STI Flashcards

1
Q

What resources can you use for reference for STI’s?

A

CPS, RX, DynaMed, SK PRevention institute, Gov of SK, Saskatoon Sexual Health, SexLifeSask, GoC/ PHAC, SOGC SEX&U, OUT Saskatoon, Acton Canada for Sexual Health & Rights

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2
Q

What type of environment do you want to create when discussing STI’s?

A

Safe, Private, and Respectful
Build rapport and trust
Check assumptions and person values/ beliefs
Saftey is subjective
ENSURE confidentiality

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3
Q

What should you encourage during an STI counsel?

A

ASking questions, revist info as needed

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4
Q

What language should you use during an STI counsel?

A

Concise, plain, inclusive, and non-stigmatizing language

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5
Q

What is the definition of an STI?

A

An infection passed from one person to another through sexual activity, including vaginal, oral, or anal sex as well as genital skin-to-skin contact. Some STI’s are spread through blood.

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6
Q

What are the 3 categories of STI’s?

A

Viral: HPV, HIV, HepB, HSV
Bacterial: Chlamydia, Gonorrhea, Syphilis
Parasitic/Fungal: Trichomoniasis

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7
Q

What does STBBI stand for?

A

sexually tansmitted and blood borne infection

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8
Q

What are some STI risk factors?

A

Multiple Partners (over time or concurrently)
Anonymous or casual sex partners
Sex without the use of barrier protection
Sex w/ person(s) with an STI
Previous STI
Substance use
use of ED medications
history of intimate partner or sexual violence
Social Environments

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9
Q

How can HCP incorporate prevention into practise?

A

Educating about signs and symptoms
Helping idividuals recogize and miimize risk
offering vaccination when indicated
offer screeig, testig

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10
Q

Questions to ask when assessing risk?

A

Sexually active?
Ay symptoms
contraception?
concerns?
last period?
Pap test history?

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11
Q

What method is used to test for STI’s?

A

Test for one –> test for ALL

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12
Q

What are barriers to screening/testing?

A

underestimate personal risk
Perception of STI’s seriousness
Fearful of procedures
Self-concious about genital exam
Stigma
Perception of attitudes of HCPs

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13
Q

Are barrier protection fully effective at stopping the spread of STI’s?

A

NO;
Lessions and asymptomatic shedding can occur in areas not covered leading to spread

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14
Q

Spermicidal lube good for STI protection?

A

NO –> can cause irritation and lessions to burst/ more shedding

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15
Q

What ingredient is in spermicidal lubricant?

A

nonoxynol-9

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16
Q

What are the goals of therapy?

A

Treat infection
Get rid of symptoms
Decrease spread
Decrease vertical transmission
reduce transmission of HIV
Decrease probability of complications, such as infertility, chronic pain, sepsis

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17
Q

Can HIV be transfered through breastfreeding?

A

Yes

18
Q

How can chlamydia affect pregnancy/infant?

A

Preterm birth
conjunctivitis
pneumonia in newborn

19
Q

How can Gonorrhea affect pregnancy/infant?

A

endometritis
pelvic sepsis
opthalmia
neonatorum
systemic infection in newborn

20
Q

How can syphilis affect pregnancy/infant?

A

systemic symptoms
fetal loss

21
Q

When should pregnant people be tested?

A

Early in pregnancy + again at 3rd trimester

22
Q

What syndromes can STI’s present as?

A

Cervicitis
Epididymitis
Pelvic inflammatory disease
Proctitis
Urethritis
Vaginitis
Anogenital ulcers

23
Q

How can Chlamydia present?

A

cervicitis
urethritis
epididymitis
PID
Proctitis
Angogenital ulcers

24
Q

How can gonorrhea present?

A

Cervicitis
urethritis
epiddiymitis
PID
Proctitis

25
Q

How can HSV present?

A

Anogenital ulcers
cervicitis
urethritis
proctitis

26
Q

How can Mycoplasma present>

A

Cervicitis
Urethritis
PID
Proctitis

27
Q

How can syphilis present?

A

Anogenital ulcers
Proctitis

28
Q

How can Trichomonas present?

A

Vaginitis
Cervicitis
Urethritis

29
Q

What types of HPV cause anogenital warts?

A

6 and 11

30
Q

What is the most common reported STI in Canada?

A

Chlamydia

31
Q

What is the etiology of chlamydia

A

chlamydia trachomatis

32
Q

Can you treat chlamydia without lab testing?

A

Yes, empiric treatment can be given

33
Q

What syndrome can be a complication of chlamydia?

A

Reiter

34
Q

How is chlamydia treated?

A

1st line: Foxy 100mg BID x 7 D , Azith 1g in a single dose
Alternative: 500mg OD x 7D
Pregnancy: azith 1g 1 dose, Amox 500mg TID x 7D, Eryht 2g/day divided x 7D or 1g/day divided x 14D

35
Q

Is there resistance problems with chlamydia?

A

No, there is w/ gonorrhea

36
Q

What are couneslling tips for doxy?

A

Take w/ food
Iron/calcium may decrease absoprtion
Photosensitivity

37
Q

Sexual activity okay?

A

Abstain until treatment of person and partners completed (7 days)

38
Q

What follow-up is done for chlamydia?

A

Test of cure, Repeat screeining after 3 months due to risk of reinfection

39
Q

How long do you test of cure for?

A

3-4 weeks following positive

40
Q

What is the etiology of Lymphogranuloma Venereum?

A

Chlamydia trachomatis genotypes L1, L2, and L3

41
Q
A