Question 7#
A 17-year-old G1P1 presents to your office for her yearly well-woman examination. She had an uncomplicated vaginal delivery the previous year. She has been sexually active for the past 4 years and has had four different sexual partners, but has been monogamous in the previous year with the same partner. Her menses occurs every 28 days and lasts for 4 days. She denies any intermenstrual spotting, postcoital bleeding, or vaginal discharge. She reports no tobacco, alcohol, or illicit drug use.
Which of the following are appropriate screening tests for this patient?
A. Gonorrhea and chlamydia screeningB. Gonorrhea, chlamydia, and cervical cancer screening
C. Gonorrhea, chlamydia, and syphilis screening
D. Gonorrhea, chlamydia, hepatitis B, hepatitis C, and syphilis screening
E. Gonorrhea, chlamydia, hepatitis B, hepatitis C, herpes simplex, and syphilis
Correct Answer is A
Comment:
Routine screening for sexually transmitted disease is not warranted for all women; however, all sexually active women younger than 25 years of age should be routinely screened for gonorrhea and chlamydia, and older women with risk factors such as new or multiple partners, sex work, or concurrent STD should also be screened. There is no routine screening recommended for hepatitis B virus or herpes simplex virus. Hepatitis C screening should occur in those with risk factors such as intravenous drug use, dialysis, partner with hepatitis C, multiple partners, and received blood products prior to 1990. Syphilis screening should also occur in those with risk factors such as sex work, confinement in an adult correction facility or men having sex with men. Screening for cervical cancer should begin at the age of 21 years.
