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STI screen — DRCOG MCQ

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HardContraceptionSTI screenDRCOG

A 34-year-old with a new sexual partner has no symptoms and requests a sexual-health check. Which approach is most appropriate?

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Correct answer: B — Take a sexual history then offer exposure-directed testing

The best answer is “Take a sexual history then offer exposure-directed testing”. Sexual-health testing should be guided by a sensitive sexual history, including sites of exposure, new partners, symptoms, contraception and pregnancy intentions. This identifies appropriate tests such as chlamydia, gonorrhoea, HIV and syphilis where indicated, rather than assuming one identical panel is right for every person or using cervical screening as an STI test.

Reference: BASHH: Guidance on STI testing, 2021 and 2023: https://www.bashh.org/resources/40/guidelines_guidance_on_sti_testing_2021_and_2023/