APEA 3P Exam Prep- Sexual Health Questions and Correct Answers With Rationale 2024|2025
A patient being treated for trichomoniasis receives a prescription for
metronidazole. What instructions should she be given?
Take this medication with food
Do not take this medication if you are pregnant
Take this medication on an empty stomach
Alcohol should be avoided when taking this medication
D.
Metronidazole may be associated with a disulfiram reaction when mixed with alcohol.
Advice that should be given to all patients who take metronidazole is to avoid alcohol
entirely while this medication is being taken. Additionally, alcohol should be avoided for
24 hours after the last dose of medication. The disulfiram reaction is characterized by
fever, abdominal pain, nausea, vomiting, and headache. This reaction is called the
"Antabuse" reaction.
The risk of HIV transmission is increased:
when other STDs are present.
in females.
when patients are aware of their HIV status.
in patients with diabetes.
A.
There are several risk factors for HIV transmission. Viral load is likely the greatest risk
factor. The presence of STDs increases the risk of HIV transmission. Specifically, the
presence of chlamydia increases the risk of acquiring HIV by 5 times. Lack of
circumcision increases the risk of transmission.
A patient requests screening for HIV after a sexual exposure. What are CDC's
recommendations for screening for this patient?
There are no recommendations for screening.
She should be screened today, with repeat screening at 4-6 weeks, and 3 months.
She should be rescreened in 6-12 months
She only requires screening if she develops symptoms of HIV
B.
She does require further screening because a negative initial result does not insure that
she is not infected. This signifies that she has not seroconverted at this time. The period
within 3 months after exposure is termed the "window period" and a negative screen
must be confirmed. If a 4th generation assay is used and the screen is negative 3
months after the last exposure, and there is no concern for coinfection with hepatitis C
at the time of HIV exposure, she is considered to be negative. HIV screening should be
performed in any patient who develops symptoms consistent with HIV after an
exposure.
A 24-year-old female presents with abdominal pain. What additional finding
supports a diagnosis of pelvic inflammat
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