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

You answered:

C Women with HIV are at low risk for asymptomatic trichomonas infection, so screening for this infection is not recommended.

This answer is incorrect. Both cross-sectional and longitudinal studies have shown high rates of trichomoniasis in HIV-infected women. Thus, current guidelines recommend screening all HIV-infected women at the initial visit and at least annually for trichomoniasis with culture, antigen detection assay, or wet mount examination of vaginal fluid.

A She is asymptomatic, so STD screening is not indicated.
B Genital chlamydia screening is not necessary because she is older than 25.
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.

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