Case Study

A 20-year-old woman, R.G., who recently moved from another state presents for a wellness examination. R.G. reports no significant medical history and states that she has no health concerns, does not have a history of any sexually transmitted infections, and does not use tobacco, alcohol, or drugs. Last year, R.G. began taking oral contraceptives and reports regular monthly menses. She currently is in a monogamous relationship with her 21-year-old boyfriend of six months. They do not use condoms during intercourse. R.G. has not had any other sex partners in the past year.

Case Study Questions

1. Based on the U.S. Preventive Services Task Force (USPSTF) recommendation statement, which one of the following is an appropriate screening test for this patient?

• A. Screen only for chlamydia because it is more common in women than in men.

• B. Screen only for gonorrhea because it can lead to pelvic inflammatory disease and its associated reproductive complications.

• C. Do not screen for either chlamydia or gonorrhea because the patient is in a monogamous relationship and has no risk factors.

• D. Screen for both chlamydia and gonorrhea because these infections often do not cause symptoms but are common in young adults.

• E. Screen for both chlamydia and gonorrhea only if the patient is symptomatic.