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Quizzes > Quizzes for Business > Healthcare

STI History Taking Knowledge Quiz

Master Patient Interview Techniques for STIs

Difficulty: Moderate
Questions: 20
Learning OutcomesStudy Material
Colorful paper art promoting a quiz on STI history taking knowledge.

Join this STI History Taking Knowledge Quiz to sharpen patient interview skills and master focused sexual history taking. Ideal for nursing and medical students, it builds confidence in confidential questioning and risk assessment. This interactive practice quiz delivers instant feedback and can be freely modified in our editor to suit learning goals. For broader study, try the STI and STD Awareness Quiz or explore other quizzes like the History Knowledge Quiz.

Which question best assesses a patient's sexual risk factors for STIs?
Do you exercise regularly?
How many sexual partners have you had in the past year?
What is your blood type?
How many hours do you sleep each night?
Asking about number of partners quantifies exposure risk directly. Other questions are unrelated to sexual risk factors for STIs.
A common symptom of chlamydia in women includes:
Severe headache
Painful urination
Hair loss
Rash on palms
Painful urination, or dysuria, is a common symptom of chlamydia infection in women. The other options are not typical presentations of chlamydia.
Which opening line is most appropriate for beginning a sexual history interview?
You don't have any STIs, do you?
I need to know everything you do in bed.
Can you tell me about your sexual practices and partners?
Why haven't you been using protection?
This open-ended question invites the patient to share without judgment, covering both partners and practices. Closed or leading questions can inhibit disclosure or introduce bias.
To ensure confidentiality when taking sexual history, a clinician should:
Explain that details will remain private unless harm is risk
Inform the patient you will share info with their family
Ask permission to publish their story anonymously
Record everything in a public chart
Explaining confidentiality up front helps establish trust and clarifies exceptions when safety is at risk. The other options compromise privacy or are inappropriate for clinical care.
The SOAP (Subjective, Objective, Assessment, Plan) format is used in documentation to:
Organize clinical findings and plan of care clearly
Ensure insurance approves procedures
Record billing codes
Track daily medication intake only
The SOAP format organizes subjective and objective findings with assessment and plan. It ensures clarity in clinical documentation and communication.
Which symptom is most suggestive of secondary syphilis?
Deep bone pain
Painless wart-like lesions
Painful genital ulcers
A diffuse rash including palms and soles
A diffuse rash on palms and soles is a classic sign of secondary syphilis. Painful ulcers are more typical of primary syphilis and the other options do not fit this stage.
A patient reports no symptoms. Which STI is most commonly asymptomatic in women?
Chlamydia
Herpes
Trichomoniasis
Gonorrhea
Chlamydia is often asymptomatic in women, leading to underdiagnosis if not screened. Other STIs listed more frequently present with symptoms or visible lesions.
When evaluating information accuracy, the use of which strategy is most effective?
Asking for details like dates and places to confirm consistency
Relying only on memory without notes
Accepting first statement without follow-up
Documenting partial quotes only
Asking for specific details helps verify consistency and improves accuracy of the history. Accepting statements without follow-up or without notes risks missing key inconsistencies or errors.
What question best assesses condom use consistency?
How often do you use condoms during sexual activity?
Have you heard about condoms?
Do you think condoms are effective?
Do you use any contraception?
Directly querying frequency of condom use captures consistency of protection. Asking about effectiveness or general contraception may not reveal actual usage patterns.
A culturally sensitive approach to sexual history includes:
Discussing without considering cultural norms
Assuming all patients have heterosexual relationships
Using medical jargon only
Using the patient's preferred terms for anatomy and relationships
Using the patient's own terms respects their identity and builds rapport. Assuming heteronormativity or ignoring cultural norms can alienate or misrepresent the patient's experience.
Which symptom is most specific to trichomoniasis?
Joint inflammation
Frothy green vaginal discharge
Genital warts
Painful ulcers
A frothy green vaginal discharge is characteristic of trichomoniasis. The other symptoms are associated with different infections.
Effective partner notification strategy includes:
Encouraging the patient to inform partners confidentially
Clinician contacting partners with patient's name
Ignoring partner notification
Publicly posting names
Encouraging confidential partner notification empowers patients and maintains trust. Naming patients or public disclosures breach confidentiality and are unethical.
Which piece of documentation is essential in sexual history notes?
Number and gender of sexual partners
Family medical history only
Favorite hobbies
Height and weight exclusively
Documenting the number and gender of sexual partners is essential for risk assessment. Hobbies, family history, or only height and weight do not address sexual health risks.
A patient says they may have been exposed to HIV a month ago. What question assesses window period understanding?
Are you feeling sick today?
When was your last high-risk exposure?
Do you know what HIV stands for?
Have you been vaccinated?
Clarifying the timing of the last high-risk exposure is crucial for interpreting window periods and planning appropriate tests. Other questions do not address when infection could have been acquired.
How should a clinician address language barriers during history taking?
Speak slower in English
Have a family member translate
Use a qualified medical interpreter
Use online auto-translation
Using a qualified medical interpreter ensures accurate communication and maintains confidentiality. Family members or unverified translation tools can compromise accuracy and privacy.
A 25-year-old man reports penile discharge and dysuria. He has multiple partners and inconsistent protection. What additional sexual history detail is most critical for diagnosis?
Type of sexual activities (oral, anal, vaginal)
Employment history
Daily diet
Travel to tropical regions
Knowing which types of sexual activity occurred guides testing of specific anatomic sites and identifies risk for particular STIs. Employment, diet, or travel history are less relevant to focusing diagnostic tests.
In documenting refusal to answer a sensitive question, best practice is to:
Press the patient until they answer
Omit mention of the question entirely
Note the patient declined and offer to revisit later
Record assumed response
Documenting that a patient declined a question and offering to revisit later respects autonomy and provides transparency. Omitting the refusal or assuming responses can lead to incomplete records and ethical issues.
A patient from a conservative culture appears uncomfortable. You should:
Tell them they must answer now
Switch to another topic without explanation
Acknowledge discomfort and offer to proceed at their pace
Continue quickly to avoid making them more uneasy
Acknowledging cultural discomfort allows patients to feel heard and sets a pace they can manage. Ignoring or rushing through sensitive topics can increase anxiety and reduce disclosure.
Which lab test is most appropriate for suspected pharyngeal gonorrhea in an asymptomatic patient with oral exposure?
Urine microscopy
Throat swab NAAT
Skin scraping
Blood culture
Nucleic acid amplification testing of throat swabs is the standard method for diagnosing pharyngeal gonorrhea. Blood cultures, urine tests, and skin scrapings are not appropriate for detecting this infection at that site.
In secondary prevention counseling for STIs, effective strategy includes:
Discussing PrEP and risk-reduction techniques
Assuring no need for follow-up
Telling them to avoid future sexual activity permanently
Only prescribing antibiotics
Secondary prevention includes offering biomedical tools like PrEP alongside behavioral risk reduction strategies. Simply prescribing antibiotics or avoiding follow-up does not address ongoing risk.
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Learning Outcomes

  1. Analyse patient histories to identify STI risk factors
  2. Identify key symptoms associated with common STIs
  3. Demonstrate effective questioning strategies in patient interviews
  4. Apply confidentiality and cultural sensitivity in history taking
  5. Evaluate information accuracy and communication nuances
  6. Master clinical documentation of sexual history data

Cheat Sheet

  1. Master the Five "P"s of Sexual History Taking - Navigating sexual history interviews can feel daunting, but the Five "P"s are your trusty sidekick. By asking about Partners, Practices, Protection, Past STIs, and Pregnancy Intention, you'll cover every angle in a friendly, structured way. Practice makes perfect - soon you'll breeze through these conversations with confidence! CDC: Sexual History Guidance
    2. Learn more at CDC
  2. Recognize Common STI Symptoms - Spotting unusual discharge, genital sores, or painful urination early can be a game-changer for patient care. These red flags are your clues to start the next steps in testing and treatment. Sharpen your observation skills, and you'll catch more cases before they escalate! Mayo Clinic: STI Symptoms
    3. Learn more at Mayo Clinic
  3. Implement Effective Questioning Strategies - Open-ended, non-judgmental questions are your ticket to honest answers. Phrases like "Can you tell me more about…?" help patients relax and share freely. With practice, your conversational style will feel warm, inviting, and thoroughly professional. HIVGuidelines: Questioning Tips
    4. Learn more at HIVGuidelines.org
  4. Ensure Confidentiality and Cultural Sensitivity - Trust builds when patients know their stories stay between you two. Always explain privacy policies and respect cultural backgrounds to make everyone feel safe. A little empathy goes a long way in creating a judgment-free zone! CDC: Privacy & Sensitivity
    5. Learn more at CDC
  5. Evaluate Information Accuracy and Communication Nuances - Pay close attention to what's said - and what's left unsaid. Tone, body language, and inconsistencies can reveal hidden risks or misunderstandings. Cultivate active listening skills to get the full picture! HIVGuidelines: Communication Skills
    6. Learn more at HIVGuidelines.org
  6. Master Clinical Documentation of Sexual History Data - Clear, concise notes are your best friends in a busy clinic. Accurate records ensure continuity of care and protect both patient and practitioner. Develop your own shorthand or template to make documentation speedy and reliable! CDC: Documentation Guide
    7. Learn more at CDC
  7. Understand STI Risk Factors - Knowing that unprotected sex, multiple partners, and substance use can increase risk helps you tailor prevention advice. By identifying high-risk behaviors early, you can offer targeted counseling and testing. Stay curious - each patient's story is unique! Mayo Clinic: Risk Factors
    8. Learn more at Mayo Clinic
  8. Stay Updated on STI Screening Guidelines - Screening recommendations can change, so keep your knowledge fresh with the latest guidelines. This ensures you're ordering the right tests at the right time for each patient. Continuous learning is the secret weapon of top-notch clinicians! CDC: Screening Guidelines
    9. Learn more at CDC
  9. Promote Preventive Measures - Teaching condom use, vaccination (like HPV shots), and regular testing empowers patients to protect themselves. Use fun metaphors - like "armor against STIs" - to make your message stick. Prevention is always better (and cheaper) than treatment! Mayo Clinic: Prevention Tips
    10. Learn more at Mayo Clinic
  10. Address Patient Concerns and Questions - Encourage all questions, no matter how small or awkward they may seem. A friendly "What else can I help you with?" shows you're ready to listen. Turning concerns into teachable moments builds lasting trust! HIVGuidelines: Patient Q&A
    11. Learn more at HIVGuidelines.org
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