Question 1

Jo has a 10-year history of injection drug use and uses a safer injection facility.What city does Jo live in?&#10;A) Toronto&#10;B) Winnipeg&#10;C) Halifax&#10;D) Vancouver

Accepted Answer

Vancouver is known for having the first and largest safe injection facility in North America, called Insite. Jo's use of a safer injection facility suggests that they live in a city with this type of service, and Vancouver fits this description.

Question 2

The local health department recognized that there are high rates of various STIs among women who work as exotic dancers.Which intervention has the best chance of success in reducing the high rates of STIs?

A) Encouraging women to work at large box stores instead of dancing
B) Supplying free condoms to the dancers
C) Installing condom machines in the washrooms of strip clubs
D) Working with the strip club employers and dancers to develop a peer education program

Accepted Answer

Working with the strip club employers and dancers to develop a peer education program has the best chance of success in reducing the high rates of STIs. This intervention increases the knowledge and awareness of STIs among the dancers and provides them with the skills to protect themselves and their clients. It also creates a safe and supportive environment for learning and change, as well as involving the employers who can support the program and ensure its sustainability. Providing free condoms and installing condom machines in washrooms can also help, but these interventions alone do not address the underlying factors that contribute to the high rates of STIs among this population. Encouraging women to work at large box stores is not a feasible or effective solution.

Question 3

In 2008,what percentage of all positive adult HIV tests was among the men who have sex with men (MSM)?&#10;A) 31&#10;B) 45&#10;C) 58&#10;D) 19

Accepted Answer

45

Question 4

Describe four innovative interventions that have been used in Canada to lower the rates of STI.Provide one rationale for each intervention.Give an example of why each intervention has been controversial.

Accepted Answer

The answer of Describe four innovative interventions that have been...

Question 5

Which are typical acute HIV symptoms that occur two to four weeks after infection?&#10;A) Itchiness and red bumps on the skin&#10;B) Flu-like symptoms and fever&#10;C) Pain and fluid-filled blisters&#10;D) Lower abdominal pain and burning on urination

Accepted Answer

Flu-like symptoms and fever are common acute HIV symptoms that occur two to four weeks after infection. Itchiness and red bumps on the skin, pain and fluid-filled blisters, and lower abdominal pain and burning on urination are not typically associated with acute HIV symptoms.

Question 6

A nurse is utilizing a harm reduction approach to prevent the spread of blood borne infections.What would be an appropriate strategy to meet this goal?&#10;A) Increasing clients' access to bleaching kits and clean needles&#10;B) Providing the HPV vaccine (Gardasil)for free to girls in grade 6&#10;C) Offering chlamydia urine testing in outreach vans&#10;D) Promoting an abstinence-only approach with teens

Accepted Answer

Providing access to bleaching kits and clean needles is an effective harm reduction strategy for preventing the spread of blood borne infections such as HIV and hepatitis. This approach recognizes that some individuals may continue to engage in high-risk behaviors such as injection drug use and seeks to minimize the harm associated with those behaviors rather than simply advocating for abstinence.

Question 7

Tony is seen by a nurse at the STI clinic.The nurse observes red tracks and bumps in the genital area around his groin and thighs.Tony reports itchiness in the same region.What sexually transmitted infection should the nurse suspect?

A) Trichomoniasis
B) Pubic lice
C) Scabies
D) Genital herpes

Accepted Answer

The answer of Tony is seen by a nurse at...

Question 8

What would be an appropriate method of testing for chlamydia?&#10;A) Culture of the fluid drawn from a sore&#10;B) Dark-field microscopy&#10;C) Blood test&#10;D) Urine testing

Accepted Answer

Urine testing is the most appropriate and commonly used method of testing for chlamydia as it is non-invasive and has high sensitivity and specificity. Culture of fluid from a sore may not be practical or reliable as chlamydia may not always cause visible sores. Dark-field microscopy is typically used to diagnose syphilis, not chlamydia. Blood testing is not commonly used as chlamydia is an infection of the mucous membranes, not the bloodstream.

Question 9

A nurse is working with injection drug users.What infection is the nurse most concerned about preventing in this population?&#10;A) Hepatitis B&#10;B) Hepatitis A&#10;C) Syphilis&#10;D) Genital herpes

Accepted Answer

Injection drug use is a major risk factor for the transmission of blood-borne pathogens such as Hepatitis B, Hepatitis C, and HIV. While Hepatitis A is also a concern, it is mainly transmitted through oral-fecal contamination and is less of a concern in this population. Syphilis and genital herpes are transmitted through sexual contact and are less likely to be a primary concern for injection drug users.

Question 10

Leslie is 50 years old and presents at the community health centre with complaints of anal discharge and bloody stools.Leslie does not use condoms with common-law partner Terry.What testing should the nurse offer to provide Leslie?

A) Gonorrhea and chlamydia
B) Syphilis and genital herpes
C) Genital warts
D) Candidiasis

Accepted Answer

Leslie's symptoms and unprotected sexual activity suggest a possible sexually transmitted infection (STI). Testing for gonorrhea and chlamydia is appropriate as these infections can cause anal discharge and bleeding.

Question 11

What does HPV stand for? &#10;How does HPV manifest and why is it important? &#10;How is HPV diagnosed? &#10;How is HPV prevented?

Accepted Answer

The answer of What does HPV stand for? &#10;How does...

Question 12

A nurse is working with a new immigrant group to prevent STIs.What is the nurse most likely to encounter with this population?&#10;A) Ability to seek out health services&#10;B) Positive beliefs surrounding traditional herbal medicine&#10;C) Good access to translated resources&#10;D) Low stress levels within the group

Accepted Answer

The answer of A nurse is working with a new...

Question 13

Thomas has contracted herpes from his new partner.How will this STI be treated?&#10;A) There is no cure&#10;B) Antivirals&#10;C) Laser therapy&#10;D) A course of antibiotics

Accepted Answer

The answer of Thomas has contracted herpes from his new...

Question 14

What is the most prevalent reportable bacterial sexually transmitted infection (STI)seen in Canada?&#10;A) Genital herpes&#10;B) Gonorrhea&#10;C) Hepatitis B&#10;D) Chlamydia

Accepted Answer

The answer of What is the most prevalent reportable bacterial...

Deck 29: Sexually Transmitted Infections and Blood Borne Pathogens