Sexual Medicine

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Treatment of Genital Warts

Which one of the following statements about treatment of genital warts is false?

  • Sinecatechins are a patient-administered treatment option.
  • When performing smoke-generating procedures such as cautery to destroy or remove HPV-associated lesions, measures should be taken to prevent transmission of HPV DNA to the respiratory tracts of the physician.
  • Imiquimod is recommended in pregnancy.
  • Most successfully treated warts do not recur.
Volume 40.6 - Question 12

Genital Warts

Which one of the following statements about genital warts is false?

  • Human papillomavirus types 6 and 11 are responsible for 90% of genital wart cases.
  • About 30% of genital warts cases resolve spontaneously within 4 months.
  • Individuals who currently smoke have an increased risk of developing genital warts.
  • Male circumcision reduces the incidence of genital warts in males.
Volume 40.6 - Question 11

Lenacapavir for HIV Prevention

Which one of the following statements regarding lenacapavir for human immunodeficiency virus preexposure prophylaxis is false?

  • It is a twice-yearly subcutaneous injection.
  • It is efficacious for prevention of HIV infection in a population of cisgender women.
  • It is more efficacious than daily oral emtricitabine–tenofovir disoproxil fumarate in preventing HIV infection.
  • It is associated with a decline from baseline estimated glomerular filtration rate.
Volume 40.5 - Question 13

Obesity and Emergency Contraception

Ulipristal acetate 30mg is effective emergency contraception in women with BMI greater than 30 and weight greater than 80 kg.

  • True
  • False
Volume 40.5 - Question 6

HIV Prevention

Post-exposure prophylaxis-in-pocket is an HIV prevention strategy targeted to those who have lower frequencies (i.e., 0 to 4) of higher-risk, and typically unanticipated, HIV exposures per year.

  • True
  • False
Volume 39.5 - Question 1

Sexuality in Menopause

For postmenopausal women who are distressed by decreased sexual desire, which of the following is not recommended for the treatment of arousal disorders?

  • Sexual counselling
  • SSRIs
  • Transdermal testosterone
  • Flibanserin
Volume 37.3 - Question 39

Treatment of Epididymitis

For acute epididymitis in sexually active men not at risk for infection with enteric organisms, empiric treatment with a single dose of ceftriaxone plus oral doxycycline for 10 days is recommended.

  • True
  • False
Volume 38.2 - Question 6

Recent Updates to Clinical Practice Guidelines

Which one of the following is false regarding recent (since 2021) updates to Canadian clinical practice guidelines?

  • The Canadian Task Force on Preventive Health Care recommends screening of sexually active individuals younger than 30 years for chlamydia and gonorrhea annually.
  • The Canadian Urological Society recommends noncontrast computed tomography as the initial imaging modality for acute ureteral stones.
  • The Society of Obstetricians and Gynecologists of Canada (SOGC) recommends that postmenopausal women with hypoactive sexual desire disorder can consider transdermal testosterone patches as a treatment option.
  • The SOGC recommends consideration of hormone therapy for perimenopausal depression with or without concomitant vasomotor symptoms.
Volume 38.3 - Question 19

Pelvic Inflammatory Disease

Which one of the following statements about pelvic inflammatory disease (PID) is false?

  • A negative endocervical culture excludes the diagnosis.
  • Women with a history of PID should be seen early in pregnancy to confirm an intrauterine location.
  • Endocervical swabs are preferred for diagnosis versus first void urine.
  • Approximately 18% of women with a history of PID will report infertility.
Volume 39.2 - Question 28

Postcoital Bleeding

Which one of the following statements about patients presenting with postcoital bleeding is false?

  • Transvaginal ultrasonography is indicated if no cause is identified on physical examination.
  • Women with cervical ectropion require referral to gynecology.
  • Postcoital bleeding is attributable to cervical cancer in 3%–5% of affected patients.
  • Endometrial biopsy is recommended in patients older than 40 years.
Volume 39.2 - Question 10

Dry High Risk HPV Self-Sampling Kits

Which one of the following statements regarding dry high risk human papillomavirus self-sampling kits is false?

  • They are highly acceptable to patients.
  • Over 90% of samples are of sufficient quality to analyze correctly.
  • Over 80% of those performing the test will not need a medical visit for cervical cancer screening.
  • Current kits allow for reflex cytology on HPV positive results.
Volume 38.5 - Question 2

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