STI testing (guidance) Flashcards

1
Q

Asymptomatic patient - when should hep A be tested for?

A

MSM if local outbreak
IVDU
co-infection with HBV, HCV or HIV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Asymptomatic patient - when should hepatitis B be tested for?

A
Sex:
MSM
CSW
sexual assault
sexual partner with HBV or high risk of
Other:
IVDU
needle stick
if mother with HBV
born in a country with prevalence
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Asymptomatic patient - when should hep C be tested for?

A

IVDU
HIV + MSM
needlestick
if mother with HCV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What routine STI test is indicated for a woman who has sex with women (WSW)?

A

no routine unless previous heterosexual contact

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

If treating for gonorrhoea, or contact of, what in addition to NAAT must be taken?

A

Cultures from all sites

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the is the only site tested for GC/CT NAAT in heterosexual men?

A

first pass urine (could be urethral swab)

oral sex does not require pharyngeal swab

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What test should be performed on ALL genital ulceration?

A

HSV PCR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What tests should be done, if available, for syphilis in genital ulceration?

A

Minimum - Serology and follow up after window period
dark ground microscopy
TP PCR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

When should microscopy of rectal swab be performed?

A

proctitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

When should rectal swab be sent for HSV PCR?

A

proctitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

When should rectal swab be tested for LGV CT?

A

proctitis OR HIV+

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Swab of which female site should be performed for microscopy if GC/CT suspected?

A

Cervix

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is the benefit of microscopy of a high vaginal swab in vaginal discharge?

A

Look for BV or candida

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What benefit is a wet mount slide for microscopy?

A

To look for trichomonas vaginalis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

MSM at high risk of STIs should be tested every 3 months - what does high risk include?

A

unprotected sexual contact (oral, genital, anal) with new partner
new STI diagnosis
drug use inc EToH

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What route of advertising is particularly effective at making MSM aware of STI testing services?

A

Social media