| Author | 6 Posts |
Justice
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Please vote with your answer
A 20-year-old male college student is evaluated on Tuesday morning because of a 2-day history of urethral discharge and dysuria. Gram stain and smear of a thick discharge show copious leukocytes and numerous gram-negative intracellular diplococci, and treatment for gonorrhea and possible occult Chlamydia infection is begun.
In addition to advice about barrier precautions, which of the following should be discussed as a way to prevent future sexually transmitted diseases in this patient?
A. Using caution about alcohol consumption
B. Asking sexual partners if they might have gonorrhea
C. Showering shortly after sex
D. Taking prophylactic antibiotics after sex
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| DrVirgo
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C and D -no way.
B. Could help but people lie and anyway may be a carrier and not know.
A. Yes, because he is a college student and seeing that he is appearing on Tuesday it seems like he had a wild weekend with a high possibility of drinking and sex...
Advising him to use a condom would be #1 but since that answer choice isn't there, advise not to drink heavily. Alcohol decreases your inhibitions and alters judgement, in other words: College kids do stupid things when they are drunk.
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| guangyu
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Only reasonable is B. if question did not mention, it is not exit.
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| Markus2009
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A
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| peter90036
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| Justice
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The correct answer is A
Many strategies have been suggested to prevent sexually transmitted diseases. Aside from abstinence, none of them has been completely effective. There is information, however, that impulsive behavior can increase the risk of acquiring sexually transmitted diseases. The most common extrinsic reasons for impulsive behavior relate to alcohol and drug use. Reducing alcohol consumption in adolescents and young adults can lower the risk of sexually transmitted diseases.
While it may be possible to ask potential sexual partners if they have any sexually transmitted diseases, it is unlikely that anyone will offer this information even on direct inquiry. And given the possibility of asymptomatic infection with Neisseria gonorrhoeae, even an honest answer may be inaccurate. It is reasonable to discuss risks for more serious sexually transmitted diseases such as HIV infection, although using barrier precautions is still prudent since some people are not aware of their HIV status. Hygiene measures such as showering are reasonable, but they have not been found to reduce the incidence of sexually transmitted diseases. Several decades ago, prophylactic antibiotics were shown to reduce the incidence of gonorrhea in military personnel such as sailors on shore leave. There is currently no information about prophylaxis for gonorrhea. This is an important issue because drug resistance in strains of N. gonorrhoeae has increased markedly.
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