Other Important Topics Flashcards
(27 cards)
What is important to know regarding how tests are sent for sexual health?
They are sent with an anonymous number, the results are not even visible to the GP unless the patient wants them to know
What happens with regards to treatment as a result of contact tracing?
All contacts are usually treated, even if they test negative
The look back period for partner notification depends on the STI but usually how far back is checked?
The last 6 months
After an STI test, you shouldn’t really have sex with anyone for how long?
One week
The partner notification period for chlamydia is usually 6 months, except for what particular type? What is the look back period for this?
Male urethral infection / 4 weeks
What is the look back period for a) male urethral gonorrhoea? b) any other type of gonorrhoea?
a) 2 weeks b) 3 months
What are the options for going about partner notification?
Patient can tell them themselves, you can tell them anonymously on the patient’s behalf, you can agree with the patient that if they don’t get in touch with them in a certain amount of time then you will
Partner notification is not required for what genital infections and why?
Genital warts/herpes - there is no benefit in asymptomatic case finding / candida/bacterial vaginosis - not STIs
Who should be vaccinated against hepatitis B?
MSM, high prevalence countries, sexual assault, contact
Who should be vaccinated against hepatitis A?
MSM
Who should be vaccinated against HPV?
Girls aged 11-13, MSM aged < 46
What is PreP?
Medicine taken before exposure to HIV to reduce the risk of infection
When can PreP be taken?
Daily or event based
Who is PreP given to? What is the disadvantage of this which means it is only given to patients where the benefits outweigh the risks?
High risk patients / renal abnormalities
What is PEPSE?
Medicine taken after exposure to HIV or Hep B to reduce the risk of infection
What are the PEPSE options for Hep B?
Hep B vaccine (up to 7 days) or Hep B immunoglobulin in those unresponsive to the vaccine
What is the PEPSE option for HIV? When should this be started? How long should it be taken for?
A mixture of 3 ARVs / Within 72 hours / 28 days
What is the definition of rape?
Penetration of the vagina, anus or mouth by the penis without consent
The ability to consent to sex is invalidated under what circumstances?
Incapacitated by alcohol or drugs / incarcerated / violence or threat of violence
In cases of suspected rape, what should you consider?
Forensic exam, HepB vaccine, consider PEPSE, STI/pregnancy care
What are some risk factors for gender based violence?
Disability, pregnancy, addictions, HIV
What is the age of consent to have sex? At what age can a person not consent to sex?
16 / 12 and under
If two 14 year olds were having sex, who is breaking the law?
Both of them
If a 14 and 16 year old were having sex, who is breaking the law?
The 16 year old