STI

Question 1

What is STI?

Answer 1

Variety of clinical entities caused by pathogens acquired through sexual activity.

Question 2

STI’s have immediate disease manifestations T/F

Answer 2

May or maynot

Question 3

STI’s cause what other manifestations

Answer 3

Congenital infections, infertility, PID, ectopic pregnancy, long term sequalae of un diagnosed untreated illness

Question 4

What is essential to Primary Health care

Answer 4

Identify, Prevent and manage STI’s

Question 5

By virtue of intimate contact of mucus membranes and sharing bodily fluids, pathogenetic organisms have an opportunity to find a new host T/F

Answer 5

True

Question 6

Who needs to be screened for STI’s

Answer 6

All sexually active patients should be screened regularly based on risk factors to prevent complications and transmission.

Question 7

What causes STI’s

Answer 7

bacteria, viruses, protozoa, parasites

Question 8

True or false STI’s are always symptomatic

Answer 8

False Most STI’s are asymptomatic

Question 9

What is considered At Risk Behaviors (8)

Answer 9

History of STI
New Partner
Multiple Partners
Partner with STI
Inconsistent use of condoms when NOT in mutually monogamous relationship
Women who exchange sex for money
Women who exchange sex for drugs
Pregnancy

Question 10

What are vulvovaginal symptoms of vaginitis and STI’s

Answer 10

Discharge
Itching
Odor
Pain

Question 11

What symptoms bring women in to healthcare

Answer 11

Discharge
Itching
Odor
Pain

Question 12

What should be performed during a sexual history

Answer 12

• Screen all sexually active women regularly - health hx, physical exam and lab work when indicated
• In depth sexual hx is key to id those at risk
• D/t high personal nature of the questions and social stigma assoc with STI’s a sexual hx can be challenging to both clinician and patient

Question 13

Critical questions to ask any sexually active person

Answer 13

Do you have sex with men, women, or both,
Do you engage in oral, anal or vaginal sex
Do you use toys

Question 14

Name the essential criteria for conducting sexual history

Answer 14

Assure privacy
Listen carefully
Be respectful, but thorough
Be aware of your response and avoid making assumptions about sexuality, activity to beliefs.
Establish good rapport

Question 15

What is a good intervention when conducting a health hx

Answer 15

delay health education and counseling until after interview once all questions asked and all answered

Question 16

What are the 5 P’s of sexual health hx

Answer 16

No. Partners, male/female/both
Practices - do you use drugs or alcohol
Past Hx of STI's
Protection from STI's 
Pregnancy plans - what are you doing to prevent pregnancy