Sexuality, STIs, Sexual History

Question 1

What is the most common STI in the US

Answer 1

HPV

(also have higher rates of gonorrhea & syphilis)

Question 2

What are some risk factors for STIs

Answer 2

Question 3

List the 8 Ps of a gender-affirming sexual history

Question 4

What are the STI screening recommendations for HIV

Answer 4

all adults at least once, more frequently if at increased risk

Question 5

What are the STI screening recommendations for chlamydia

Answer 5

Question 6

Describe general STI screening in MSM populations

Answer 6

Question 7

Describe general STI testing in people living with HIV

Answer 7

Question 8

What are the 4 Cs of prevention and control

Answer 8

• contact tracing
• compliance with therapy
• counseling on risk reduction
• condom promotion

Question 9

Describe the etiology of gonorrhea

Answer 9

Question 10

Describe the clinical presentation of gonorrhea

Answer 10

Question 11

Describe the testing for gonorrhea

Answer 11

Question 12

Describe the treatment for gonorrhea

Answer 12

Question 13

Which STIs is EPT available for

Answer 13

Question 14

Patients should abstain from sexual activity for at least 7 days after initiating treatment for which STIs

Answer 14

• gonorrhea
• chlamydia
• syphilis

Question 15

Describe the etiology of chlamydia

Answer 15

Question 16

Describe the clinical presentation of chlamydia

Answer 16

Question 17

Describe the testing for chlamydia

Answer 17

Question 18

Describe the treatment for chlamydia

Answer 18

Question 19

Describe when repeat testing should be done for gonorrhea and chlamydia

Answer 19

within 3 months of dx/tx to check for reinfection
- can check sooner if sxs not resolving with tx
- no routine test of cure

Question 20

Describe the testing for HIV (3 major types)

Answer 20

Question 21

Describe the etiology of syphilis

Answer 21

Question 22

Describe the presentation of primary & secondary syphilis

Answer 22

Question 23

What are the 2 major types of serologic testing for syphilis

Answer 23

Non-treponemal & treponemal testing (also darkfield microscopy)

Question 24

Describe non-treponemal serologic testing

Answer 24

Question 25

Describe treponemal serologic testing

Answer 25

Question 26

Describe the treatment for syphilis

Answer 26

Question 27

Describe the etiology of HSV

Answer 27

Question 28

Describe the presentation of HSV

Answer 28

Question 29

Describe the testing for HSV

Answer 29

Question 30

Describe the treatment for HSV

Answer 30

Question 31

Describe the etiology of HPV

Answer 31

Question 32

Describe the presentation of HPV

Answer 32

Question 33

Describe the testing for HPV

Answer 33

Question 34

Describe the treatment for HPV

Answer 34

Question 35

Which STIs should be reported to the state health department (MDH) if lab confirmed

Answer 35

• chlamydia
• gonorrhea
• syphilis
• chancroid
• HIV (report if presumptive too)

+ Hep B and all the above in pregnancy