Deck 15: Sexually Transmitted Infections

Question 1

It appears that teenage girls and young women in their early 20s are especially susceptible to chlamydia infection, largely because their ____ have not fully matured.

A)vaginas
B)cervixes
C)fallopian tubes
D)ovaries

Answer 1

B

Question 2

____ is the MOST frequently reported infectious disease in the United States.

A)Trichomoniasis
B)Candidiasis
C)Chlamydia
D)Gonorrhea

Answer 2

C

Question 3

Complications of untreated gonorrhea in women include:

A)vulvar vestibulitis.
B)adenocarcinoma of the cervix.
C)inflamed Skene's glands.
D)infertility.

Answer 3

D

Question 4

In a small number of men, which of the following complications may arise from untreated gonorrhea?

A)Prostate abscesses
B)A clear discharge from the urethra with sexual arousal
C)Inflammation of the penile glans and foreskin
D)Chronic lung disease

Question 5

Which of the following STIs can infect the throat, anus, and genitals?

A)Gonorrhea
B)Bacterial vaginosis
C)Trichomoniasis
D)Pubic lice

Question 6

In males, Chlamydia can cause all of the following symptoms EXCEPT:

A)penile discharge.
B)burning during urination.
C)pain and swelling in the testicles.
D)hard, painless lesions on the penis.

Question 7

Which of the following is NOT one of the guidelines outlined in your text for telling your partner you have an STI?

A)Be honest.
B)Be sure your partner understands the importance of obtaining a medical evaluation.
C)Continue sexual activity with your partner even if you have not yet received treatment so the person won't feel rejected.
D)Even if you suspect that your partner infected you, don't blame them.

Question 8

Possible complications from pelvic inflammatory disease include all of the following EXCEPT:

A)enhanced fertility.
B)disrupted menstrual periods .
C)chronic pelvic pain.
D)ectopic pregnancy.

Question 9

In which age group is it estimated that about half the STIs diagnosed annually in the United States occur?

A)15-24
B)26-34
C)36-44
D)46-54

Question 10

Which of the following statements regarding gonorrhea is TRUE?

A)Gonorrhea is a viral infection.
B)Gonorrhea is usually treated with HAART.
C)If left untreated, complications include cervical and penile cancer.
D)Because coexisting chlamydia infections often accompany gonorrhea, health practitioners often use a treatment strategy that is effective against both.

Question 11

The most common symptom(s)of gonorrhea in men are:

A)bad-smelling, cloudy penile discharge and burning sensations during urination.
B)sharp pain in the lower back.
C)inflammation of the penile glans and foreskin.
D)difficulty urinating and constipation.

Question 12

Which of the following is TRUE of gonorrhea symptoms in females?

A)The symptoms are the same as those found in men.
B)Early symptoms include heavy vaginal discharge and pain during urination.
C)Most women will be unaware of infection at the primary site.
D)Nearly all women will notice early symptoms of infection.

Question 13

Nongonococcal urethritis can be caused by all of the following EXCEPT:

A)Bacterial organisms.
B)Retroviruses.
C)Allergic reactions to vaginal secretions.
D)Irritation from soaps, vaginal contraceptives, or deodorant sprays.

Question 14

All of the following are cited as factors contributing to the high incidence of STIs in adolescents and young adults EXCEPT for:

A)alcohol use.
B)unreliability of latex condoms.
C)increased use of oral contraceptives.
D)limited access to effective systems for prevention and treatment of STIs .

Question 15

Which of the following statements concerning chlamydia infection is FALSE?

A)The majority of women with lower reproductive tract chlamydia infection have few or no symptoms.
B)Chlamydia is associated with penile cancer in men if left untreated.
C)Women infected with chlamydia are up to five times more likely to become infected with HIV .
D)Chlamydia is usually treated with doxycycline or azithromycin.

Question 16

____ can cause ____, the world's leading cause of preventable blindness.

A)Viral hepatitis; cataracts
B)Chlamydia; trachoma
C)Syphilis; macular degeneration
D)Trichomoniasis; retinal detachment

Question 17

Ynez has just learned her partner has gonorrhea. Ynez . . .

A)only needs to be concerned if she is having symptoms such as unusual discharge.
B)should feel completely confident she and her partner can be quickly and easily cured.
C)may be able to pass on gonorrhea to another partner even if she has no symptoms.
D)is less likely to experience serious complications, such as PID, than if she had been exposed to Chlamydia.

Question 18

Trent and Lindsay had vaginal sex a few times before Trent told Lindsay he has been diagnosed with chlamydia. Lindsay, who has not noticed any symptoms that she is ill, just discovered she is three months pregnant. Lindsay . . .

A)should not worry because she has no symptoms, and the large majority of women with chlamydia have noticeable symptoms.
B)should not worry because chlamydia is primarily transmitted through anal sex.
C)should be very concerned because chlamydia cannot be treated by any currently available methods.
D)should be concerned, in part because chlamydia could cause complications for her unborn child.

Question 19

Five days after sexual contact with a new partner, Gary experiences burning during urination and a bad-smelling, cloudy discharge from his penis. Assuming he does not have NGU, the suspected infection would most likely be:

A)candidiasis.
B)syphilis.
C)trichomoniasis.
D)gonorrhea.

Question 20

Chlamydia infection, if left untreated, may result in all of the following EXCEPT:

A)genital warts.
B)infection of the cervix.
C)pelvic inflammatory disease.
D)inflammation of the urethral tube.

Question 21

Which of the following statements concerning herpes is FALSE?

A)Oral herpes may be transmitted by kissing.
B)Herpes may be transmitted during asymptomatic periods.
C)Herpes will not pass through latex condoms.
D)Oral herpes is substantially less common than genital herpes.

Question 22

Which of the following is the MOST accurate statement regarding the treatment of herpes?

A)Adequate rest, relaxation, and fluid intake can eliminate the virus over time.
B)For most patients, herpes can be cured with either d oxycycline by mouth for several days, or one dose of azithromycin.
C)Because no treatment has been proven effective in curing either oral or genital herpes, treatment focuses on preventing outbreaks and/or reducing discomfort .
D)The herpes vaccine can prevent reinfection, thus reducing the severity of symptoms and frequency of outbreaks.

Question 23

The second stage of syphilis is characterized by:

A)painful, blister-like lesions on the genitals.
B)a skin rash with flu-like symptoms.
C)high fever, genital inflammation, and night sweats.
D)no observable symptoms.

Question 24

In women, papules due to genital herpes most commonly appear in the:

A)clitoris.
B)labia.
C)inner vaginal walls.
D)cervix.

Question 25

All of the following are mentioned as factors that may trigger reactivation of the herpes virus EXCEPT:

A)a diet high in vitamins and nutrients.
B)emotional stress.
C)menstruation.
D)being overtired.

Question 26

____ is caused by a thin, corkscrew-like bacterium commonly called a spirochete.

A)Chlamydia
B)Candidiasis
C)Gonorrhea
D)Syphilis

Question 27

Possible complications of a herpes infection in women include all of the following EXCEPT:

A)cervical cancer.
B)infection of the newborn.
C)liver failure.
D)increased risk of HIV.

Question 28

The symptoms of nongonococcal urethritis (NGU)in males are similar to those of:

A)syphilis.
B)gonorrhea.
C)AIDS.
D)viral hepatitis.

Question 29

All of the following are phases of syphilitic development EXCEPT the:

A)tertiary phase.
B)prodromal phase.
C)latent phase.
D)primary phase.

Question 30

Which one is NOT true concerning pregnant women with genital herpes and their children?

A)A newborn may be infected with genital herpes while passing through the birth canal.
B)Perinatal transmission of herpes to a newborn usually causes just mild symptoms.
C)The risk of a pregnant mother transmitting genital herpes to her newborn is highest for women who are first infected during late pregnancy.
D)It is believed that viral shedding from the cervix, vagina, or vulva plays the primary role in transmitting the infection perinatally from mother to infant.

Question 31

Which of the following statements concerning syphilis is FALSE?

A)A latent stage can last for several years.
B)If syphilis is successfully treated before the fourth month of pregnancy, the fetus will not be affected.
C)Syphilis can result in death.
D)The incidence of syphilis has continued to decrease into the 21st century.

Question 32

If left untreated, ____ can result in death.

A)gonorrhea
B)syphilis
C)chlamydia
D)herpes

Question 33

Benito's doctor has just diagnosed Benito with tertiary syphilis. Benito . . .

A)should not be concerned, because tertiary syphilis is the least serious form of the disease.
B)has no treatment options at this stage.
C)should get a second opinion given that syphilis has pretty much been eliminated in the United States in the past several decades.
D)would likely benefit from treatment involving intramuscular injections of penicillin.

Question 34

Joe experiences sensations of itching, throbbing, and burning on his penis and scrotum. A few days later, painful, red bumps appear in the same area. The sensations Joe experienced before the bumps appeared are known as . . .

A)prodromal symptoms of herpes .
B)tertiary symptoms of syphilis .
C)primary symptoms of gonorrhea .
D)secondary symptoms of HPV .

Question 35

Which of the following is true regarding syphilis infection in pregnancy?

A)If syphilis is successfully treated before the 4th month of pregnancy, the fetus likely will not be affected .
B)Because a syphilis infection is a threat to the fetus only during delivery, a c-section can prevent the baby from experiencing any complications from a mother's infection.
C)As long as a baby survives pregnancy, he/she will not experience complications from a mother's syphilis infection.
D)Because there is no effective treatment for syphilis during pregnancy, pregnant women with the infection are advised to abort.

Question 36

Henry notices lesions on his scrotum and penis. They do not hurt, but Henry decides to visit his doctor, who diagnoses him with _______ syphilis.

A)primary
B)secondary
C)latent
D)tertiary

Question 37

____ usually manifests as cold sores on the mouth or lips, and ____ generally appears as lesions on and around the genital areas.

A)HSV-1; HSV-2
B)HSV-2; HSV-1
C)Primary syphilis; secondary syphilis
D)HPV-2; HPV-1

Question 38

Which of the following statements regarding NGU is FALSE?

A)In women, there are usually no symptoms.
B)In rare cases, NGU can produce a form of arthritis.
C)NGU may result in PID if left untreated in women.
D)There are no known consequences of NGU if left untreated in men.

Question 39

Symptoms of oral herpes can include . . .

A)papules on the lips.
B)papules on the inside of the mouth, on the tongue, and on the throat.
C)flulike symptoms.
D)All of the above.

Question 40

Which of the following is a prodromal symptom of herpes?

A)The appearance of a papule
B)The rupture of the blisters
C)An itching or burning sensation
D)A feeling of depression

Question 41

Which of the following statements concerning common vaginal infections is FALSE?

A)Bacterial vaginosis is the most common type.
B)Vaginal infections are fairly uncommon except in highly sexually active women.
C)Lactobacilli usually help maintain a healthy vaginal environment.
D)Antibiotic therapy may increase the likelihood of vaginal infection.

Question 42

Mackenzie notices she has a bad-smelling, grayish vaginal discharge. Mackenzie most likely is suffering from . . .

A)candidiasis.
B)trachoma.
C)bacterial vaginosis .
D)trichomoniasis .

Question 43

Which of the following statements concerning bacterial vaginosis is FALSE?

A)There is little or no proven benefit in treating male sex partners of women diagnosed with BV.
B)BV is always sexually transmitted.
C)BV can be successfully treated through intravaginal application of topical metronidazole gel or clindamycin cream .
D)BV can cause inflammation of the glans and the foreskin of the penis in males.

Question 44

HPV is most often transmitted by . . .

A)people who are in the prodromal phase of an outbreak.
B)people with two or more genital warts.
C)asymptomatic individuals who do not realize that they are infected.
D)women in early stages of pregnancy to their fetuses.

Question 45

85-90% of the attributable risk for the development of cervical cancer is due to . . .

A)chlamydia.
B)HSV-2.
C)HSV-1.
D)HPV.

Question 46

In women, genital warts most commonly appear on the:

A)bottom part of the vaginal opening.
B)clitoris.
C)urethra.
D)mons veneris.

Question 47

In men, genital warts most commonly appear on the:

A)scrotum.
B)glans, foreskin, or shaft of the penis .
C)inside of the urethra.
D)perineum.

Question 48

Hepatitis B . . .

A)is becoming increasingly common in the United States.
B)unlike hepatitis C, cannot be prevented through vaccination.
C)unlike hepatitis A, is not associated with liver cancer.
D)is often transmitted through manual, oral, or penile stimulation of the anus.

Question 49

Recent evidence suggests a link between ____ and premature rupture of the amniotic sac and preterm labor during pregnancy.

A)candidiasis
B)bacterial vaginosis
C)scabies
D)chlamydia

Question 50

Vaccines are available for all of the following EXCEPT:

A)Hepatitis A.
B)Hepatitis B.
C)Hepatitis C.
D)In fact, effective vaccines have not been developed for any form of hepatitis.

Question 51

A notable sign of viral hepatitis is:

A)swelling of the testicles.
B)vulva irritation.
C)intense itching of the lower abdomen.
D)yellowing of the whites of the eyes.

Question 52

Reyna experiences recurrent genital herpes outbreaks fairly frequently. Which of the following suggestions would be LEAST helpful to her in minimizing the discomfort associated with these outbreaks?

A)Wash the area with warm water and soap two to three times daily .
B)Use a local topical anesthetic.
C)Wear nylon underwear.
D)Learn relaxation techniques.

Question 53

All of the following can increase a woman's susceptibility to vaginal infections EXCEPT:

A)douching more frequently.
B)taking antibiotics.
C)switching from cotton to nylon underwear.
D)changing her method of contraception from to condoms to birth control pills.

Question 54

Georgia worries about her 14-year-old daughter, Makayla, developing cervical cancer, because two of Georgia's friends have had it, and one passed away as a result. Georgia does not believe Makayla has yet become sexually active. What can Georgia do to reduce Makayla's risk of cervical cancer?

A)Ask Makayla's physician about getting Makayla the Gardasil vaccine .
B)Encourage Makayla to remain sexually abstinent, because the Gardasil vaccine has not been proven effective in preventing HPV transmission.
C)Ask Makayla to let her know when she begins sexual activity, because Makayla cannot be vaccinated until she has been sexually active for at least six months .
D)Ask Makayla's physician to prescribe several antibiotics to counteract the risk any existing cervical cancer infection could mutate .

Question 55

HPV infections:

A)are associated with various cancers.
B)are caused by a bacterial microorganism.
C)are usually treated with antibiotics.
D)have decreased in incidence in recent years.

Question 56

Which of the following statements concerning genital warts is TRUE? ​

A)The incubation period is seven to ten days.
B)Genital warts are unattractive and a nuisance, but there are few serious complications associated with having them.
C)The incidence of HPV infections that cause genital warts has reached epidemic proportions.
D)In women, genital warts appear on the external, but not the internal genitals.

Question 57

A common cause of throat and mouth cancer among American men is . . .

A)HIV.
B)HPV.
C)HSV-2.
D)HSV-1.

Question 58

Hepatitis C . . .

A)has decreased dramatically since the development of a vaccine in the 1990s.
B)had superseded AIDS as a cause of death in the United States .
C)is less likely to lead to serious complications than hepatitis A.
D)usually requires no treatment other than bed rest and increasing fluid intake.

Question 59

All of the following may be used to treat genital warts EXCEPT:

A)Zovirax.
B)vaporization by carbon dioxide laser.
C)topical applications of podofilox, imiquimod cream, or trichloroacetic acid .
D)freezing with liquid nitrogen.

Question 60

Mickey, who describes himself as heterosexual, frequently drinks to intoxication and has been an intravenous methamphetamine user for years. After Mickey developed a high fever and vomiting, his doctor diagnosed Mickey with hepatitis C. Mickey most likely contracted hepatitis through . . .

A)sexual contact.
B)his IV drug use .
C)his alcohol use.
D)sleeping in the bed of someone infected with viral hepatitis .

Question 61

Bacterial vaginosis is more common among:

A)women who have sex with men.
B)men who have sex with men.
C)women who have sex with women.
D)celibate women.

Question 62

Which of the following statements concerning trichomoniasis is TRUE?

A)Trichomoniasis by definition cannot affect males.
B)The most common symptom in women is a watery gray discharge that smells like burning rubber.
C)Inflammation of genital tissues caused by trichomoniasis can increase a woman's susceptibility to HIV infection .
D)The male partner of a woman with trichomoniasis does not need to be treated.

Question 63

A type of vaginal infection caused by a protozoan parasite is called . . .

A)trichomoniasis .
B)candidiasis . candidiasis .
C)trachoma .
D)bacterial vaginosis .

Question 64

Which of the following statements regarding HIV is FALSE?

A)80% of HIV transmissions take place through sexual contact.
B)HIV is more easily spread from men to women than from women to men.
C)HIV is decreasing in developed nations and increasing dramatically in sub-Saharan Africa.
D)HIV is readily transmitted through needle sharing by injection drug users.

Question 65

To reduce the risk of a yeast infection, women should:

A)add a daily lactobacillus acidophilus supplement to their diet.
B)use glycerin-based lubricants.
C)avoid yogurt.
D)increase sugar intake.

Question 66

Which of the following is FALSE regarding the incidence of new HIV cases in the United States?

A)Many people with AIDS were infected during their adolescent years.
B)Although the overall incidence of new HIV infections in the U.S. population has been stable for several years, the number of new cases among teenagers, women, and racial and ethnic minorities continues to rise.
C)HIV is rarely seen in people younger than 20 years old or older than 50 years old .
D)The prevalence of HIV infection in the United States remains highest among MSM.

Question 67

On Saturday night, Sam has sex with a woman he just met. By Tuesday Sam's genitals itch, and he sees small creatures crawling around in his pelvic areas. Sam likely has contracted . . .

A)scabies .
B)herpes .
C)pubic lice .
D)HPV.

Question 68

The primary mode of HIV transmission in Africa is:

A)heterosexual contact.
B)homosexual contact.
C)intravenous drug use.
D)blood transfusions.

Question 69

Which of the following is a symptom of candidiasis?

A)A thin, gray discharge with a flour paste consistency
B)A frothy, yellow or white discharge with a bad odor
C)A white, clumpy discharge that resembles cottage cheese
D)Painful, blister-like bumps on the labia

Question 70

Rates of HIV infections are increasing in . . .

A)the United States.
B)Western Europe .
C)sub-Saharan Africa.
D)China .

Question 71

Sugar stored in vaginal cells appears to increase susceptibility to:

A)yeast infections.
B)trichomoniasis.
C)bacterial vaginosis.
D)chlamydia infection.

Question 72

Which of the following would MOST likely be found among nursing home residents and the indigent, in addition to people who are sexually active?

A)Syphilis
B)Chancres
C)Scabies
D)Chlamydia

Question 73

A "yeast infection" is caused by:

A)a protozoan parasite called Trichomonas vaginalis .
B)a bacterium known as Gardnerella vaginalis .
C)a fungus called Candida albicans .
D)a bacterial microorganism called Chlamydia trachomatis .

Question 74

Small, pimple-like bumps, a rash surrounding the primary lesion, and intense itching are all symptoms of:

A)pubic lice.
B)scabies.
C)chlamydia.
D)trichomoniasis.

Question 75

HIV is a:

A)recumbent virus.
B)retrovirus.
C)bacteria.
D)parasite.

Question 76

Pubic lice . . .

A)are increasing in prevalence in the United States, especially in the 15-24 age group.
B)are not visible to the naked eye, and thus can only be diagnosed through laboratory testing.
C)can be spread through contact with the clothing or bedding of an infected person.
D)live only in the genital area.

Question 77

Explanations for the higher incidence of HIV in sub-Saharan Africa include all of the following EXCEPT:

A)men and women being involved in more than one sexual relationship at a time
B)lower rates of condom use.
C)the absence of efficient health infrastructures .
D)the relatively greater economic independence of women.

Question 78

All clothes and sheets used prior to treatment must be washed when infected with:

A)chlamydia and gonorrhea.
B)pubic lice and scabies.
C)candidiasis and trichomoniasis.
D)viral hepatitis.

Question 79

How many cases of AIDS have been reported in the United States since 1981?

A)100,000
B)>1,000,000
C)>2,000,000
D)40,000,000

Question 80

Griselda has intense itching and soreness in her vulva, and a white, clumpy discharge on her underwear. Griselda's symptoms are consistent with:

A)gardnerella vaginalis infection.
B)genital herpes.
C)a yeast infection.
D)cystitis.