RN Nursing · Urinary Tract Infections · Practice question
Which of the following patients is at highest risk for contracting a sexually transmitted infection with Neisseria gonorrhoeae?
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20-year-old male who is Black/African American.
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✓
18-year-old female who is Hispanic.
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25-year-old male who is White.
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22-year-old female who is American Indian.
Answer & explanation
Correct: 18-year-old female who is Hispanic.
Epidemiological data from the CDC and USPSTF consistently identify young females — particularly those aged 15 to 24 — as the group with the highest rates of gonorrhea and other sexually transmitted infections. Among the options, the 18-year-old female is both the youngest and female, placing her at the intersection of the two highest-risk demographic characteristics. Gonorrhea rates are disproportionately elevated in young women because the cervical ectropion present in adolescents and young adults provides a larger area of columnar epithelium that is more susceptible to Neisseria gonorrhoeae. While Black and African American individuals have higher reported rates of gonorrhea than other racial and ethnic groups at the population level, the question asks about the single individual at highest risk among the listed options. The 20-year-old Black male has an elevated racial risk but is male and slightly older. The 25-year-old White male is older and male, carrying lower inherent anatomical and age-related risk. The 22-year-old American Indian female is female but older and from a lower-prevalence demographic group compared to young Hispanic females in the reported STI burden. The youngest female among the options — the 18-year-old Hispanic female — represents the highest individual risk profile based on age and sex.
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