Attending STI clinic

Question 1

Roles of SHC?

Answer 1

Diagnosis and management of STIs
Partner notification 
Infection prevention 
Genital dermatology
Contraception 
Community gynaecology
Menopause
Psychosexual counselling

Question 2

What is partner notification?

Answer 2

Process of informing people who have been in contact with STI
Look-back period depends upon STI
Public health benefit
Voluntary

Question 3

What is the look back period for chlamydia?

Answer 3

Male urethral; 4 weeks

Any other infection; 6 months

Question 4

What is the look back period for gonorrhoea?

Answer 4

Male urethral; 2 weeks

Any other; 3 months

Question 5

What is the look back period for non specific urethritis?

Answer 5

4 weeks

Question 6

What is the look back period for trichomonas vaginalis?

Answer 6

4 weeks

Question 7

What is the look back period for epididymitis?

Answer 7

As Ct/GC or if neg, 6 months

Question 8

What is the look back period for PID?

Answer 8

As CT/GC or if neg, 6 months

Question 9

What is the look back period for HIV?

Answer 9

4 weeks before neg test or before most likely time of infection

Question 10

What is the look back period for syphilis?

Answer 10

Primary; 90 days
Secondary; 2 years
Other infections; 3 months before most recent neg test

Question 11

What is partner notification not required for?

Answer 11

Warts
Herpes
Vaginal thrush
BV

Question 12

Who gets vaccinated against hep B?

Answer 12

MSM
High prevalence countries
Sexual assault
Contacts

Question 13

Who get vaccinated against hep A?

Answer 13

MSM; sexually transmitted enteric infection

Question 14

Who gets vaccinated for HPV?

Answer 14

MSM aged <46

Question 15

What is included in PrEP?

Answer 15

Tenofovir

Disoproxil/ emtricitabine

Question 16

How often is PrEP taken?

Answer 16

Daily or event based dosing

Question 17

By how much will PrEP reduce HIV?

Answer 17

86% in high risk patients

Question 18

Eligibility for PrEP in Scotland?

Answer 18

MSM condomless anal sex with 2+ partners in last year and likely in next 3 months
Rectal bacterial STI in last year
Partner of someone with HIV VL > 50

Question 19

When can hep B be given after exposure?

Answer 19

HBP vaccine up to 7 days after exposure

Immunoglobulin (vaccine non-responders)

Question 20

When can HIV PEP be given?

Answer 20

3 antiretrovirals
Within 72 hours
28 days total

Question 21

What invalidates consent?

Answer 21

Incapacitated by alcohol or drugs
Incarcerated
Violence or threat of violence

Question 22

What should be performed in recent rapes?

Answer 22

Consider forensic exam
Immediate safety
Injuries
HBV vaccination 
Consider PEPSE
STI/ pregnancy care

Question 23

Examples of GBV?

Answer 23

Domestic abuse
Rape and sexual assault
Childhood sexual abuse
Commercial sexual exploitation 
Stalking/ harassment
Harmful traditional practices (FGM, breast ironing)

Question 24

What are risk factors for GBV?

Answer 24

Female sex 
Disability 
Pregnancy 
Addictions
HIV

Question 25

What is the minimum incubation period for chlamydia?

Answer 25

3-5 days; this is how long it takes the organism to complete one life cycle Symptoms tend to present within 2 weeks post exposure

Question 26

Who is hepatitis B vaccination recommended to as a pre-exposure prophylaxis?

Answer 26

``` MSM PWID People who sell sex Sexual contacts of those with HPV People who travel to endemic areas for sex People living with HIV People with chronic HCV Swingers Prisoners ```

Question 27

Who is hepatitis B vaccination recommended to as post-exposure prophylaxis?

Answer 27

Within 6 weeks after a high risk exposure such as a sexual assault Ultra-rapid schedule is recommended as post-exposure prophylaxis

Question 28

What contraceptive methods are recommended with ARVs?

Answer 28

Intrauterine | Depo (with concern for bone health)