Deck 26: Microbial Diseases of the Urinary and Reproductive Systems

Question 1

Cystitis is most often caused by

A) Gram- negative rods.
B) Gram- positive rods.
C) Gram- negative cocci.
D) Gram- positive cocci.
E) All of the above.

Answer 1

A

Question 2

Glomerulonephritis is

A) Caused by Streptococcus pyogenes.
B) Treated with penicillin.
C) An immune complex disease.
D) Transmitted by contaminated water.
E) A and C.

Answer 2

C

Question 3

Which of the following is not a complication of gonorrhea?

A) Pelvic inflammatory disease
B) Meningitis
C) Endocarditis
D) Sterility
E) None of the above

Answer 3

E

Question 4

Which of the following is treated with penicillin?

A) Syphilis
B) Lymphogranuloma venereum
C) Candidiasis
D) Trichomoniasis
E) Genital warts

Question 5

Which of the following is caused by an opportunistic pathogen?

A) Gonorrhea
B) Trichomoniasis
C) Genital herpes
D) Candidiasis
E) None of the above

Question 6

Which of the following forms lesions similar to those of tuberculosis?

A) Gonorrhea
B) Genital herpes
C) Lymphogranuloma venereum
D) Syphilis
E) Chancroid

Question 7

A 25- year- old male presented with fever, malaise, and a rash on his chest, arms, and feet. Diagnosis was made based on serological testing. The patient then reported that he had an ulcer on his penis two months earlier. What stage of disease is the patient in?

A) Secondary
B) Tertiary
C) NGU
D) Primary

Question 8

Which of the following is diagnosed by detection of antibodies against the causative agent?

A) Nongonococcal urethritis
B) Lymphogranuloma venereum
C) Syphilis
D) Gonorrhea
E) Candidiasis

Question 9

A normal urine sample collected by urinating into a sterile collection cup

A) Contains more than 100,000 bacteria/ml.
B) Is sterile.
C) Contains less than 10,000 bacteria/ml.
D) Contains less than 100 bacteria/ml.
E) None of the above.

Question 10

Which of the following is the most difficult to treat with chemotherapeutic agents?

A) Trichomoniasis
B) Genital herpes
C) Syphilis
D) Gonorrhea
E) All of the above

Question 11

A patient presents with fever and extensive lesions of the labia minora. Her VDRL test was negative. What is the most likely treatment?

A) Acyclovir
B) Miconazole
C) No treatment is available
D) Cephalosporins
E) Metronidazole

Question 12

Nongonococcal urethritis can be caused by all of the following except

A) Mycoplasma homini.
B) Streptococci.
C) Candida albicans.
D) Neisseria gonorrhoeae.
E) Trichomonas vaginalis.

Question 13

The pH of the adult vagina is acidic due to the conversion of ___(1) ____to ____(2) ____by bacteria.

A) 1- Protein; 2- Acetic acid
B) 1- Glucose; 2- Ethyl alcohol
C) 1- Glycogen; 2- Lactic acid
D) 1- Urine; 2- Lactic acid
E) 1- Mucosal cells; 2- Lactic acid

Question 14

All of the following are predisposing factors to cystitis in females except

A) The proximity of the anus to the urethra.
B) Sexual intercourse.
C) The length of the urethra.
D) Poor personal hygiene.
E) None of the above.

Question 15

Which of the following pairs is mismatched?

A) Syphilis - gram- negative spirochete
B) Chancroid - gram- negative rod
C) Gonorrhea - gram- negative cocci
D) Trichomoniasis - fungus
E) Gardnerella - clue cells

Question 16

A pelvic examination of a 23- year- old female showed vesicles and ulcerated lesions on her labia. Cultures were negative for Neisseria and Chlamydia; the VDRL test was negative. Which of the following is probable?

A) Gonorrhea
B) NGU
C) Genital herpes
D) Syphilis
E) Candidiasis

Question 17

Pelvic inflammatory disease

A) Affects one million women annually.
B) Can be caused by N. gonorrhoeae.
C) Can be caused by C. trachomatis.
D) Can be transmitted sexually.
E) All of the above.

Question 18

Which of the following is greater?

A) They are equal.
B) The number of reported cases of gonorrhea last year.
C) The number of reported cases of AIDS last year.

Question 19

Which of the following diseases causes a skin rash, hair loss, malaise, and fever?

A) NGU
B) Syphilis
C) Gonorrhea
D) Trichomoniasis
E) None of the above

Question 20

One form of NGU is lymphogranuloma venereum caused by

A) Neisseria gonorrhoeae.
B) Leptospira interrogans.
C) Candida albicans.
D) Chlamydia trachomatis.
E) Treponema pallidum.

Question 21

A 25- year- old male presented with fever, malaise, and a rash on his chest, arms, and feet. Which of the following will be most useful for a rapid diagnosis?

A) Serological test for antigen
B) Microscopic examination of blood
C) Bacterial culture
D) Serological test for antibodies
E) Viral culture

Question 22

Itching and cheesy discharge are symptoms of:

A) Trichomoniasis
B) Genital herpes
C) Candidiasis
D) Lymphogranuloma venereum
E) Gardnerella vaginosis

Question 23

Normal microbiota of the adult vagina consist primarily of

A) Mycobacterium.
B) Streptococcus.
C) Lactobacillus.
D) Neisseria.
E) All of the above.

Question 24

The most common STD in the United States is treated with

A) AZT.
B) Penicillin.
C) Tetracycline.
D) Acyclovir.
E) None of the above; it's untreatable.

Question 25

Which one of the following statements about genital warts is not true?

A) It is always precancerous.
B) It is transmitted by direct contact.
C) It is treated by removing them.
D) It is caused by papillomaviruses.
E) All of the above.

Question 26

Infants born to mothers with recurrent genital herpes do not usually acquire Herpesvirus at birth if the mother is asymptomatic because

A) The disease cannot be transmitted to newborns.
B) Maternal antibodies offer protection.
C) The disease is not communicable.
D) Prophylactic antibiotics are administered to the newborn.
E) None of the above.

Question 27

Pyelonephritis may result from

A) Systemic infections.
B) Ureteritis.
C) Cystitis.
D) Urethritis.
E) All of the above.

Question 28

Recurring vesicles are symptoms of:

A) Gardnerella vaginosis
B) Trichomoniasis
C) Lymphogranuloma venereum
D) Genital herpes
E) Candidiasis

Question 29

Pyelonephritis usually is caused by

A) Escherichia coli.
B) Enterobacter aerogenes.
C) Pseudomonas aeruginosa.
D) Proteus spp.
E) Streptococcus pyogenes.

Question 30

This is caused by Chlamydia:

A) Trichomoniasis
B) Lymphogranuloma venereum
C) Gardnerella vaginosis
D) Candidiasis
E) Genital herpes

Question 31

All of the following are predisposing factors to urinary tract infection except

A) Kidney stones.
B) Tumors.
C) Diabetes mellitus.
D) Toxemia.
E) None of the above.

Question 32

Which of the following is treated with spectinomycin because the organism produces penicillinase?

A) Mycoplasma hominis
B) Haemophilus ducreyi
C) Treponema pallidum
D) Neisseria gonorrhoeae
E) None of the above

Question 33

A 25- year- old male presented with fever, malaise, and a rash on his chest, arms, and feet. Diagnosis was made based on serological testing. The patient then reported that he had an ulcer on his penis two months earlier. This disease can be treated with

A) Miconazole.
B) Surgery.
C) Acyclovir.
D) Penicillin.
E) Metronidazole.

Question 34

Leukocytes at the infected site is a symptom of:

A) Lymphogranuloma venereum
B) Trichomoniasis
C) Genital herpes
D) Gardnerella vaginosis
E) Candidiasis

Question 35

A 25- year- old male presented with fever, malaise, and a rash on his chest, arms, and feet. The etiology could be any of the following except

A) Borrelia.
B) Streptococcus.
C) Treponema.
D) Rickettsia.
E) Mumps virus.

Question 36

The reservoir for leptospirosis is

A) Water.
B) Domestic dogs.
C) Domestic cats.
D) Humans.
E) None of the above.

Question 37

A pelvic examination of a 23- year- old female showed vesicles and ulcerated lesions on her labia. Cultures were negative for Neisseria and Chlamydia; the VDRL test was negative. Which treatment is appropriate?

A) Penicillin
B) Surgery
C) Metronidazole
D) Miconazole
E) Acyclovir

Question 38

Which of the following is not primarily a sexually transmitted disease (STD)?

A) Lymphogranuloma venereum
B) Chancroid
C) Gonorrhea
D) Genital herpes
E) Trichomoniasis

Question 39

Staphylococcus saprophyticus causes

A) Vaginitis.
B) Pyelonephritis.
C) Cystitis.
D) Syphilis.
E) Gonorrhea.

Question 40

Which of the following recurs at the initial site of infection?

A) Gonorrhea
B) Chancroid
C) Genital herpes
D) Syphilis
E) All of the above

Question 41

All of the following can cause congenital infections or infections of the newborn except

A) Syphilis.
B) Lymphogranuloma venereum.
C) Nongonococcal urethritis.
D) Gonorrhea.
E) Genital herpes.

Question 42

Most nosocomial infections of the urinary tract are caused by

A) Klebsiella.
B) Enterococcus.
C) E. coli.
D) Pseudomonas.
E) Proteus.

Question 43

A patient is experiencing profuse greenish- yellow, foul- smelling discharge from her vagina; she is complaining of itching and irritation. What is the most likely treatment?

A) Acyclovir
B) No treatment is available
C) Miconazole
D) Metronidazole
E) Cephalosporins

Question 44

Nongonococcal urethritis can be caused by all of the following except

A) Mycoplasma.
B) Ureaplasma.
C) Chlamydia.
D) Neisseria.
E) None of the above.

Question 45

The most common reportable disease in the United States is

A) Gonorrhea.
B) Cystitis.
C) Syphilis.
D) Lymphogranuloma venereum.
E) Candidiasis.