Sexual Health Assessment

Question 1

What are the CDCs 5 Ps relating to taking a sexual health history?

Answer 1

partners, practices, prevention of pregnancy, protection from STIs, past history of STIs

Question 2

Symptoms of a single or multiple painful ulcers surrounded by erythematous halos is suspicious for what STI?

Answer 2

chancroid

Question 3

What is the diagnostic test of choice for chancroid?

Answer 3

primarily a diagnosis of exclusion, T. pallidum and HSA testing should be negative, definitive diagnosis is made morphologically

Question 4

What is the treatment for chancroid?

Answer 4

azithomycin 1g PO x 1 dose OR ceftriaxone 250mg IM x 1 dose OR cipro 500mg PO BID x 3 days

Question 5

Symptoms of dysuria, urinary frequency, mucopurulent vaginal discharge, labial pain/swelling, lower abdominal pain, fever, dysmenorrhea, and nausea/vomiting are suspicious for what STI?

Answer 5

gonorrhea

Question 6

Symptoms of dysuria, urinary frequency, white/yellow-green penile discharge, and testicular pain are suspicious for what STI?

Answer 6

gonorrhea

Question 7

What is the diagnostic test of choice for gonorrhea?

Answer 7

NAAT using urine sample

Question 8

What is the treatment for gonorrhea?

Answer 8

ceftriaxone 500mg IM x 1 dose for gonorrhea PLUS (if chlamydia not ruled out) doxycycline 100mg PO BID x7 days

Question 9

Symptoms of dysuria, instramenstural spotting, postcoital bleeding, dyspareunia, and vagninal discharge are suspicious for what STI?

Answer 9

chlamydia

Question 10

Symptoms of dysuria, thick/cloudy penile discharge, testicular pain, and rectal tenesmus are suspicious for what STI?

Answer 10

chlamydia

Question 11

What is the diagnostic test of choice for chlamydia?

Answer 11

NAAT using urine sample

Question 12

What is the treatment for chlamydia?

Answer 12

azithromycin 1g PO x1 dose OR doxycycline 100mg PO BID x7 days

Question 13

Symptoms of painless ulcers at 3 weeks after sexual encounter is suspicious for what STI?

Answer 13

primary syphilis

Question 14

Symptoms which occurs 2-8 weeks after primary infection consisting of flu-like symptoms, rash primarily on the palms and soles, mucous membrane lesions is suspicious for what STI?

Answer 14

secondary syphilis

Question 15

Which stage of syphilis has no signs/symptoms?

Answer 15

latent syphilis

Question 16

Symptoms of meningitis, hemiparesis, hemiplegia, tumors of the skin/bone/liver, cardiac insufficiency, and leukoplakia occurring 10-30 years after initial infection are suspicious for what STI?

Answer 16

tertiary syphilis

Question 17

What is the diagnostic test of choice for syphilis?

Answer 17

VDRL or RPR initially, confirmed by TP-PA or FTA-ABS

Question 18

What is the treatment for syphilis?

Answer 18

benzathine penicillin G IM OR if allergic to penicillins, doxycycline 100 mg PO BID x 14 days

Question 19

Which strain of herpes is mores often associated with lesions on the lips, face, and mucosa?

Answer 19

HSV1

Question 20

Which strain of herpes is more often associated with lesions on the genitalia?

Answer 20

HSV2

Question 21

Symptoms of painful sore blisters are suspicious for what STI?

Answer 21

herpes

Question 22

What is the diagnostic test of choice for herpes?

Answer 22

NAAT or culture from a lesion

Question 23

What is the treatment for herpes?

Answer 23

docosanol, acyclovir, famciclovir, or valacyclovir

Question 24

Symptoms of malordorous, frothy, yellow-green discharge, puritis, vaginal erythema, “strawberry patches” on cervix and vagina, dyspareunia, and dysuria are suspicious for what STI?

Answer 24

Trichomoniasis

Question 25

What is the diagnostic test of choice for trichomoniasis?

Answer 25

microscopic wet-prep: normal saline mixture shows motile trichomonads

Question 26

What is the treatment for trichomoniasis?

Answer 26

metronidazole 2g PO x1 dose then 500mg PO BID x7 days

Question 27

Symptoms of “fishy” smelling discharge which is watery and gray, vaginal spotting are suspicious for what?

Answer 27

BV