STI Check Flashcards

History and Exams for STI Screening (54 cards)

1
Q
A
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2
Q

What is the purpose of asking about the last time someone had sex?

A

To assess incubation and window periods for STIs

Understanding the timing of sexual activity helps determine potential exposure to STIs.

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3
Q

What question should be asked if the respondent mentions having a partner?

A

Other than your regular partner, is there anyone else that you have had sex with?

This question aims to uncover additional sexual partners that may increase STI risk.

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4
Q

Why is it important to ask about preferred language for body parts?

A

To ensure comfort and clarity for LGBTQ+ individuals

Using appropriate terminology fosters a more inclusive environment during sexual history assessments.

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5
Q

Where can STIs be contracted in the body?

A

Throat, bottom, or genitals

This highlights the need for comprehensive testing based on sexual practices.

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6
Q

What information is gained by asking when the last time someone had sex without a condom?

A

To assess window periods for STIs

This question helps identify potential risk for STI transmission.

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7
Q

What types of partners should be inquired about regarding sexual history?

A

People with a penis, a vagina, or both

This question supports risk stratification based on sexual encounters.

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8
Q

What should be asked regarding past diagnoses of STIs?

A

Have you ever been diagnosed with (or thought you had) an STI?

Understanding a patient’s history with STIs can inform current risk assessments and testing needs.

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9
Q

What are some high-risk behaviors for STIs?

A
  • Had sex overseas,
  • sleeping rough or homeless,
  • worked as a street-based sex worker,
  • had tattoos overseas,
  • injected drugs or used methamphetamine,
  • been in prison,
  • been a refugee or recent migrant,
  • identify as Aboriginal or Torres Strait Islander,
  • experienced violence from a partner,
  • been on PrEP,
  • sexually assaulted or had unwanted sex

Each of these factors increases the likelihood of exposure to sexually transmitted infections.

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10
Q

True or False: Having tattoos, especially overseas, is a high-risk factor for STIs.

A

True

Tattoos can be a risk factor if proper hygiene is not maintained during the process.

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11
Q

Fill in the blank: People who have been in _______ are considered high risk for STIs.

A

[prison]

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12
Q

Identify one group that is considered high risk for STIs.

A

Aboriginal or Torres Strait Islander

This identification may correlate with various socioeconomic and health access disparities.

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13
Q

What is one behavioral factor that increases STI risk related to drug use?

A

Sharing needles

Sharing needles can transmit infections, including STIs and bloodborne viruses.

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14
Q

Which group of individuals is at high risk for STIs due to their living situation?

A

Sleeping rough or homeless

Homelessness can limit access to healthcare and increase exposure to risky situations.

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15
Q

Fill in the blank: Individuals who have been _______ or recent migrants are considered high risk for STIs.

A

[refugees]

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16
Q

What is PrEP and why is it mentioned in relation to STI risk?

A

PrEP is a medication taken to prevent HIV infection, but those on it may still be at risk for other STIs

While PrEP is effective against HIV, it does not protect against other sexually transmitted infections.

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17
Q

True or False: Experiencing violence from a partner is a high-risk factor for STIs.

A

True

Violence can lead to situations where individuals may not have control over their sexual health.

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18
Q

Who to screen for STIs related to unwanted sexual experiences?

A
  • Been sexually assaulted
  • Had sex they didn’t want to have

Both situations can contribute to increased vulnerability to STIs.

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19
Q

Who should perform an asymptomatic sexually transmitted infection (STI) check?

A

People who:
* request STI testing
* are at increased risk of STI
* have a known exposure to any STI
* are a partner of high risk subpopulation

Increased risk factors include having a new sexual partner and living or travelling to areas of higher prevalence in Australia or in other countries.

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20
Q

What is a key indicator for performing an STI check?

A

Request for STI testing

Individuals seeking STI testing should be evaluated.

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21
Q

Fill in the blank: An STI check should be performed for individuals who have a known exposure to any STI or history of an STI within the past _______.

A

12 months

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22
Q

True or False: Only symptomatic individuals should be tested for STIs.

A

False

Asymptomatic individuals may also require testing based on specific risk factors.

23
Q

What are three key factors that indicate the need for asymptomatic STI testing?

A
  • New sexual partner,
  • living or travelling to areas of higher prevalence

These factors contribute to a higher risk of STIs.

24
Q

Who qualifies as a partner of high risk subpopulation for STI testing?

A

Individuals in relationships with high-risk individuals

This includes partners of those with known STIs or high-risk behaviors.

25
What should all STI testing include?
Both HIV and syphilis testing
26
What is the window period for repeating an HIV antigen/antibody test after recent exposure?
6-week window period
27
When should syphilis serology be repeated after recent exposure?
At 12 weeks
28
What are the three key tests for Hepatitis B?
* HBsAg – Hepatitis B surface antigen * Anti-HBs – Hepatitis B surface antibody * Anti-HBc – Hepatitis B core antibody
29
What should be established regarding Hepatitis B virus (HBV) status?
Establish HBV status and immunise if not previously documented
30
When did routine adolescent Hepatitis B immunisation commence in Australia?
1997
31
When did universal infant Hepatitis B immunisation commence in Australia?
May 2000
32
What can generally be assumed about people who are 34 years old or younger in 2020 regarding Hepatitis B vaccination in Australia?
They have been vaccinated and do not need testing
33
True or False: All STI testing should include testing for Hepatitis C.
False
34
Fill in the blank: Repeat the HIV test if recent exposure within a _______ window period.
6-week
35
What is the specimen of choice for Nucleic Acid Amplification Test (NAAT)?
Vaginal swab ## Footnote Vaginal swab is more sensitive than first pass urine (FPU)
36
When is an endocervical swab indicated?
If speculum examination is indicated ## Footnote An endocervical swab can be collected in place of a vaginal swab
37
What should be done before collecting urethral swabs for microscopy?
Ensure the patient has not urinated for at least 1 hour ## Footnote Squeeze the urethra to express discharge and collect on urethral swab
38
How should anorectal swabs be collected?
Insert a sterile swab 2-4cm into the anal canal ## Footnote Moisten the swab with saline or tap water to reduce discomfort
39
Where should pharyngeal swabs be collected from?
From the tonsils and oropharynx
40
What is the procedure for collecting and transporting a high vaginal swab?
Smear onto a glass slide, air dry, and send for microscopy ## Footnote Insert swab into transport medium for culture
41
How should a patient self-collect a vaginal swab for NAAT testing?
Insert the swab into the vagina like a tampon, then remove and place into the transport tube
42
What is the recommended method for self-collecting a rectal swab?
Insert the swab into the anal canal 2-4cms and place into the transport tube
43
How much first pass urine (FPU) should be collected for testing?
Approximately 20 ml ## Footnote This is about 1/3 of the standard urine jar
44
What is the timing of urine collection for FPU?
In consult, first pass urine, filled 1/3 of the jar full. *The patient does not need to have held their urine for more than 20 minutes prior to collection
45
Are midstream urine (MSU) or early morning specimens required for NAAT?
No
46
What should be done for patients with a positive gonorrhoea NAAT test?
Patients should be recalled for treatment and specimens for gonorrhoea culture for antibiotic sensitivity should be collected at the same visit ## Footnote A positive gonorrhoea NAAT test indicates an active infection that requires treatment and further testing for antibiotic resistance.
47
Are extragenital swabs routinely collected in women for gonorrhoea testing?
No, extragenital swabs are not routinely collected in women but may be indicated for those at increased risk ## Footnote Increased risk includes sexual contacts of gonorrhoea and chlamydia or sex workers.
48
When is asymptomatic screening for Hepatitis C recommended?
* Recommended for people living with HIV, * current PrEP users, * history of injecting drug use, * anal sex with a partner with HCV infection, * incarceration, * non-professional tattoos or body piercings, * receipt of organs or blood products before 1990 ## Footnote These factors indicate a higher risk of Hepatitis C infection, warranting testing.
49
Is asymptomatic screening for Trichomonas recommended?
Asymptomatic screening is only recommended in certain population groups and situations ## Footnote Specific guidelines dictate the circumstances under which screening may be appropriate.
50
Is asymptomatic screening for Mycoplasma genitalium recommended?
No, asymptomatic screening for Mycoplasma genitalium is not recommended ## Footnote This reflects the current understanding of the infection's management and prevalence.
51
Is asymptomatic screening for bacterial vaginosis recommended?
No, asymptomatic screening for bacterial vaginosis is not recommended ## Footnote Screening is typically reserved for symptomatic cases.
52
Is asymptomatic screening for Human papillomavirus (HPV) recommended?
No, asymptomatic screening for HPV is not recommended ## Footnote However, vaccination may be required for MSM and PLWHIV who may not have been included in school programs.
53
Fill in the blank: Extragenital swabs include _______ and self-collected anorectal swab.
pharyngeal swab ## Footnote These swabs are used to test for gonorrhoea in at-risk populations.
54
True or False: Asymptomatic screening is recommended for all populations.
False ## Footnote Asymptomatic screening is only recommended for specific groups based on risk factors.