STI Flashcards

(41 cards)

1
Q

What resources can you use for reference for STI’s?

A

CPS, RX, DynaMed, SK PRevention institute, Gov of SK, Saskatoon Sexual Health, SexLifeSask, GoC/ PHAC, SOGC SEX&U, OUT Saskatoon, Acton Canada for Sexual Health & Rights

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2
Q

What type of environment do you want to create when discussing STI’s?

A

Safe, Private, and Respectful
Build rapport and trust
Check assumptions and person values/ beliefs
Saftey is subjective
ENSURE confidentiality

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3
Q

What should you encourage during an STI counsel?

A

ASking questions, revist info as needed

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4
Q

What language should you use during an STI counsel?

A

Concise, plain, inclusive, and non-stigmatizing language

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5
Q

What is the definition of an STI?

A

An infection passed from one person to another through sexual activity, including vaginal, oral, or anal sex as well as genital skin-to-skin contact. Some STI’s are spread through blood.

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6
Q

What are the 3 categories of STI’s?

A

Viral: HPV, HIV, HepB, HSV
Bacterial: Chlamydia, Gonorrhea, Syphilis
Parasitic/Fungal: Trichomoniasis

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7
Q

What does STBBI stand for?

A

sexually tansmitted and blood borne infection

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8
Q

What are some STI risk factors?

A

Multiple Partners (over time or concurrently)
Anonymous or casual sex partners
Sex without the use of barrier protection
Sex w/ person(s) with an STI
Previous STI
Substance use
use of ED medications
history of intimate partner or sexual violence
Social Environments

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9
Q

How can HCP incorporate prevention into practise?

A

Educating about signs and symptoms
Helping idividuals recogize and miimize risk
offering vaccination when indicated
offer screeig, testig

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10
Q

Questions to ask when assessing risk?

A

Sexually active?
Ay symptoms
contraception?
concerns?
last period?
Pap test history?

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11
Q

What method is used to test for STI’s?

A

Test for one –> test for ALL

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12
Q

What are barriers to screening/testing?

A

underestimate personal risk
Perception of STI’s seriousness
Fearful of procedures
Self-concious about genital exam
Stigma
Perception of attitudes of HCPs

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13
Q

Are barrier protection fully effective at stopping the spread of STI’s?

A

NO;
Lessions and asymptomatic shedding can occur in areas not covered leading to spread

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14
Q

Spermicidal lube good for STI protection?

A

NO –> can cause irritation and lessions to burst/ more shedding

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15
Q

What ingredient is in spermicidal lubricant?

A

nonoxynol-9

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16
Q

What are the goals of therapy?

A

Treat infection
Get rid of symptoms
Decrease spread
Decrease vertical transmission
reduce transmission of HIV
Decrease probability of complications, such as infertility, chronic pain, sepsis

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17
Q

Can HIV be transfered through breastfreeding?

18
Q

How can chlamydia affect pregnancy/infant?

A

Preterm birth
conjunctivitis
pneumonia in newborn

19
Q

How can Gonorrhea affect pregnancy/infant?

A

endometritis
pelvic sepsis
opthalmia
neonatorum
systemic infection in newborn

20
Q

How can syphilis affect pregnancy/infant?

A

systemic symptoms
fetal loss

21
Q

When should pregnant people be tested?

A

Early in pregnancy + again at 3rd trimester

22
Q

What syndromes can STI’s present as?

A

Cervicitis
Epididymitis
Pelvic inflammatory disease
Proctitis
Urethritis
Vaginitis
Anogenital ulcers

23
Q

How can Chlamydia present?

A

cervicitis
urethritis
epididymitis
PID
Proctitis
Angogenital ulcers

24
Q

How can gonorrhea present?

A

Cervicitis
urethritis
epiddiymitis
PID
Proctitis

25
How can HSV present?
Anogenital ulcers cervicitis urethritis proctitis
26
How can Mycoplasma present>
Cervicitis Urethritis PID Proctitis
27
How can syphilis present?
Anogenital ulcers Proctitis
28
How can Trichomonas present?
Vaginitis Cervicitis Urethritis
29
What types of HPV cause anogenital warts?
6 and 11
30
What is the most common reported STI in Canada?
Chlamydia
31
What is the etiology of chlamydia
chlamydia trachomatis
32
Can you treat chlamydia without lab testing?
Yes, empiric treatment can be given
33
What syndrome can be a complication of chlamydia?
Reiter
34
How is chlamydia treated?
1st line: Foxy 100mg BID x 7 D , Azith 1g in a single dose Alternative: 500mg OD x 7D Pregnancy: azith 1g 1 dose, Amox 500mg TID x 7D, Eryht 2g/day divided x 7D or 1g/day divided x 14D
35
Is there resistance problems with chlamydia?
No, there is w/ gonorrhea
36
What are couneslling tips for doxy?
Take w/ food Iron/calcium may decrease absoprtion Photosensitivity
37
Sexual activity okay?
Abstain until treatment of person and partners completed (7 days)
38
What follow-up is done for chlamydia?
Test of cure, Repeat screeining after 3 months due to risk of reinfection
39
How long do you test of cure for?
3-4 weeks following positive
40
What is the etiology of Lymphogranuloma Venereum?
Chlamydia trachomatis genotypes L1, L2, and L3
41