Participant Information

First:	MI:
Last:
Agency:
Job title:

Street address:
Address (cont):
City:	State:
Zip:

Daytime phone:
Email:
Nurse license #:
CHES ID #:

Please choose one:
LPN
RN
Nurse Practitioner
Other

Please choose one for contact hours (leave blank for none):
Nursing
CHES
Both

Post-test Questions

1. The incubation period for Chlamydia trachomatis (CT) is:

   2-4 days 
   7-21 days
   28-42 days
    

2. A female client is having a pap test, gonorrhea (GC) culture, and CT test done. The specimen for CT should be obtained:

   first
   second
   third
   it doesn't matter

3. A specimen collection error that can affect CT test results is:

   presence of blood on swab
   absence of mucous on swab
   presence of epithelial cells on swab
    

4. Which of the following is true concerning the correct handling of male urine specimens for CT testing using Syva EIA?

   specimen will remain stable for up to 7 days if refrigerated
   specimen should be shipped at ambient temperatures
   specimen should be frozen if not shipped within 24 hours

5. Which of the following medications used for the treatment of CT are NOT contraindicated during pregnancy?

   azithromycin
   doxycycline
   erythromycin estolate

6. List 2 of the six minimum points to be included in education about CT (not including information about treatment).

   1.
   2.

7. Correct preparation of state data collection forms for CT testing includes:

   Under reason for test, mark “signs/symptoms” if purulent discharge is observed.
   Remove bar code from the request form and place in the client’s chart.
   Include the date of specimen collection on the request form

8. Which of the following women would be considered most at risk for CT?

   A 17-year-old woman who has been with her new partner for the past 2 months.
   A 23-year-old woman in a mutually monogamous relationship who has an IUD.
   A 25-year-old single woman who uses a diaphragm for contraception.

9. Which of the following statements about salpingitis and pelvic inflammatory disease is true?

   Most women who have tubal infertility have had previously diagnosed salpingitis.
   After two episodes of PID, the rate of infertility increases.
   Chlamydia trachomatis infection in women is usually symptomatic.

10. Syva EIA and Gen-Probe can be used for collection of specimens from cervical, male and female urethral, rectal, and pharyngeal sites.

    true
    false