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STDs Overview and in Homeless Settings

1. The CDC urges health care providers to consider the clinical circumstances of each patient in the context of local disease prevalence.  It is advised to use state and county guidelines, which are more relevant and tailored to the local STD epidemiology and drug resistance patters.

A. True

B. False

2. All of the following statements are true regarding common sexually transmitted diseases, except:

A. C. trachomatis infection is the most frequently reported bacterial STD in the United States.

B. White women between 36 and 49 years of age are most affected by chlamydia.

C. The rate of chlamydia infection among women is about three times the rate among men.

D. Major medical associations and the CDC recommend that all sexually active women younger than age 26 receive an annual chlamydia screening.

3. Clinicians should screen which high-risk group for gonorrheal infections?

A. Those living in communities with a high disease prevalence.

B. Those engaging in commercial sex work and drug use.

C. Women with previous gonorrhea infection, other STDs, new or multiple sex partners, and inconsistent condom use.

D. All of the above.

4. Doxycycline is the optimal treatment for gonorrhea for those experiencing homelessness.

A. True

B. False

5. All of the following statements regarding syphilis are true, except:

A. Syphilis is curable at all stages.

B. The majority of cases in the United States are among men who have sex with men.

C. Syphilis can facilitate HIV transmission.

D. Left untreated, syphilis can lead to serious long-term complications, including brain, cardiovascular, and organ damage, and even death.

6. Most people do not know that they have the human papillomavirus, which spreads easily by skin-to-skin contact during sexual activity.

A. True

B. False

7. Which of the following populations are at the greatest risk for STDs?

A. Youth

B. Racial and ethnic minorities

C. Men who have sex with men

D. All of the above

8. All of the following are reasons why homeless youth are likely to be at higher risk for STDs than youth in general, except for:

A. Extensive histories of abuse and neglect, which may result in risky behaviors including substance abuse and trading sex for food, shelter, money, or drugs.

B. Spending more time on the street, which exposes youth to drug users, sexual predators, and others who might exploit them and endanger their health.

C. Most homeless people lack health insurance and cannot pay for medications and services.

D. Sexual practices such as inconsistent condom use and having multiple sexual partners.

9. The CDC recommends that all sexually active MSM be tested at least annually for syphilis and for both chlamydia and gonorrhea at all anatomical sites of exposure (pharyngeal, urethral, and anal/rectal).

A. True

B. False

10. CDC guidelines recommend that clinicians routinely take clients’ sexual history as part of the clinical interview.

A. True

B. False

11. In order to practice trauma-informed care, all of the following assumptions should be made, except for:

A. Assume that all have experienced trauma.

B. Assume that all have experienced sexual trauma.

C. Assume that all have unprotected sex.

D. Assume that it’s hard for everyone to talk about sex.

12. A study of homeless youth found that the longer adolescents had been homeless, the more motivated they were to reduce HIV risk behaviors.

A. True

B. False

13. All of the following factors are associated with an increased likelihood of HIV testing, except for:

A. Sexual risk behavior

B. Youth who self-identify as gay

C. Hispanic ethnicity

D. Those who have injected drugs in the past six months

14. HIV testing is less likely among women who live in a shelter, are younger, live with a child, have drug or alcohol dependence, have experienced sexual violence, or are at low risk for mental health problems.

A. True

B. False

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