Module 4A STIs,STDs, and HIV/AIDS

Question 1

True or False:
Any commercial sexual activity with a minor, even without force, fraud, or coercion is considered trafficking.

Answer 1

True

Question 2

what is human trafficking?

Answer 2

Human trafficking occurs when a trafficker exploits an individual with force, fraud, or coercion to make them perform commercial sex or work.

Question 3

what is stockholm syndrome?

Answer 3

trauma bonding with trafficker or other victims

Question 4

what is the preferred treatment for bacterial vaginosis?

Answer 4

metronidazole 500 mg BID for 7 days
OR
Metronidazole gel 0.75% and one 5 gm applicator intravaginally, 1x/day for 5 days

also can use clindamycin oral and cream

Question 5

what is the treatment for cervicitis?

Answer 5

Doxycycline 100 mg orally bid for 7 days

OR

1g azithromycin orally, single dose

Question 6

what is the treatment for chlamydial infections in adults and adolescents?

Answer 6

doxycycline 100 mg BID for 7 day

OR

azithromycin 1 gm orally, single dose

OR

levofloxacin 500 mg orally, daily for 7 days

Question 7

what is the treatment for chlamydia in PREGNANT women?

Answer 7

azithromycin 1 gram orally, single dose

OR

Amoxicillin 500 mg orally TID for 7 days

Question 8

what is the treatment for epididymitis in men?

Answer 8

because it is most likely caused by sexually transmitted chlamydia and gonorrhea, the treatment is for that

Ceftriaxone 500 mg IM in a single dose + doxycycline 100 mg BID for 10 days

Question 9

what is the treatment for epididymitis in men who have sex with men?

Answer 9

most likely caused by sexually transmitted chlamydia and gonorrhea.

Ceftriaxone 500 mg IM, single dose + levofloxacin 500 mg orally daily for 10 days

Question 10

what is the treatment for genital herpes simplex in the first clinical episode?

Answer 10

acyclovir 400 mg orally TID for 7-10 days
OR
Valacyclovir 1 gm orally BID for 7-10 days
OR
famciclovir 250 mg orally TID for 7-10 days

Question 11

what is the treatment for suppressive therapy of HSV2?

Answer 11

valacyclovir 500 mg orally daily
OR
Acyclovir 400 mg orally BID
OR
Famciclovir 250 mg orally BID

Question 12

what is the treatment for episodic therapy for recurrent HSV2?

Answer 12

acyclovir 800 mg orally BID for 5 days
OR
Famciclovir 1gm orally BID for 1 day
OR
Valacyclovir 500 mg orally BID for 3 days

Question 13

what is the treatment for gonococcal infections?

Answer 13

Ceftriaxone 500 mg IM in a single dose

this tx is good for all types of pts (including pregnancy)

Question 14

what is the treatment for gonococcal infections if a patient has a cephalosporin allergy?

Answer 14

Gentamicin 240 mg IM in a single dose + azithromycin 2 g orally in a single dose

Question 15

what is the treatment for pediculosis pubis?

Answer 15

Permethrin 1% cream rinse applied to affected area, wash after 10 minutes

Question 16

what is the treatment for pelvic inflammatory disease look like?

Answer 16

Treatment for gonorrhea, chlamydia, and BV

Question 17

what is the treatment for scabies?

Answer 17

permethrin 5% cream applied to all areas of the body (from neck down), wash after 8-14 hours

Question 18

what is the treatment for primary, secondary, and early latent syphilis ?

Answer 18

benzathine penicillin G 2.4 million units IM in a single dose

Question 19

what is the treatment for late latent syphilis?

Answer 19

benzathine penicillin G 7.2 million units total, administered as 3 doses of 2.4 million units IM each at 1 week intervals

Question 20

what is the treatment for trichomoniasis for women?

Answer 20

metronidazole 500 mg BID for 7 days

Question 21

what is the treatment for trichomoniasis for men?

Answer 21

metronidazole 2 gram orally in a single dose

Question 22

what is the minimum age for children to get the HPV vaccine?

Answer 22

9 years old

Question 23

what are the benefits of male circumcision?

Answer 23

decreases HIV, HPV, and genital herpes

Question 24

what are the 5 P’s?

Answer 24

partners, practices, protection, past STDs, and prevention of pregnancy

Question 25

what is EPT?

Answer 25

expedited partner therapy

Question 26

Is EPT permissible in the state of Texas?

Answer 26

Yes

Question 27

What are the recommendations for screening for asymptomatic STDs?

Answer 27

Gonorrhea Chlamydia Syphilis Hepatitis B Hepatitis C HIV Trichomoniasis Cervical

Question 28

what are the screening recommendations for chlamydia and gonorrhea?

Answer 28

screen under the age of 25

Question 29

what are the screening recommendations for chlamydia and gonorrhea in pts aged 25 and older?

Answer 29

if at increased risk, screen. Chlamydia infection should have a test of cure 4 weeks after treatment and be retested within 3 months. Gonorrhea, retest after 3 months.

Question 30

what are the screening recommendations for pregnant patients?

Answer 30

retest during 3rd trimester for women under 25 or if at risk.

Question 31

In what populations should be screened for syphilis?

Answer 31

hx of incarceration or commercial sex work, geography, race/ethnicity

Question 32

when should pregnant patients be screened for syphilis?

Answer 32

at their first prenatal visit and retested at 28 weeks of gestation Texas law requires test for syphilis at time of delivery

Question 33

When is herpes screening done?

Answer 33

It is not routine, evidence does not support routine HSV2 serologic screening among asymptomatic pregnant women.

Question 34

how is trichomoniasis screened for?

Answer 34

It is done with the pap smear. All pregnant women should be screened at their first prenatal visit.

Question 35

what lab test will be used to test for hepatitis B in pregnant patients and when?

Answer 35

HBsAg and at first prenatal visit Texas law requires testing again at time of delivery

Question 36

what is the screening recommendation for chlamydia and gonorrhea in men?

Answer 36

insufficient evidence to support

Question 37

what is the screening recommendation for chlamydia and gonorrhea in men who have sex with men?

Answer 37

at least annually, regardless of condom use

Question 38

what is the screening recommendation for syphilis screening in men who have sex with men?

Answer 38

at least annually, or every 3-6 months if at increased risk

Question 39

what is the screening recommendation for trichomoniasis in men? and in men who have sex with men?

Answer 39

all men aged 13 to 64 years can get screened MSM-at least annually for sexually active

Question 40

what should be tested for hepatitis B in men who have sex with men?

Answer 40

HBsAg, HBV core antibody, HBV surface antibody

Question 41

what std is not reportable?

Answer 41

Trichomoniasis

Question 42

what are the 4 amsel's criteria?

Answer 42

think milk like discharge clue cells pH greater than 4.5 fishy odor only need 3/4 to treat a patient

Question 43

what are the two oncogenic HPV subtypes?

Answer 43

16 and 18 can cause cancer to the cervix, vulva, vagina, anus, penis, oropharynx

Question 44

what is Jarisch-Herxheimer reaction?

Answer 44

it is a reaction after the initiation of abx therapy for syphilis fever, malaise, chills, nausea, vomiting, chills and rash can occur usually resolves on its own

Question 45

when should truvada be started?

Answer 45

within 72 hours

Question 46

what is the CD4 count that makes a clinical diagnosis of AIDS?

Answer 46

less than 200