It is possible that a pap smear be done with STD testing automatically or do you need to consent to STD tests specifically?
Two separate things. A pap smear is a screening test for cervical cancer. Getting tested for stds involves sending separate tests. Doctors and patients often link these items together though so it is best to specifically ask what tests are being done and clarify what tests you would like or do not want.
Ask your doctor. Some doctors will automatically test their sexually active female patients for stds, others don't. If you would like an std test, make sure you discuss this with your doctor before the pap smear, so they can do both at once.However testing for hiv, hep c, hep b, & hpv serotypes are done with blood.