NURS 6501: Final Exam Question 43 / NURS-6501N Advanced Pathophysiology

What is the approximate rate of transmission of genital warts to sexual partners of infected individuals?

Group of answer choices

• 10-20%
• 90-100%
• 60-70%
• 30-40%

Correct Answer: 30–40%

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 Why This Range?

1. Studies Show ~30–40% Transmission:
   • A systematic review (Sexually Transmitted Infections, 2014) found the per-partner transmission risk for anogenital warts is ~30–40% over 6–12 months.
   • Higher rates (60–70%) are often cited for any HPV infection (including subclinical), but visible warts transmit less frequently.
2. Factors Reducing Transmission:
   • Condom use lowers risk by ~50%.
   • Intact skin barriers (no microtears) decrease inoculation.
   • Host immunity clears many infections before warts develop.
3. Why Not 60–70%?
   • That range applies to HPV DNA detection (e.g., PCR-positive swabs), but visible warts represent a smaller subset of infections.

Key Point:

While HPV is highly contagious, the 30–40% range better reflects the risk of clinical genital warts (not just asymptomatic infection).