Sexually Transmitted Infections Testing Quiz

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Questions and Answers

For which sexually transmitted infections can a Nucleic Acid Amplification Test (NAAT) be used?

  • Neisseria gonorrhea
  • Chlamydia trachomatis
  • Herpes simplex virus
  • All of the above (correct)

Which of the following specimen types is NOT mentioned in the provided content for testing

  • Sputum (correct)
  • Urethral
  • Venous Blood
  • Endocervix

Direct testing for Herpes Simplex virus can be performed on lesions.

True (A)

A vaginal swab can be used for both culture and NAAT testing of Neisseria gonorrhoea and Chlamydia trachomatis.

<p>True (A)</p> Signup and view all the answers

What is the name of the specific type of microscopy used to visualize Treponema pallidum?

<p>Darkfield microscopy</p> Signup and view all the answers

A ______ specimen can be used for a Gram stain to detect Neisseria gonorrhoea in individuals with a penis.

<p>urethral</p> Signup and view all the answers

The ______ stain is used to differentiate bacteria based on their cell wall structure.

<p>Gram</p> Signup and view all the answers

What type of test is used to screen for cervical cancer?

<p>Papanicolaou (Pap) test</p> Signup and view all the answers

Match the following diagnostic procedures with their corresponding infections:

<p>KOH Preparation = Bacterial Vaginosis Wet Mount Preparation = Candida albicans, Clue Cells and Trichomonas vaginalis Darkfield Microscopy = T.pallidum Gram Stain = Neisseria gonorrhea</p> Signup and view all the answers

Match the specimen type with its corresponding test:

<p>Venous Blood = Gram Stain Urethral = Culture for Neisseria gonorrhoea Endocervix = Cervical Cancer Screening Vaginal Swab = Wet Mount Throat = NAAT for Chlamydia trachomatis</p> Signup and view all the answers

Which of the following is NOT a method for specimen collection for Chlamydia trachomatis L1-L3?

<p>Blood culture (D)</p> Signup and view all the answers

Kohler illumination is a technique primarily used for examining wet mount preparations.

<p>False (B)</p> Signup and view all the answers

A urine sample can be used for NAAT testing of both Neisseria gonorrhoea and Chlamydia trachomatis.

<p>True (A)</p> Signup and view all the answers

What is the abbreviation used in the content for a type of NAAT test?

<p>Aptima®</p> Signup and view all the answers

What is the name of the bacteria responsible for chancroid?

<p>Haemophilus ducreyi</p> Signup and view all the answers

Which of the following specimens is NOT typically used for testing Neisseria gonorrhoea?

<p>Rectum (B)</p> Signup and view all the answers

Which regimen is recommended for MSM with non-gonococcal urethritis?

<p>Azithromycin 1 gm PO and Ceftriaxone 250 mg IM (D)</p> Signup and view all the answers

Gentamicin is recommended for all patients being treated for non-gonococcal urethritis.

<p>False (B)</p> Signup and view all the answers

What is the advised period for no sexual contact after treatment for non-gonococcal urethritis?

<p>1 week</p> Signup and view all the answers

The alternate regimen for MSM includes Azithromycin 1 gm PO plus __________ mg of Cefixime.

<p>800</p> Signup and view all the answers

Match the following regimens with their target groups:

<p>Azithromycin 1 gm PO + Ceftriaxone 250 mg IM = MSM Recommended Regimen Azithromycin 1 gm PO + Cefixime 800 mg PO = Heterosexual Recommended Regimen Azithromycin 2 gm PO + Gentamicin 240 mg IM = MSM Alternate Regimen Azithromycin 2 gm PO + Gemifloxacin 320 mg PO = Heterosexual Alternate Regimen</p> Signup and view all the answers

What must individuals using the manual do when adopting standards outside of STI clinics?

<p>Take sole responsibility and tailor to the specific clinical environment (C)</p> Signup and view all the answers

Urinalysis and C&S lab procedures have been removed from the updated list.

<p>False (B)</p> Signup and view all the answers

What should a client be instructed to do after treatment for syphilis?

<p>Abstain from sexual contact for 7 days or until after treatment</p> Signup and view all the answers

For pregnant adults receiving Bicillin treatment over ______ weeks gestation, fetal monitoring must be clarified.

<p>20</p> Signup and view all the answers

Match the following treatment recommendations with their respective conditions:

<p>Benzathine penicillin 2.4 mu IM = Primary, Secondary, and Early Latent Syphilis Doxycycline 100 mg PO BID for 14 days = Penicillin anaphylactic clients Consult with clinic physician = Clients with neurological and/or cardiovascular symptoms Adjust timing of TOC = Clients with LGV</p> Signup and view all the answers

What update was made regarding the management of penicillin-allergic patients?

<p>They must be counseled regarding cephalosporins (D)</p> Signup and view all the answers

Abstinence guidelines for treatment have been removed from the revisions for pregnant adults.

<p>False (B)</p> Signup and view all the answers

What was clarified regarding fetal monitoring for pregnant adults receiving Bicillin?

<p>Fetal monitoring for treatment over 20 weeks gestation needs clarification.</p> Signup and view all the answers

What is the follow-up schedule for syphilis serology for HIV clients?

<p>1, 3, 6, 12, and 24 months and yearly thereafter (D)</p> Signup and view all the answers

If treated for syphilis with benzathine penicillin, follow-up is necessary.

<p>False (B)</p> Signup and view all the answers

What is the required follow-up for Chancroid after treatment?

<p>Recall in 1 week for reassessment</p> Signup and view all the answers

An adequate serologic response for primary syphilis is defined as a ___ at 6 months.

<p>4-fold drop</p> Signup and view all the answers

Match the condition with its respective follow-up or response requirement:

<p>Syphilis = No follow-up needed if treated with benzathine penicillin HIV clients = Follow-up syphilis serology at various intervals Chancroid = Recall in 1 week for reassessment LGV = TOC 3 weeks post-treatment</p> Signup and view all the answers

What should be advised to clients about antiviral therapy for HSV?

<p>It may shorten lesion duration and reduce transmission (D)</p> Signup and view all the answers

If vomiting occurs more than 1 hour after azithromycin administration, a repeat dose is needed.

<p>False (B)</p> Signup and view all the answers

What is the test type recommendation for a test of cure (TOC) for LGV?

<p>NAAT</p> Signup and view all the answers

What is the recommended dosage of benzathine penicillin for treating syphilis in pregnancy?

<p>2.4 mu IM weekly for 3 weeks (B)</p> Signup and view all the answers

Doxycycline is recommended for use during pregnancy for treating infections.

<p>False (B)</p> Signup and view all the answers

What should be monitored for 12-24 hours after benzathine penicillin administration in clients with more than 20 weeks gestation?

<p>fetal monitoring</p> Signup and view all the answers

The primary recommended treatment for neurosyphilis is __________.

<p>Crystalline penicillin G</p> Signup and view all the answers

Match the following medications with their appropriate usage:

<p>Benzathine penicillin = Syphilis in pregnancy Doxycycline = Anaphylactic penicillin allergy Valacyclovir = Genital herpes primary episode Crystalline penicillin G = Neurosyphilis treatment</p> Signup and view all the answers

What is a possible reaction that may occur after treating syphilis that can affect the fetus?

<p>Jarisch-Herxheimer reaction (D)</p> Signup and view all the answers

Acyclovir is an alternate treatment for the primary episode of genital herpes.

<p>True (A)</p> Signup and view all the answers

In the treatment of syphilis, what is the duration for Doxycycline in anaphylactic penicillin allergy patients?

<p>28 days</p> Signup and view all the answers

Flashcards

Clinical Standards Responsibility

Users of the manual must tailor it to their clinical environment.

Speculum Examination Contraindications

New guidelines added specific contraindications for speculum examinations in female patients.

Urinalysis Procedure Update

The lab procedure for urinalysis and culture & sensitivity has been added as an update.

Serology Intervals Adjustment

Adjusted intervals for serology testing to rule out BFP in genital ulcer diagnosis.

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Sexual Abstinence Post-Treatment

Clients should abstain from sexual contact for 7 days after treatment for syphilis.

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Fetal Monitoring for Bicillin

Clarified fetal monitoring requirements for pregnant patients receiving Bicillin past 20 weeks.

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Treatment Regimen for Syphilis

Recommended treatment is Benzathine penicillin 2.4 mu IM for syphilis.

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Doxycycline as Alternate Treatment

Doxycycline 100 mg PO BID for 14 days is an alternate for penicillin-allergic clients.

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Venous Blood Specimen

A sample of blood collected from a vein for testing.

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Urethral Specimen

Sample collected from the urethra for testing infections.

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Gram Stain

A laboratory technique used to differentiate bacterial species.

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Neisseria gonorrhea

A bacterium causing the sexually transmitted infection gonorrhea.

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NAAT Testing

Nucleic Acid Amplification Testing for detecting pathogens.

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Chlamydia trachomatis

A bacterium that causes the sexually transmitted infection chlamydia.

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Endocervix Specimen

Sample collected from the endocervix for infections or screenings.

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Papanicolaou Test

A test used for cervical cancer screening.

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Oral Therapy Follow-Up

Contact in 4 weeks post-therapy to check adherence.

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Benzathine Penicillin Follow-Up

No follow-up needed if treated successfully with benzathine penicillin.

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HIV Syphilis Serology Follow-Up

Follow-up serology at 1, 3, 6, 12, and 24 months; yearly after.

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Adequate Serologic Response

Primary: 4-fold drop at 6 months, 8-fold at 12 months, 16-fold at 24 months.

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HSV Counselling

Clients informed about infection risks and asymptomatic shedding.

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Chancroid Reassessment

Recall in 1 week to reassess lesions and lymphadenopathy.

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LGV Test of Cure

Recall for TOC 3 weeks post-treatment; NAAT recommended for all sites.

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Azithromycin Vomiting Protocol

If vomiting occurs > 1 hour post-dose, no repeat dose needed.

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Benzathine Penicillin Regimen

Administered 2.4 mu IM weekly for 3 weeks to treat infectious syphilis.

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Doxycycline Alternative

Used for penicillin-allergic clients, 100 mg PO BID for 28 days.

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Jarisch-Herxheimer Reaction

A reaction following syphilis treatment, causing fetal distress or premature labor.

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Fetal Monitoring

Follow-up for clients >20 weeks gestation, lasting 12-24 hours after treatment.

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Neurosyphilis Diagnosis

Requires CSF examination for cell count, protein, glucose, and VDRL.

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Valacyclovir Regimen

For primary genital herpes, 1g PO BID for 10 days.

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Acyclovir Alternate

400 mg PO TID for 7-10 days; alternative for herpes treatment.

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Genital Herpes Treatment Duration

Duration depends on severity of the herpes outbreak.

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Non-gonococcal Urethritis (NGU)

An infection of the urethra not caused by gonorrhea, often seen in both MSM and heterosexuals.

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MSM Treatment Regimen

Azithromycin 1 gm PO plus Ceftriaxone 250 mg IM for MSM with NGU.

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Heterosexual Treatment Regimen

Azithromycin 1 gm PO plus Cefixime 800 mg PO for heterosexuals with NGU.

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Alternative Treatments

Other treatment options include Azithromycin with Gentamicin or Gemifloxacin.

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Post-Treatment Advice

Clients should avoid sexual contact for 1 week after treatment for NGU.

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Herpes simplex virus

A virus causing herpes infections, leading to sores on the mouth or genitals.

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PCR testing

A laboratory method used to amplify DNA, often used for detecting infections.

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Microscopy

The use of microscopes to observe small objects, including microorganisms.

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Wet Mount Preparation

A technique to observe live organisms in a fluid, useful for assessing infections.

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Darkfield Microscopy

A microscopy technique used to visualize specimens that are not visible under standard light.

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Study Notes

Blue Book Standards for STI Clinic Clients

  • The document outlines standards for the management and evaluation of sexually transmitted infection (STI) clinic clients in Alberta, Canada.
  • The document was last revised in November 2022.
  • The listed STIs include Gonorrhea, Chlamydia, NGU (Non-gonococcal urethritis), MPC (Mucopurulent cervicitis), Syphilis, Yeast, Scabies, Bacterial Vaginosis, Trichomoniasis, Pubic Lice, and Herpes.

Contents

  • The document contains detailed information on various aspects of STI management, including acknowledgments, committee membership, summary of changes, notification of STIs and treatment, consent, history (male and female), physical examination, testing for STIs, laboratory procedures, genital ulcer disease, urethritis, epididymo-orchitis, vaginal discharge, lumps/bumps, and hepatitis.

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