Answers
When |you |take |a |sexual |history |of |a |patient, |what |are |the |5 |P's |you |ask? |- |CORRECT |
ANSWER✔✔-partners
prevention |of |pregnancy
protection |from |STIs
practices
past |history |of |STIs
What |are |considered |to |be |the |safest |risk |reduction |practices |for |STIs? |- |CORRECT |
ANSWER✔✔--no |contact/exchange |or |blood |or |body |fluids |(BBF)
-abstinence
-monogamy
-self |masturbation
-sexual |fantasy
What |are |considered |to |be |the |low, |but |potential |risk |reduction |practices |for |STIs? |- |CORRECT |
ANSWER✔✔-minimal |exposure |to |BBF
-any |sex |w/ |condom |or |monogamy
What |are |considered |to |be |the |high |risk |(unsafe) |reduction |practices |for |STIs? |- |CORRECT |
ANSWER✔✔-exposure |to |BBF |due |to |high |risk |behaviors
-unprotected |sex
-multiple |sex |partners, |no |HIV/STI |testing
Which |country |has |the |highest |rate |of |STI's |of |all |the |developed |countries? |What |3 |STI's |are |
highest |prevelance? |- |CORRECT |ANSWER✔✔-the |US |baby
,-syphilis
-gonorrhea
-chlamydia
Around |how |many |people |per |year |get |STI's |in |the |US |and |what |age |range |is |the |highest |
prevelance? |- |CORRECT |ANSWER✔✔-20 |million
15-24 |yr |olds
What |are |the |new |infections |gaining |rise |for |STI's? |- |CORRECT |ANSWER✔✔-HPV
Chlamydia
What |are |the |more |prevalent |STI's |in |young |adults? |Why |is |this? |- |CORRECT |ANSWER✔✔-
gonorrhea, |chlamydia, |HPV
-lack |of |symptoms |lead |to |lack |of |screening |& |treatment
What |are |some |factors |that |place |youth |at |risk? |- |CORRECT |ANSWER✔✔--insufficient |
screening
-concern |of |confidentiality
-immature |development |of |cervix
-lack |of |access
-multiple |partners
What |population |has |an |increased |risk |of |STI? |- |CORRECT |ANSWER✔✔-widowed |men
With |older |adults |and |STI's, |what |are |some |stats |for |erectile |dysfunction |meds? |- |CORRECT |
ANSWER✔✔-40% |of |men |57-85 |have |some |form |of |ED
2x |likely |to |have |STI |w/ |use |of |ED
,In |2017, |what |was |the |most |common |condition |reported |to |the |CDC? |- |CORRECT |
ANSWER✔✔-chlamydia
What |happens |when |STIs |are |left |untreated? |- |CORRECT |ANSWER✔✔--increase |risk |of |giving |
or |getting |HIV
-long |term |pelvic |abdominal |pain
-inability |to |get |pregnant |or |pregnancy |complications
What |is |the |treatment |for |chlamydia? |- |CORRECT |ANSWER✔✔-azithromycin |1g |PO |x |1dose
OR
oral |doxycycline |100mg |PO |twice/day |x |7days
What |are |the |perinatal |impacts |of |chlamydia? |does |it |cross |the |placenta? |- |CORRECT |
ANSWER✔✔-*does |NOT |cross |placenta*
chlamydial |conjunctivitis
-watery |to |purulent |discharge
-untreated |leads |to |corneal |and |conjunctival |scarring
-incubates |for |5-14 |days |after |birth
chlamydial |pneumonitis
-5-30% |can |develop |pneumonia
-presents |at |4-12 |weeks |of |age
-can |be |fatal
What |is |the |treatment |for |gonorrhea? |- |CORRECT |ANSWER✔✔-dual |therapy |is |recommended |
& |cefiximine |is |no |longer |recommended
, Ceftriaxone |250 |mg |IM |injection |AND
Azithromycin |1g |PO |x1dose
OR |
doxycycline |100mg |PO |twice/day |x |7days
What |is |the |perinatal |impact |of |gonorrhea? |- |CORRECT |ANSWER✔✔-does |NOT |cross |placenta
*cause |premature |rupture |of |membranes*
-ophthalmia |neonatorum
-conjunctivitis |after |1 |day |of |life
-disseminated |disease |may |present |as |sepsis, |athritis, |or |meningitis
-give |baby |ceftriaxone |at |birth |if |positive
If |a |pregnant |mother |has |gonorrhea, |what |other |STI |should |they |evaluate |for? |- |CORRECT |
ANSWER✔✔-chlamydia
What |is |the |treatment |for |syphilis? |- |CORRECT |ANSWER✔✔-primary |& |secondary: |Benzathine |
penicillin |G |2.4 |million |units |IM |in |a |single |dose
latent/tertiary: |Benzathine |penicillin |G; |3 |doses |of |2.4 |million |units |IM |each |at |1-week |
intervals
What |happens |if |the |patient |has |syphilis |and |they |have |a |penicillin |allergy? |- |CORRECT |
ANSWER✔✔--pregnant |women |must |be |desensitized
they |will |receive |doxycycline, |azithromycin, |or |tetracycline
What |are |the |perinatal |impacts |of |syphilis? |- |CORRECT |ANSWER✔✔-*DOES |cross |placenta*