Attending the Sexual Health Clinic

Question 1

what is the name of the guidelines surrounding young people having sex?

Answer 1

fraser guidelines

Question 2

what is the partner look back period for chlamydia?

Answer 2

male urethral = 4 weeks

any other infection = 6 months

Question 3

what is the partner look back period for gonorrhoea?

Answer 3

male urethral = 2 weeks

any other infection = 3 months

Question 4

what is the partner look back period for non-specific urethritis and trichomonas vaginalis?

Answer 4

4 week

Question 5

what is the partner look back period for epididymitis and PID?

Answer 5

same as CT/GC

or if negative = 6 months

Question 6

what is the partner look back period for HIV?

Answer 6

4 week before negative test

or before most likely time of infection

Question 7

what is the partner look back period for syphilis?

Answer 7

primary = 90 days
secondary = 2 years
other infections = 3 months before most recent negative test

Question 8

what conditions is partner notification not needed for?

Answer 8

warts
herpes
vaginal thrush
bacterial vaginosis

Question 9

what vaccinations are available against STIs?

Answer 9

Hep B (msm, high prevalence countries, sexual assults)
Hep A (msm)
HPV (msm age <46)

Question 10

when and how is pre-exposure prophylaxis (PrEP) taken?

Answer 10

taken before exposure to reduce infection risk

tenofovir disoproxil / emtricitabine

daily or event-based dosing, reduces HIV incidence by 86%

Question 11

what is the eligibility criteria for PrEP in Scotland?

Answer 11

MSM condomless anal sex with 2+ partners in last year and likely in next 3 months
rectal bacterial STI in last year
partner of someone with HIV VL>50

Question 12

what is PEPSE?

Answer 12

medicine taken after exposure to reduce risk of infection

Question 13

what PEPSE is taken for Hep B?

Answer 13

HBV vaccine (up to 7 days)

immunoglobulin (vaccine non-responders)

Question 14

what PEPSE is taken for HIV?

Answer 14

3 antiretrovirals
start within 72 hours
28 days total

Question 15

in which circumstances is consent invalidated?

Answer 15

incapacitated by drugs or alcohol
incarcerated
violence or threat of violence