This episode deconstructs the ASHM Standard Asymptomatic Check-up guidelines, essential for any IMG's OSCE toolkit. We explore how to identify at-risk populations—from new sexual partners to specific subpopulations like MSM and sex workers. Learn the mandatory "Big Four" testing battery: HIV and Syphilis serology for everyone, plus Chlamydia and Gonorrhoea NAAT. We compare specimen sensitivity—explaining why self-collected vaginal swabs are the "specimen of choice" over urine—and when to include extragenital swabs. Master window periods, Hep B status checks, and PrEP discussions to deliver a high-scoring, patient-centred plan!
Pro Tip: In your OSCE, never forget that all STI testing must include HIV and syphilis. A common mistake is only testing for "the drips" (Chlamydia/Gonorrhoea). Furthermore, explicitly stating that a self-collected vaginal swab is more sensitive than a urine sample demonstrates the high-level clinical knowledge examiners expect. Don't forget to offer condoms and discuss PrEP at the end of the consult to secure those final prevention marks!
🎧 Episodes in Season 1 (150 clinical scenarios) have been indexed by topic, patient group, discipline, setting, and more to support targeted learning. Use the filters to locate discussions relevant to your study or clinical training.
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