Sexual Behaviors

Question 1

What are STIs?

Answer 1

infections that are spread from person to person through intimate sexual contact

Question 2

How many sexually active teens have an STI?

Answer 2

1/4

Question 3

How are STIs spread?

Answer 3

skin to skin, person to person, not necessarily intercourse

Question 4

How are STIs prevented?

Answer 4

abstinence (including oral, vaginal, anal sex)

Question 5

T/F it is possible to get an STD even without having intercourse through skin o skin contact

Answer 5

TRUE

Question 6

What are 11 common STIs?

Answer 6

chlamydia
gonorrhea
genital herpes (HSV-2)
genital warts (HPV)
Syphilis
HIV and AIDS
Hepatitis B
Pubic Lice
Trichomoniasis

Question 7

What symptoms are seen in most people w/ STI?

Answer 7

NONE, most people don’t have symptoms

Question 8

What is the only way to to tell for sure a pt is infected

Answer 8

Laboratory testing, sex hx

Question 9

T/F if s/s are NOT present, the pt can still infect partners

Answer 9

True

Question 10

In Americans 18-64, how many can’t name any STDs

Answer 10

12%

Question 11

In Americans 18-64, how many believe all STDs are curable

Answer 11

17%

Question 12

In Americans 18-64, how many are unaware that STDs increase risk of HIV infection

Answer 12

56%

Question 13

If a female has heavy/excessive bleeding, after menopause what must be ruled out?

Answer 13

uterine cancer

Question 14

What is a classic symptom seen in males?

Answer 14

burning/ pain w/ urination

Question 15

STDs increases risk for what?

Answer 15

HIV

Question 16

Where do most people go for STI treatment?

Answer 16

Private provider (59%)

Question 17

On 1st OB/GYN visit women were asked what the most?

Answer 17

breast exam (69%)

Question 18

On 1st OB/GYN visit women were asked what the least?

Answer 18

STDs other than HIV/AIDs (12%)

Question 19

On 1st OB/GYN visit women asked what the most?

Answer 19

birth control

Question 20

On 1st OB/GYN visit women asked what the least?

Answer 20

alcohol use and STDs other than HIV/AIDS

Question 21

What has the biggest STI incidence in the US.

Answer 21

Chlamydia

Question 22

What has the second biggest STI incidence in the US?

Answer 22

Trichomoniasis

Question 23

What has the biggest prevalence in US?

Answer 23

HSV

Question 24

What has the second biggest prevalence in US?

Answer 24

HPV

Question 25

What causes cervicitis and lymphogranuloma venereum?

Answer 25

Chlamydia trachomatis

Question 26

What causes newborn conjunctivitis and pneumonia

Answer 26

Chlamydia trachomatis

Question 27

What is the gold standard test for chlamydia?

Answer 27

gold standard

Question 28

What is the confirmatory test for chlamydia?

Answer 28

DNA amplification assays

Question 29

Most common sign of gonorrhea infection in males?

Answer 29

urethritis w/ discharge

Question 30

Most common sign of gonorrhea infection in females?

Answer 30

majority asymptomatic. vaginal discharge, swelling, abd. pain

Question 31

Where does gonorrhea usual colonize in females?

Answer 31

endocervical canal- primary neck of uterus, cervix | and also- urethra

Question 32

postiive gram stain urethral smear

Answer 32

gonorrhea in males

Question 33

positive gram stain smear

Answer 33

gonorrhea in females

Question 34

In a primary HSV infection what symptom is seen?

Answer 34

asymptomatic

Question 35

How would you rate genital herpes simplex?

Answer 35

symptomatic cases severe, prolonged, systemic manifestations

Question 36

T/F HSV can spread when symptoms are not there

Answer 36

TRUE

Question 37

Vesicles, painful ulceration, crusting

Answer 37

Genital Herpes Simplex

Question 38

T/F HSV is curable?

Answer 38

FALSE (reoccurrence occurs)

Question 39

What methods are used to diagnosis genital herpes simplex?

Answer 39

culture, serology (Western Blot), PCR

Question 40

What is the 3rd most common STD and is constantly on the rise

Answer 40

genital herpes

Question 41

What age of the population has genital herpes by

Answer 41

35yr

Question 42

What accounts for most of the HSV accounts?

Answer 42

HSV-2 (90%)

Question 43

Where are the majority of HSV infections from?

Answer 43

from subclinical infection (absence of symptoms/dx)

Question 44

What are complications of genital herpes

Answer 44

neonatal transmission, enhanced HIV transmission, psychosocial issues

Question 45

Of the 372 diagnosed with genital herpes most had

Answer 45

HSV-2 antibody w/o viral shedding or hx of symptoms

Question 46

What is the biggest thing pts w/ herpes want to know?

Answer 46

if they were infected

Question 47

What is the biggest problem with testing HSV?

Answer 47

most of the time you have to order testing separately from STD screening

Question 48

How is HPV infection detected?

Answer 48

by detection of HPV DNA

Question 49

What is HPV infection causally associated with?

Answer 49

``` cervical cancer (anal, penile, vulvar, vaginal squamous cell cancers) ```

Question 50

What is detected within tumors of cervical cancers?

Answer 50

HPV

Question 51

What ensures early detection and treatment of pre-cancerous lesions

Answer 51

Routine pap smear

Question 52

U.S. compared to world wide, who has the lowest incidence of HPV associated cancers?

Answer 52

World wide (450,000 w/ 200,000 deaths) vs 5,000 deaths U.S.

Question 53

What is the #1 symptom of HPV?

Answer 53

raised wart growth (condyloma wart)

Question 54

How is HPV prevented?

Answer 54

HPV vaccine

Question 55

The rate of cervical cancer has....

Answer 55

decreased and remained constant since 1973- 1999

Question 56

Whom has the greatest incidence of cervical cancer?

Answer 56

Black women

Question 57

The incidence of cervical cancer by race has...

Answer 57

decreased and equalized from 1973-99

Question 58

Why do black women have higher incidences of cervical cancer?

Answer 58

not getting pap smears, and lagging behind in younger women getting vaccines

Question 59

Where is chancre seen in syphillis

Answer 59

primary syphillis

Question 60

What is HIGHLY INFECTIOUS in primary syphilis?

Answer 60

chancre (painless)

Question 61

Presentation of chancre in early syphilis?

Answer 61

macule/papule -> erodes

Question 62

Presentation of chancre in late syphilis?

Answer 62

clean based, painless, indurate ulcer w/ smooth firm borders

Question 63

What is the gift that keeps giving?

Answer 63

chancre

Question 64

How long does it take a chancre to disappear

Answer 64

1-5 wks

Question 65

What does secondary syphilis represent?

Answer 65

hematogenous dissemination of spirochetes

Question 66

When does secondary syphilis appear?

Answer 66

2-8 wks after chancre appears

Question 67

Highly INFECTIOUS thing found in secondary syphilis?

Answer 67

condyloma latum (flatten wart)

Question 68

What are some findings in secondary syphilis?

Answer 68

rash (palms/soles) mucous patches condyloma latum

Question 69

When do s/s go away in secondary syphilis?

Answer 69

2-10 weeks

Question 70

What do you worry about the most in secondary syphilis?

Answer 70

spreading to the brain

Question 71

STI + raises the risk of HIV....

Answer 71

2-5X risk for HIV seroconversion

Question 72

How is HIV susceptibility increased

Answer 72

through endocervical CD4 recruitment by non-ulcerative STIs

Question 73

How is HIV transmitted through STI spread

Answer 73

portal of entry created by ulcers

Question 74

STI increase HIV ?? and ??

Answer 74

HIV shedding and infectiousness

Question 75

STD treatment does what for HIV...?

Answer 75

reduces shedding to baseline levels

Question 76

What is STI treatment for HIV prevention?

Answer 76

sexual risk reduction counseling PLUS messages for at risk persons & providers