INSTRUCTIONS STIs: Options & considerations
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STIs: Options & considerations
GENERAL PURPOSE: To provide an overview of CDC guidelines for screening, treatment, and strategies for counseling about STIs. LEARNING OBJECTIVES: After reading this article and taking the test, you should be able to: 1. Describe risk factors, testing, and assessment of STIs. 2. Illustrate the guidelines and other considerations for treating STIs.
- Factors associated with the disproportionate prevalence of STIs include all except
- the stigma of diagnosis.
- religious beliefs.
- barriers to healthcare resources.
- ethnic minority status.
- Which is a psychosocial or situational factor that influences sexual behavior?
- history of abuse
- type and frequency of sexual encounters
- substance use
- use of contraceptives
- Which of the following isn't one of the five P's used in assessment for STIs?
- Ask about partner(s).
- Ask about pregnancy prevention.
- Ask about prior medical history.
- Ask about STI protection.
- To rule out infection in the patient reporting multiple risk behaviors, test for
- the suspected organism only.
- the organism most commonly found in that age group.
- an inexpensive panel of common causative organisms.
- the fullest suspected range of infection.
- An STI screening is recommended for all patients reporting
- sexual monogamy.
- a history of blood transfusion.
- termination of a relationship.
- inconsistent use of condoms.
- The clinician should routinely screen for STI/HIV when initiating treatment for
- pelvic inflammatory disease.
- hepatitis A.
- Patients using I.drugs should be tested for HIV at least every
- 6 months.
- 2 to 3 years.
- Clinical manifestations of chlamydia may present as
- vaginal itching.
- fever and lymphadenopathy.
- mucopurulent discharge in women.
- genital rash in men.
- Which drug may be used to treat chlamydia?
- After treatment for chlamydia, patients should be retested in
- 1 week.
- 2 weeks.
- 3 months.
- 6 months.
- Disseminated gonococcal infection presents as
- fever, malaise, lymphadenopathy, and skin rash.
- genital warts.
- mucopurulent discharge and dysuria.
- diffuse skin lesions, arthralgia, arthritis, or tenosynovitis.
- When initiating treatment for gonorrhea, clinicians should be aware that
- coinfection with HIV is uncommon.
- women should have a urethral swab tested.
- complications may cause pneumonitis or central nervous system involvement.
- testing for chlamydia, syphilis, and HIV is also indicated.
- Treatment for gonorrhea includes a single dose of
- Clinical manifestations of acute retroviral syndrome may include fever, malaise,
- lymphadenopathy, and skin rash.
- mucopurulent discharge, and bleeding.
- and genital warts.
- and precancerous lesions on the pharynx.
- HPV may present as
- dysuria and discharge in men.
- fever, malaise, and lymphadenopathy.
- skin rash.
- genital warts or precancerous lesions on the cervix.
- Treatment of HPV may include
- Cardiac or gummatous lesions are symptomatic of a/an
- diffuse trichomoniasis infection.
- tertiary syphilis infection.
- tertiary gonococcal infection.
- HIV infection.
- Which statement about expedited partner therapy is accurate?
- It requires treating the partner within 7 days of diagnosis.
- Therapy may be delivered to the partner by the patient.
- It's indicated when the partner is likely to self-initiate evaluation and therapy.
- Effectiveness of this approach has been demonstrated for treating chlamydia in same gender relationships in men.