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STI screening MSM — USMLE Step 3 MCQ

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ModerateAmbulatory Medicine / Primary CareSTI screening MSMUSMLE Step 3

A 32-year-old man who has sex with men comes for routine care. He has receptive oral and anal sex with several partners and inconsistent condom use. He has no dysuria, rash, rectal pain, or sore throat. HIV testing is negative. Which of the following is the most appropriate screening recommendation?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: C — Screen for gonorrhea and chlamydia at exposed anatomic sites

STI screening should match sites of exposure; extragenital gonorrhea and chlamydia testing is important in men who have sex with men.

Reference: CDC Sexually Transmitted Infections Treatment Guidelines