Deck 24: Sexually Transmitted Infections

Question 1

Which statement is false about the factors that facilitate the ascent of gonococci into the uterus and fallopian tubes?

A) Ascent of gonococci is facilitated because the cervical plug disintegrates during menstruation.
B) Ascent of gonococci is facilitated because the vaginal pH decreases to 2 or 3.
C) Ascent of gonococci is facilitated because the uterine contractions may cause retrograde menstruation into the fallopian tubes.
D) Ascent of gonococci is facilitated because the bacteria may adhere to sperm and be transported to the fallopian tubes.

Answer 1

Ascent of gonococci is facilitated because the vaginal pH decreases to 2 or 3.

Question 2

Uncomplicated local infections by gonococci in men are infections of the:

A) epididymis.
B) lymph nodes.
C) urethra.
D) prostate.

Answer 2

urethra.

Question 3

Up to 50% of women with urogenital gonorrhea also have anal or rectal gonococcal infections.

Answer 3

True

Question 4

The asymptomatic stage of syphilis is the latent stage.

Question 5

Ophthalmia neonatorum is caused by maternal gonorrhea infection.

Question 6

All virally induced sexually transmitted infections are incurable.

Question 7

How is gonorrhea transmitted from a pregnant woman to her fetus?

A) It is transmitted unbound in the blood via the placentA.
B) It is transmitted attached to immunoglobulin G via the placenta.
C) It is transmitted across amniotic membranes by direct inoculation with the fetal scalp electrodes during labor monitoring.
D) It is transmitted across amniotic membranes by indirect inoculation when the membranes are ruptured just before delivery.

Question 8

Chlamydia infection is the leading cause of tubal infertility in women.

Question 9

The most common clinical manifestations of chlamydial infections in newborns are conjunctivitis and pneumonia.

Question 10

Why do adolescent girls have the greatest risk for sexually transmitted exposure and infection?

A) Because they are in an experimental phase with sexual intercourse and believe they are resistant to developing sexually transmitted infections
B) Because of the immaturity of their cervix and lack of immunity
C) Because the length of the vaginal canal is shorter,which allows a greater concentration of microorganisms within the internal genitalia
D) Because of the close proximity of the anus to the vaginal introitus

Question 11

Treponema pallidum cannot be cultured.

Question 12

Gonorrhea is currently the most commonly reported communicable disease in the United States.

Question 13

Sexually transmitted infections are seen in all socioeconomic classes.

Question 14

Chancroid is a lesion found in individuals with syphilis.

Question 15

In females the _____ is the usual site of original gonococcal infection.

A) endocervical canal
B) vagina
C) fallopian tube
D) labia majora

Question 16

There have been no recent sexually transmitted disease epidemics.

Question 17

It is quite common for Treponema pallidum to develop resistance to penicillin.

Question 18

Local cytomegalovirus (CMV)infections may persist even with high titers of serum anti-CMV antibodies.

Question 19

Granuloma inguinale is caused by a virus.

Question 20

Trichomoniasis is caused by a parasite.

Question 21

Condylomata acuminata,or genital warts,are caused by:

A) chlamydiA.
B) adenovirus.
C) human papilloma virus.
D) herpes simplex virus 1.

Question 22

A treatment for trichomoniasis is a single dose of metronidazole (Flagyl).The female patient asks if her sexual partner should be treated also.The appropriate information in answer to her question is:

A) sexual partners should be treated only if symptoms are present.
B) sexual partners should be treated even if asymptomatic.
C) infections in men are self-limiting;therefore a male sexual partner does not require treatment.

Question 23

Which of the following statements provides the most accurate information regarding the transmission of HSV?

A) HSV is transmitted only when vesicles are present.
B) HSV is transmitted only while lesions are present.
C) Transmission of HSV is prevented by the use of condoms.
D) There is a risk of transmission even during latent periods.

Question 24

Which sexually transmitted infection is indicated by a patient who has genital vesicles and painful ulcers with superficial,tender,firm lymph nodes with no erythema?

A) Genital herpes
B) Chancroid
C) Syphilis
D) Chlamydia

Question 25

During reactivation (release from latency),herpes virus genomes are transported through the _____ nerves to the dermal surface.

A) somatic
B) peripheral sensory
C) autonomic
D) peripheral motor

Question 26

_____ may be used topically for treatment of HSV infections.

A) Acyclovir (Zovirax)
B) 5-Fluorouracil (5FU)
C) Retrovir (AZT)
D) Bichloracetic acid (BCA)

Question 27

Which microorganism is sexually transmitted,primarily by homosexual men,in infected feces?

A) Shigellosis
B) Cytomegalovirus (CMV)
C) Giardia lamblia
D) Entamoeba histolytica

Question 28

In which stage of syphilis would the following clinical manifestations be found: destructive skin,bone and soft tissue lesions,aneurysms,heart failure,and neurosyphilis?

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

Question 29

Which is a lesion of secondary syphilis?

A) Condylomata lata
B) Gummas
C) Chancroid
D) Donovan bodies

Question 30

How is the organism that causes syphilis best identified?

A) Acid-fast stain
B) Gram-stained slide
C) In vitro culture
D) Darkfield microscopy

Question 31

Which sexually transmitted infection frequently coexists with gonorrhea?

A) Syphilis
B) Herpes simples virus
C) Chlamydia
D) Chancroid

Question 32

Which organism causes syphilis?

A) Neisseria syphilis,an anaerobic bacterium
B) Treponema pallidum,a spirochete
C) Haemophilus ducreyi,a bacterium
D) Chlamydia trachomatis,an intracellular parasite

Question 33

Gonococcal infection of a newborn is usually manifested as:

A) a generalized skin rash 4 to 6 days after birth.
B) systemic infection with fever.
C) bilateral corneal ulceration.
D) a yellow vaginal or penile discharge about 10 days after birth.

Question 34

The treatment of genital warts includes:

A) topical application of 5-fluorouracil.
B) topical application of acyclovir.
C) systemic penicillin.
D) systemic tetracycline.

Question 35

During the _____ stage of syphilis,blood-borne bacteria spread to all the major organ systems.

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

Question 36

The most common local complication of a gonococcal infection in females is:

A) acute salingitis.
B) cystitis.
C) vaginitis.
D) cervicitis.

Question 37

During the latent period of a herpes virus infection,the genome of the virus is:

A) maintained in the host cell mitochondriA.
B) maintained in the host macrophage lysosomes.
C) maintained in the host cell nucleus.
D) totally degraded.

Question 38

A major concern in the treatment of gonococci infections is:

A) development of antibiotic resistance.
B) changes in virulence.
C) changes in pathogenicity.
D) mutations into different strains.

Question 39

Which laboratory test is considered adequate for an accurate and reliable diagnosis of gonococcal urethritis in a symptomatic male?

A) Ligase chain reaction (LCR)
B) Gram stain technique
C) Polymerase chair reaction (PCR)
D) DNA testing

Question 40

Which statement is false regarding the risk of transmission of the herpes simplex virus (HSV)from mother to fetus?

A) Neonatal infection of herpes simplex virus rarely occurs in the intrapartum or postpartum period.
B) The risk is higher in women who have a primary HSV infection.
C) The risk is higher in women who experience ruptured membranes more than 6 hours before delivery.
D) The risk is higher when internal fetal monitoring devices are used.

Question 41

Match the disease with the corresponding causative organism.
Gardnerella vaginalis

A)Trichomoniasis
B)Bacterial vaginosis
C)Amebiasis
D)Syphilis
E)Chancroid

Question 42

MATCHING
Match the descriptions with the corresponding terms.
Cytomegalovirus (CMV)

A)The most common serious viral infection among infants
B)Causes condylomata acuminata
C)May contribute to the development of genital cancer

Question 43

Which sexually transmitted disease,primarily among homosexual men,causes clinical manifestations of sudden explosive diarrhea,distention,and flatulence with epigastric pain,vomiting;and foul,sulfuric burping?

A) Campylobacter enteritis
B) Shigellosis
C) Cytomegalovirus enteritis
D) Giardiasis

Question 44

Match the disease with the corresponding causative organism.
Haemophilus ducreyi

A)Trichomoniasis
B)Bacterial vaginosis
C)Amebiasis
D)Syphilis
E)Chancroid

Question 45

Match the disease with the corresponding causative organism.
Trichomonas vaginalis

A)Trichomoniasis
B)Bacterial vaginosis
C)Amebiasis
D)Syphilis
E)Chancroid

Question 46

Match the disease with the corresponding causative organism.
Entamoeba histolytica

A)Trichomoniasis
B)Bacterial vaginosis
C)Amebiasis
D)Syphilis
E)Chancroid

Question 47

Hepatitis _____ virus is known to be sexually transmitted.

A) A
B) B
C) C
D) D

Question 48

Match the disease with the corresponding causative organism.
Treponema pallidum

A)Trichomoniasis
B)Bacterial vaginosis
C)Amebiasis
D)Syphilis
E)Chancroid

Question 49

MATCHING
Match the descriptions with the corresponding terms.
Human papilloma virus (HPV)

A)The most common serious viral infection among infants
B)Causes condylomata acuminata
C)May contribute to the development of genital cancer

Question 50

MATCHING
Match the descriptions with the corresponding terms.
Epstein Barr virus (EBV)

A)The most common serious viral infection among infants
B)Causes condylomata acuminata
C)May contribute to the development of genital cancer