Sexually Transmitted Infections

Question 1

Sexual health, how to use interpreter

Answer 1

Best to use professional and on the phone

Question 2

Sexual History proforma

Answer 2

Last sex - when, who? (Casual(contactable), regular)Gender, protection, type of sex(V,O,A)
Number of partners 3/12, 12/12
Overseas?
Other reason 
Age of partners

Question 3

How to ask re: overseas sex?

Answer 3

Sex with anyone from a foreign country?

Question 4

‘Other high risk’ activity?

Answer 4

Sex worker? (Protection)
Drug use: alcohol, illicit, injecting
Have you ever paid or they ever been paid for sex?

Question 5

How to ask about sex worker?

Answer 5

Have you ever paid or they ever been paid for sex?

Question 6

When to mandatory report for? Who?

Answer 6

If a minor is in a position of ongoing harm, physical/sexual abuse
Call DHS.

Question 7

If 12 year old having sex with 15 year old?

Answer 7

Ask if consensual?
Ask about their relationship?
Ask if it’s under duress?
Parents situation?

Question 8

Tricker scenarios

Answer 8

Sexual assault
Domestic violence
Drugs
Types of sex question
Gender of partners
Ask question in pregnancy as well

Question 9

Age limit for privacy or confidentiality?

Answer 9

Nope.

Question 10

Who test for Chlamydia?

Answer 10

Under 30, once a year

Question 11

How to test for chlamydia?

Answer 11

Urine PCR

Question 12

Rx for gonorrhoea?

Answer 12

500mg Ceftriaxone, IM

Question 13

If had syphilis under 2 years? Rx?

Answer 13

One big shot of 1.8g of Penicillin in the butt

Question 14

If had syphilis for indeterminate time?

Answer 14

3 over 3 weeks penicillin

Question 15

When do men who get gonorrhoea describe and come in?

Answer 15

‘Pissing razor blades’

Come in D2

Question 16

When examining someone with PID? What to do?

Answer 16

External
Speculum
Bimanual - check Fallopian tubes

Question 17

Treatment for PID?

Answer 17

2 weeks antibiotics
1 g Azithromycin
Doxy 100mg bd for 2/52
Metronidazole 400mg bd for 2/52

Question 18

Young woman finding it hard to sit down, DDx?

Answer 18

Haemorrhoids

Trauma

Question 19

What’s the significant of Herpes bilateral?

Answer 19

Probably first time getting it.

Question 20

Management for Herpes?

Answer 20

Swab the lesion
Acyclovir 200mg, two to three times 7-10days
Lignocaine Gel
Paracetomol

Question 21

What’s not effective for HSV?

Answer 21

Topical antivirals/antibiotics

Question 22

Complication of HSV? Rx?

Answer 22

Urinary retention.

peeing in the bath/bucket

Question 23

If HPV testing is high grade positive for screening, how Mx?

Answer 23

Copolscopy if it’s positive for HPV 16,18

Question 24

If HPV testing is low grade positive for screening, how Mx?

Answer 24

Give them a year and retest