sexual health

Question 1

prophylactic antibiotics against pneumocystis pneumonia (PCP)

Answer 1

Co-trimoxazole

Question 2

antibiotic prophylaxis againstPneumocystis pneumonia(PCP) with co-trimoxazole is recommended when the CD4 count falls

Answer 2

less than 200 cells/μL

Question 3

prophylaxis againstMycobacterium avium

Answer 3

Azithromycin

Question 4

prophylaxis againstMycobacterium aviumwhen the CD4 count is less than

Answer 4

50

Question 5

age to give HPV vaccine

Answer 5

12-13 years old

Question 6

HPV vaccination: people under – usually only need – dose. People aged – to – usually need – doses (given between – and – apart). Immunosuppresed people and those living with HIV need – doses (ideally given within a – period).

Question 7

RECOMMENDED frequency of sexual intercourse that optimises the chance of pregnancy

Answer 7

Once every two to three days

Question 8

FIRST-LINE treatment for uncomplicated chlamydia infection

Answer 8

Doxycycline 100 mg twice a day for seven days

Question 9

routine blood test required for HIV patients for a well person check

Answer 9

lipid profile - HIV patients underestimated in cvd risk scoring

Question 10

HPV cause of cervical cancer

Answer 10

16 and 18

Question 11

HPV for genital warts

Answer 11

6 and 11

Question 12

What prevalence of HIV is considered high?

Answer 12

2/1000

Question 13

treatment forChlamydia- oregnant

Answer 13

azithromycin (1g followed by 500mg once-daily for 2 days) - doxy contraindicated for pregnancy

Question 14

partner notification for Patients with gonococcal urethritis

Answer 14

all partners since, and in the two weeks prior to, the onset of symptoms

Question 15

partner notification for Patients with non-gonococcal urethritis

Answer 15

all partners since, and in the four weeks prior to, the onset of symptoms

Question 16

If quick starting combined hormonal contraception (except Qlaira) immediately after progestogen-only emergency contraception, condoms or avoidance of sex should be advised for – days if the woman is day – or beyond in her cycle. No precautions are required between days –

Answer 16

7, day 6 or beyond, 1-6

Question 17

some genetic abnormalities can cause male infertility. – syndrome is the most common example and is caused by an extra X chromosome.

Answer 17

klinefelter

Question 18

In which APPROXIMATE percentage of cases is the cause of infertility due to disorders in BOTH partners?

Answer 18

40

Question 19

How often should cervical screening take place for women with human immunodeficiency virus (HIV)?

Answer 19

annually

Question 20

What APPROXIMATE percentage of women, aged under 40 years and having monthly menstrual cycles, are likely to conceive within ONE year of regular, unprotected vaginal intercourse?

Answer 20

> 80%

Question 21

young people under the age of 25 years who test positive for chlamydia should be offered a repeat test around – after treatment of the initial infection

Answer 21

3 months

Question 22

Above which age threshold, if any, should she be advised that there is a clearer association between the COC and an increased breast cancer risk?

Answer 22

35

Question 23

persistent sebrheic dermaitits - which additional test to consider

Answer 23

HIV

Question 24

If a pregnancy test is negative, CHC can be started even if there is a risk of pregnancy from unprotected sex in the past 21 days (with advice to repeat the pregnancy test – days from the last unprotected sex).

Answer 24

21

Question 25

licensed as the first-line management option for women with heavy menstrual bleeding

Answer 25

52mg progestogen intrauterine device

Question 26

which sterelisation carries lower failure risk, male or female

Answer 26

male

Question 27

initiating a combined oral contraceptive pill for a woman with no contraindications - first line

Answer 27

pill containing ≤30 mcg ethinylestradiol and levonorgestrel

Question 28

specimen of choice in women for chlamydia

Answer 28

Vulvovaginal swab

Question 29

chlamydia treatment with azithromycin - when can have sex

Answer 29

7 days after completion of treatment

Question 30

failure rate for perfect and typical use of COCP

Answer 30

Failure rate with perfect use is less than 1% & with typical use is 8%

Question 31

up to when should HOV be tested after sexual intercourse

Answer 31

45 days

Question 32

OCP used for treating acne

Answer 32

Marvelon (desogestrel 150 microgram + ethinyloestradiol 30 microgram) - needs to be more oestrogenic

Question 33

OCP used for treating SEVERE acne

Answer 33

diannette (co-cyprindiol)

Question 34

first-line treatment for mycoplasma genitalium associated pelvic inflammatory disease

Answer 34

Oral moxifloxacin for 14 days

Question 35

If there is sterile pyuria consider

Answer 35

Chlamydia trachomatis, vaginal infections, other non-culturable organisms such as TB, or renal pathology

Question 36

LEAST likely to be associated with Chlamydia trachomatis infection

Answer 36

Kaposi’s sarcoma

Question 37

what can cause ectopic pregnancy in 43% of cases

Answer 37

chlamydia infection

Question 38

what age should the CHC pill be stopped assuming no contraindications

Answer 38

age 50

Question 39

MOST likely to be associated with advanced HIV disease classifying them to have AIDS

Answer 39

carcinoma of the cervix, non-Hodgkin’s lymphoma and Kaposi’s sarcoma