAP
- if over 30 and both negative, Q5yr
- 21-65 Q3yr
Grade A

Question 7

<30 HPV testing

Answer 7

Grade D

alone or with combo

Question 8

<21 pap

Answer 8

Grade D

Question 9

> 65 pap

Answer 9

Grade D

Question 10

women with hysterectomy pap

Answer 10

Grade D

- with removal of cervix

Question 11

populations that may need more freq. Pap

Answer 11

HIV +
immunocompromised
exposure to DSB
hx for CIN 2, CIN 3, cancer

Question 12

Male anal cancer causes

Answer 12

HPV
immunodeficiency
smoking

Question 13

screening for anal cancer

Answer 13

data insufficient

Question 14

at risk groups for anal cancer

Answer 14

HIV +
MSM without HIV infection
hx of receptive anal intercourse
- anal cytology and high-resolution anoscopy

Question 15

anal pap smears

Answer 15

insufficient evidence about effectiveness

Question 16

anal cancer prevention

Answer 16

avoid infection with HIV and HPV

• sexual intercourse protection
• HPV vaccines

Question 17

testicular cancer risk factors

Answer 17

average age 33, half between 20-34 
undescended testicle
family hx
HIV + 
carcinoma in situ of testicle
hx of testicular cancer