STD/STI: Multiple Choice and Other Questions

Question 1

Chronic pelvis pain and infertility are possible complications of this STI-related condition

Answer 1

PID (Pelvic Inflammatory Disease)

Question 2

The screening test of this STI is an ELISA or EIA

Answer 2

HIV

Question 3

What test is confirmatory for HIV infection?

Answer 3

New test:
HIV 1 & 2 Differentiation Amino Assay

Former test:
Western Blot

Question 4

The screening test for this STI is negative during the initial, acute, flu-like illness

Answer 4

HIV

Question 5

What test should be ordered if HIV is suspected during an acute, flu-like illness?

Answer 5

Nucleic Acid Test (NAT)

Question 6

What condition may cause vaginal discharge and dyspareunia and may be confused with STIs?

Answer 6

New term:
- GSM (Genitourinary Syndrome of Menopause)

Note: umbrella term for GYN/urinary problems of decreased estrogen

Old terms:
- Atrophic vaginitis –OR–
- Vulvo-vaginal atrophy

Question 7

What age group should be screened yearly for chlamydia?

Answer 7

• Age < 25 years
• Sexual partners’ age < 25 years

Question 8

Which STI is:

• Most frequently reported
• Common in patients < 25 years old
• Often asymptomatic?

Answer 8

Chlamydia

Question 9

Which STI has been increasing in prevalence, especially in women (with an 80% increase)?

Answer 9

Syphlis

Question 10

Which STI is treated with 2.4 million units penicillin IM?

Answer 10

Syphilis

Question 11

RPR is used to screen for which STI?

Answer 11

Syphilis

Question 12

What stage of syphilis is often asymptomatic?

Answer 12

Latent

Question 13

Is BV (bacterial vaginosis) sexually-transmitted or sexually-associated?

Answer 13

Sexually-associated

(often co-infection with STIs)

Question 14

Per the CDC, when BV (bacterial vaginosis) is diagnosed, what else should be done?

Answer 14

Test for STI’s

(d/t frequent co-infection of BV and STIs)

Question 15

The CDC recommends treating this sexually-associated vaginal infection if women are symptomatic?

Answer 15

BV (bacterial vaginosis)

Question 16

This STI is treated with metronidazole 2 g PO single dose. What is it? When might this treatment be extended?

Answer 16

STI: Trichomoniasis

Reasons to extend treatment:
- Male patient
- Immunocompromised patient

Question 17

What alternate antibiotics for BV (bacterial vaginosis) should be avoided in pregnancy?

Answer 17

• Secnidazole
• Tinidazole

Question 18

Which STD can produce a rash that is:

• bilaterally symmetrical
• non-pruritic
• frequently on the palms and sides of feet?

Answer 18

Syphilis

Question 19

Which STD produces a painful ulcer?

Answer 19

HSV 1 or 2
(Herpes Simplex Virus)

Question 20

If IgG serology for HSV is negative, what should be done?

Answer 20

Repeat in 3 - 4 months

(since it should have seroconverted by then)

Question 21

Infection with what STD increases the risk of acquiring HIV infection if exposed?

Answer 21

There are strong co-infection rates with HIV and genital herpes

Question 22

Which STD is associated with a positive “chandelier test?”

Answer 22

PID (Pelvic Inflammatory Disease)