SANE-P CERTIFICATION EXAM PREP 2018|UPDATED&VERIFIED|100% SOLVED|GUARANTEED SUCCESS

STDs inconclusive for child sexual abuse bacterial vaginosis (BV) and Hepatitis B (HBV) HIV testing timeline initial exam 6 weeks 3 months 6 months STDs suspicious for child sexual abuse (not perinatally acquired) HPV HSV (autoinoculation must be ruled out) STDs suspcicious for child sexual abuse (not perinatally acquired) Trichomonis vaginalis (TV) How to test for trichomonis vaginalis (TV) swab genitals, test swab via wet mount microscopy and culture * look for yellow-green discharge * NAAT is highly sensitive and used in the adult population but has not been confirmed in peds STDs diagnostic of child sexual abuse (not perinatally acquired) HIV, syphilis, gonorrhea, chlamydia Perinatal transmission timeline for chlamydia up to 3 years perinatal transmission timeline Perinatal transmission timeline for gonorrhea up to 1 year perinatal transmission timeline Perinatal transmission timeline for syphilis up to 6 months perinatal transmission timeline perinatal transmission timeline for trichomonas 6 months up to 3 years perinatal transmission timeline perinatal transmission timeline for herpes simplex virus (HSV) up to 4 weeks perinatal transmission timeline perinatal transmission timeline for human papilloma virus (HPV) up to 3 years perinatal transmission timeline How to test for chlamydia NAAT test- girls urine -vaginal swab Culture- boys urine - boys urethral discharge - vagina - anus no test for pharyngeal site Signs and symptoms, or evidence of STD infection in children- what is the next step? Test, don't treat until tests have been confirmed How to test for gonorrhea NAAT test- girls urine Culture- boys urine - pharynx - anus - urethral discharge (boys) - vagina How to test for bacterial vaginosis *swab genitals and test with wet mount microscopy *look for "clue cells" ( vaginal epithelial cells studded with coccoobacilli) under the microscope *10 % KOH whiff test * visually examine for thin white discharge that smoothly coats the vaginal walls How to test for HSV culture of lesions How to test for HPV visual exam How to test for syphilis serology testing for t. pallidium Follow up testing timeline for syphilis serology testing 6 weeks post assault Follow up testing timeline for Hep B serology testing 6 weeks and 3 months post assault Do we test all children for STDs who present for a sexual assault exam? no, case- by case basis s/p sexual assault: if the assailant's Hep B status is unknown and the child is unvaccinated, what do we give Hep B Vaccine s/p sexual assault: if the assailant is known to be Hep B positive (HBS-Ag +) and the child is unvaccinated, what do we give? Hep B vaccine and Hep B immunoglobulins (HBIG) What is the usual Hepatitis B vaccination schedule? birth, 2 months, and 6 months s/p sexual assault: if the assailant is known to be Hep B positive (HBs-Ag +) and the child is vaccinated, what do we give? Hep B vaccine booster dose x1