What history questions do you need to ask this patient to screen for health behaviors that place her at risk?

What history questions do you need to ask this patient to screen for health behaviors that place her at risk?

A female patient, age 18-year-old, presents with complaints of
“problems with her birth control.”  She was evaluated last month for a
WWE and placed on OCs.  She says this has been her first month on OCs.
She experienced spotting X1 week prior to the “white pills” and then
had her period.  She also complains of a foul smelling discharge that
she has noticed for the past few days. She is requesting to change her
pills and requests “something for this discharge.”  Her pelvic exam
reveals minimal discharge without odor, cervix bleeds easily to touch,
and negative CMT.   Her UhCG is negative and she is positive for
Gonorrhea and negative for Chlamydia.
1. What history questions do you need to ask this
patient to screen for health behaviors that place
her at risk?
2. What additional questions will you ask regarding
her OCs?
3. What are the leading STIs in this age group?
4. What additional screenings are recommended for
this patient?
5. What medications will you prescribe and why?
6. Will you change her OC yes/no and why?
7. What patient education will you provide?

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