Question | Discussion | References | CME Credit

Case 3: Sexually Transmitted Diseases Screening in HIV-infected Individuals

You answered:

B Genital chlamydia screening is not necessary because she is older than 25.

This answer is incorrect. Clinicians should annually screen all women 25 years of age and younger for genital chlamydial infection, regardless of concomitant HIV infection. Depending on risk assessment, screening of HIV-infected women older than 25 years should also be considered. This patient has a history of chlamydia and is in a high-risk sexual relationship, so she should be screened for chlamydia.

Choose another answer:

A She is asymptomatic, so STD screening is not indicated.
C Women with HIV are at low risk for asymptomatic trichomonas infection, so screening for this infection is not recommended.
D Men and women who report receptive anal intercourse should receive screening for rectal chlamydia.
E Only HIV-infected men who have sex with men (MSM) should be routinely screened for syphilis.

[Back to Case 3 Question | Go to Correct Answer]