Deck 13: Sexually Transmitted Infections Stis

Question 1

A sexually active person has an obligation to

A) begin treatment immediately if infected.
B) protect her or his partner through communication.
C) avoid sexual contact for life if infected with an STI.
D) be aware of signs and symptoms of STIs.

Answer 1

avoid sexual contact for life if infected with an STI.

Question 2

Herpes is considered a serious STI for all of the following reasons, EXCEPT

A) its high fatality rate.
B) the lack of a cure for the disease.
C) its serious impact on newborns.
D) its high incidence rate.

Answer 2

its high fatality rate.

Question 3

Approximately how many people worldwide acquire an STI each day?

A) 50, 000
B) 1 million
C) 500, 000
D) 250, 000

Answer 3

1 million

Question 4

Up to half the cases of urethritis in men are caused by:

A) syphilis.
B) herpes.
C) chlamydia.
D) HIV.

Question 5

What percentage of women with untreated gonorrhea may develop PID?

A) 30%
B) 40%
C) 20%
D) 10%

Question 6

Molly is sexually active and has had more than one sexual partner. She protects herself from pregnancy by using the contraceptive patch and from STIs by requiring that her partner wear a condom. Molly has never had any signs or symptoms of an STI. If Molly were to acquire an STI,

A) a course of antibiotics would cover any STI she would be most likely to contract.
B) she would know immediately because of the symptoms.
C) she should avoid all sexual activity until treatment is complete.
D) she would need to tell only her last sex partner about the infection.

Question 7

All of the following statements is TRUE regarding HPV infection, EXCEPT

A) It is a risk factor in penile cancer.
B) It is the leading cause of infertility in young women.
C) Many people who have HPV have no visible warts or symptoms.
D) It is one of the most common STIs in Canada.

Question 8

The highest rate of chlamydia is found in which province?

A) New Brunswick
B) Saskatchewan
C) Nova Scotia
D) Manitoba

Question 9

Which of the following statements is FALSE regarding pelvic inflammatory disease?

A) It is the leading cause of infertility in young women.
B) It always has severe and unmistakable early symptoms.
C) There may be recurrent problems despite treatment.
D) It can cause chronic pain.

Question 10

The hepatitis B virus can be transmitted via all of the following, EXCEPT

A) eating utensils.
B) toilet seats.
C) toothbrushes.
D) razor blades.

Question 11

Which one of the following statements is FALSE regarding STIs?

A) STIs can cause birth defects.
B) STIs are often silent diseases.
C) STIs are linked to infertility.
D) STIs cannot be transmitted unless an infected person has symptoms.

Question 12

The incubation period for gonorrhea is:

A) 1 to 2 days.
B) 2 to 7 days.
C) 2 to 4 days.
D) 7 to 10 days.

Question 13

Typical symptoms of trichomoniasis in women include

A) greenish, foul-smelling vaginal discharge.
B) decreased appetite, nausea, and vomiting.
C) lesions around the vagina.
D) fever and chills.

Question 14

Approximately how many cases of gonorrhea are reported annually in Canada?

A) 13, 000
B) 5, 000
C) 17, 000
D) 11, 000

Question 15

Which of the following is NOT a symptom of chlamydia?

A) lower abdominal pain in females
B) painful urination for males and females
C) discharge from the penis or vagina
D) generalized rash

Question 16

The most common cause of abnormal vaginal discharge in women of reproductive age is

A) gonorrhea.
B) chlamydia.
C) trichomoniasis.
D) bacterial vaginosis.

Question 17

Which of the following statements is TRUE regarding oral sex and the transmission of HIV?

A) It is the riskiest of all sexual activities.
B) It is responsible for a small but significant number of cases of HIV transmission.
C) It has less of a risk of transmission of HIV than anal or vaginal intercourse.
D) The risk of HIV transmission through oral sex increases if the person performing it has poor oral hygiene.

Question 18

Needle-sharing among drug users often leads to HIV transmission because

A) psychoactive drugs carry large amounts of the virus.
B) a drug user's immune system is already weakened.
C) needles may be contaminated with blood that contains HIV.
D) antiviral medications are ineffective when other drugs are in the bloodstream.

Question 19

Characteristics of primary syphilis include

A) a lesion at the site where the organism entered the body.
B) painful lesions throughout the genital area.
C) hair loss.
D) a rash on the palms of the hands.

Question 20

HPV infection in pregnant women can be transmitted to the newborn, occasionally causing warts to form on the infant's

A) toes.
B) genitals.
C) vocal cords.
D) fingers.

Question 21

The family of viruses that causes genital warts is

A) norovirus.
B) human papillomavirus.
C) herpes simplex virus.
D) coronavirus.

Question 22

A highly contagious parasitic STI is

A) pediculosis.
B) condyloma.
C) Candida albicans.
D) pubic lice.

Question 23

The most effective approach to avoiding STIs is

A) the use of contraceptive foams.
B) the use of condoms.
C) penicillin therapy.
D) abstinence.

Question 24

Studies have found that women who frequently used for contraception were at greater risk for HIV transmission.

A) condoms
B) a diaphragm
C) a cervical cap
D) spermicides with nonoxynol-9

Question 25

Which of the following groups is at greater risk than the average for HIV/AIDS in Canada?

A) Canadians of African ancestry
B) Aboriginals, Canadians of African ancestry, and injection drug users
C) Aboriginals
D) Injection drug users

Question 26

Without treatment, what percentage of newborns will die of HSV?

A) 25%
B) 40%
C) 50%
D) 65%

Question 27

The greatest risk sexual activity for HIV transmission is:

A) hand-genital contact and deep kissing.
B) sharing of sex toys.
C) unprotected anal sex.
D) unprotected vaginal intercourse.

Question 28

Worldwide, HIV infection is spread primarily via which of the following?

A) sex between men
B) injection drug use
C) heterosexual sex
D) mother-to-child transmission

Question 29

The transmission of HIV from mother to child is called

A) opportunistic transmission.
B) lateral transmission.
C) gestational transmission.
D) perinatal transmission.

Question 30

The lowest rate of chlamydia is found in which province?

A) New Brunswick
B) Nova Scotia
C) Newfoundland and Labrador
D) Saskatchewan

Question 31

The highest rate of gonorrhea is found in which province?

A) Saskatchewan
B) New Brunswick
C) Manitoba
D) Nova Scotia

Question 32

Molly is sexually active and has had more than one sexual partner. She protects herself from pregnancy by using the contraceptive patch and from STIs by requiring that her partner wear a condom. Molly has never had any signs or symptoms of an STI. For which STI is Molly most at risk?

A) HIV infection
B) gonorrhea
C) PID
D) HPV infection

Question 33

Gonococcal conjunctivitis is an inflammation of the mucous membrane lining the

A) respiratory tract.
B) urinary tract.
C) eyelids.
D) vagina.

Question 34

The riskiest sexual activity for contracting HIV is

A) being the receptive partner during unprotected anal intercourse.
B) receiving cunnilingus.
C) being the receptive partner during unprotected vaginal intercourse.
D) receiving fellatio.

Question 35

Approximately what percentage of Canadian women have antibodies to HSV 2?

A) 6%
B) 16%
C) 26%
D) 36%

Question 36

Protease inhibitors

A) target the development of a protein coat around new copies of HIV.
B) stop the production of CCR-5 cells.
C) regulate the production of new CD4 lymphocytes.
D) replace HIV DNA with CD4 RNA.

Question 37

Molly is sexually active and has had more than one sexual partner. She protects herself from pregnancy by using the contraceptive patch and from STIs by requiring that her partner wear a condom. Molly has never had any signs or symptoms of an STI. Based on Molly's sexual behaviour, she is probably most at risk for

A) developing cervical cancer.
B) becoming infertile.
C) developing chronic hepatitis.
D) having an ectopic pregnancy.

Question 38

Which of the following does NOT contribute to causing bacterial vaginosis?

A) changing sexual partners
B) douching
C) engaging in sexual activity
D) using condoms

Question 39

Which one of the following statements is FALSE regarding the global spread of HIV/AIDS?

A) Asia and Africa are on par with each other in terms of the number of people living with HIV.
B) HIV disproportionately affects the poor and ethnic minorities.
C) Political, economic, and social barriers contribute to the ongoing spread of HIV infection.
D) 95% of infections occur in developing countries where heterosexual contact is the main means of HIV transmission.

Question 40

A drug used to treat herpes is

A) Flagyl.
B) doxycycline.
C) podophyllin.
D) acyclovir.

Question 41

Infertility is approximately percent after three episodes of PID.

A) 57
B) 20
C) 40
D) 8

Question 42

Which percentage of HIV transmission involves men having sex with men?

A) 46.7%
B) 38%
C) 60%
D) 41.3%

Question 43

Which region has the greatest number of children and adults living with HIV?

A) Sub-Saharan Africa
B) North Africa/Middle East
C) Central and South America
D) South/Southeast Asia

Question 44

Vertical transmission of HIV is

A) sexual transmission.
B) transmission through contaminated needles.
C) transmission during medical procedure.
D) mother-to-child transmission.

Question 45

Approximately how many people worldwide are killed from Hepatitis B each year?

A) 600, 000
B) 950, 000
C) 275, 000
D) 50, 000

Question 46

All of the following are risk factors for contracting HIV, EXCEPT

A) alcohol and other drug use.
B) using a condom lubricated with nonoxynol-9 during vaginal or anal sex.
C) sex with multiple partners.
D) mutual masturbation.

Question 47

Which of the following groups is most affected by syphilis?

A) women who have sex with women
B) young women aged 15-20
C) people with multiple sex partners
D) sex workers and their clients

Question 48

The lowest rate of chlamydia is found in which province?

A) Newfoundland and Labrador
B) New Brunswick
C) Saskatchewan
D) Nova Scotia

Question 49

Chlamydia infection is the leading cause of n men under age 35.

A) epididymitis
B) urethritis
C) prostatitis
D) testiculitis

Question 50

Chlamydia affects approximately times as many women as men.

A) three
B) two
C) eight
D) five

Question 51

Which one of the following statements is TRUE regarding gonorrhea?

A) Most women with gonorrhea have no symptoms.
B) Gonorrhea is the most prevalent viral STI.
C) There is no effective treatment for gonorrhea.
D) Gonorrhea is caused by a bacterium that can survive for several hours on objects such as toilet seats.

Question 52

Transmission of HIV occurs through

A) sharing eating utensils with someone with HIV.
B) using the same toilet as someone with HIV.
C) hugging someone with HIV.
D) unprotected sexual intercourse with someone with HIV.

Question 53

Gonorrhea is best described as a sexually transmitted infection

A) characterized by the appearance of dry, rough growths on the genital area.
B) caused by a bacterium that usually affects mucous membranes.
C) characterized by recurrent outbreaks of blister like sores.
D) that produces a painful rash.

Question 54

The most prevalent bacterial STI in Canada is:

A) chlamydia.
B) HIV.
C) herpes.
D) syphilis.

Question 55

The incubation period of HPV is

A) 1 month to 2 years from the time of contact.
B) 5 to 7 days from the time of contact.
C) 1 to 2 weeks from the time of contact.
D) 6 to 11 years from the time of contact.

Question 56

The infection most often seen in people with HIV infection is

A) pneumonia.
B) mycobacterium avium complex.
C) tuberculosis.
D) Kaposi's sarcoma.

Question 57

Which of the following statements is FALSE regarding the transmission of HIV?

A) The presence of blisters or sores in the genital area increases the risk of HIV transmission.
B) The risk of transfusion-related HIV transmission has decreased dramatically because of testing of the blood supply.
C) During vaginal intercourse, female-to-male transmission is more likely than male-to-female transmission.
D) HIV can be transmitted from needles or blades used in acupuncture or tattooing if they are shared.

Question 58

Approximately how many people are currently infected with HIV worldwide?

A) 13 million
B) 23 million
C) 36 million
D) 43 million

Question 59

Signs and symptoms of HIV infection include all of the following, EXCEPT

A) immobilizing fatigue.
B) fever, chills, or night sweats.
C) weight gain.
D) unexplained, persistent swollen glands.

Question 60

Which of the following often occurs after a change in sexual partners?

A) pediculosis
B) bacterial vaginosis
C) condyloma
D) pubic lice

Question 61

What percentage of AIDS cases are found in Aboriginals?

A) 12.2%
B) 50%
C) 25%
D) 62.5%

Question 62

All of the following are TRUE regarding syphilis in pregnant women, EXCEPT there is

A) no risk of infection for the infant if delivery is by cesarean section.
B) increased risk of stillbirth.
C) increased risk of birth defects.
D) increased risk of premature labor and delivery.

Question 63

All of the following is considered a means of transmission of HBV, EXCEPT

A) the use of a contaminated razor blade or toothbrush
B) by sitting on the same toilet seat as someone who is infected
C) the use of injectable drugs
D) sexual activity that involves an exchange of body fluids

Question 64

Which of the following statements is FALSE regarding secondary syphilis?

A) It is characterized by a rash typically found on the palms of the hands and the soles of the feet.
B) This stage involves mild flulike symptoms.
C) Signs and symptoms appear 3-6 weeks after the first lesion appears.
D) A person is not contagious because of the absence of lesions.

Question 65

The status of the immune system in someone with HIV infection can be monitored by checking

A) CD4 T-cell counts.
B) total lymphocyte counts.
C) therapeutic drug levels.
D) antibody levels.

Question 66

Infants with chlamydia infection

A) are at risk for brain damage.
B) are born with congenital deformities.
C) acquire the infection through contact with the bacterium in the birth canal during delivery.
D) acquire the infection during the second trimester of pregnancy.

Question 67

Approximately how many Canadians are killed from Hepatitis B each year?

A) 100
B) 20
C) 750
D) 50

Question 68

A chancre is a sign of

A) PID.
B) syphilis.
C) HIV infection.
D) hepatitis A.

Question 69

Which of the following is NOT one of the three main routes of HIV transmission?

A) from an HIV-infected woman to her fetus during pregnancy or childbirth or to her infant during breastfeeding
B) from specific kinds of sexual contact
C) from an HIV-infected person's eating utensils
D) from direct exposure to infected blood

Question 70

Which of the following is the fastest growing group of newly infected persons?

A) injection drug users
B) women
C) men
D) women who have sex with women

Question 71

Genital warts are difficult to treat effectively because

A) the bacterium that causes them is resistant to most antibiotics.
B) they grow into large clusters on most infected individuals.
C) the incubation period is very short.
D) available treatments do not eradicate the virus.

Question 72

The average time span between the initial HIV infection and the onset of disease symptoms in untreated people is years.

A) 2
B) 11
C) 5
D) 20

Question 73

The incubation period for HBV is:

A) 30 to 180 days
B) 10 to 30 days
C) 5 to 10 days
D) 50 to 100 days

Question 74

Pelvic inflammatory disease (PID) is a common complication of

A) syphilis and herpes.
B) gonorrhea and chlamydia.
C) herpes and gonorrhea.
D) genital HPV infection and chlamydia.

Question 75

A common sexually transmitted infection caused by an organism is

A) scabies.
B) trichomoniasis.
C) HPV infection.
D) pubic lice.

Question 76

Those at greatest risk for developing gonorrhea are

A) under age 30.
B) under age 20.
C) between 20 and 30.
D) between 25 and 38.

Question 77

Which region has the lowest number of children and adults living with HIV?

A) Sub-Saharan Africa
B) Oceania
C) Central and South America
D) Caribbean

Question 78

The stigma of AIDS

A) is equal for men and women.
B) is minimal throughout the world.
C) hits men harder than women.
D) hits women harder than men.

Question 79

Which of the following statements is TRUE regarding HIV transmission and infection?

A) HIV-positive mothers can breastfeed their infants without risk of HIV transmission.
B) The rate of HIV infection is higher among whites than among blacks.
C) Infants born with HIV appear ill at birth.
D) The risk of HIV transmission during oral sex increases if a person has brushed his or teeth or flossed just before or after oral sex.

Question 80

Which of the following may be a symptom of chlamydia in women?

A) vaginal discharge
B) burning with urination
C) decreased sputum
D) pain or bleeding with intercourse