HIV Pre-Exposure Prophylaxis
You see a 21-year-old cisgender woman in your outpatient clinic. She has heard about HIV pre-exposure prophylaxis (PrEP) and requests a prescription.
Sexual Medicine
Treatment of STIs
Low doxycycline prescription fill rates are observed following emergency department visits for sexually transmitted infections.
- True
- False
Volume 41.4 - Question 10
Vaginitis
A 23-year-old graduate student is at your office today because she has been experiencing vulvovaginal itching, irritation, dyspareunia, odor, and abnormal vaginal discharge for the past 3 months. She is in a long-term monogamous relationship with a male partner. She recently had urine testing for chlamydia and gonorrhea, which was negative.
Volume 41.3 - Question 32
Online Abortion Access Information
Which one of the following statements regarding online information about abortion providers in Canada is false?
- More than half of providers have an identifiable website.
- All providers with websites mention abortion.
- Most websites do not have information regarding parental or age of consent.
- Of those websites that mention consent, the majority state that no parental consent is required.
Volume 41.3 - Question 13
Lubricant Use for Sexual Activity
You are seeing a 27-year-old woman. She has a new sexual partner, and they have been dating for the past two months. When questioning her STI risk, she tells you that she does not use condoms, because of the friction and discomfort they cause during sexual intercourse due to vaginal dryness.
Volume 41.2 - Question 38
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
Home Test for Chlamydia, Gonorrhea, and Trichomoniasis
The FDA has approved an at-home test for detection of Chlamydia trachomatis, Neisseria gonorrhea, and Trichomonas vaginalis for women.
- True
- False
Volume 40.6 - Question 3
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
Recurrent Bacterial Vaginosis
A 30-year-old female patient presents to your office with complaints that “I have BV again.” She is requesting treatment for bacterial vaginosis (BV) and expresses her frustration at how frequently this occurs. She would like to know if there is anything that could be done to prevent infection.
Volume 40.21 - Question 10
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
Dyspareunia
A 49-year-old woman comes to see you concerning dyspareunia.
Volume 36.6 - Question 42
SAMP Male infertility
A 32-year-old man comes to see you concerning infertility. He has been trying to conceive for 1 year. His partner is also being evaluated for infertility by her family physician. He has type 2 diabetes and hypertension.
Volume 36.5 - Question 41
Pre-Exposure Prophylaxis for HIV
A 32-year-old male presents to your office for a “check-up.” At the visit, he mentions that he has just returned from a trip to “P-town” and would like to have some STI testing. As you discuss further with him, he explains that Provincetown, Massachusetts is a popular location for gay men to visit, and while there, he had a couple of new sexual partners. At your visit today, he also mentions that he met a few people using “PrEP,” and is wondering whether he, too, should be on it.
Volume 38.1 - Question 39
HIV Pre-Exposure Prophylaxis
Your next patient is 28 years old and new to your family practice. He has no known medical problems and considers himself healthy. During your visit, he confirms that he has sex with other men (MSM). You question the patient’s HIV risk and after careful assessment, you consider that pre-exposure prophylaxis (PrEP) is indicated. The patient has never heard of PrEP and is unsure if it could be useful.
Volume 37.5 - Question 41
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
Recurrent Bacterial Vaginosis
A 30-year-old female patient presents to your office with complaints that “I have BV again.” She is requesting treatment for bacterial vaginosis (BV) and expresses her frustration at how frequently this occurs. She would like to know if there is anything that could be done to prevent infection.
Volume 39.1 - Question 39
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
Detection of Chlamydia and Gonorrhea Infections in Women
Vaginal swabs are more sensitive than urine assays in the diagnosis of both chlamydia and gonorrhea infections in women.
- True
- False
Volume 39.2 - Question 21
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
Recurrent Bacterial Vaginosis
A 30-year-old female patient presents to your office with complaints that “I have BV again.” She is requesting treatment for bacterial vaginosis (BV) and expresses her frustration at how frequently this occurs. She would like to know if there is anything that could be done to prevent infection.
Volume 39.1 - Question 39
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.