Deck 27: Sexually Transmitted Infections

Question 1

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

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

Answer 1

Gram-stain technique

Question 2

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

A)Unbound in the blood via the placenta
B)Attached to immunoglobulin G (IgG) via the placenta
C)By direct inoculation with the fetal scalp electrodes exposed to maternal body fluids
D)Predominately through infected cervical and secretions during the birth process

Answer 2

Predominately through infected cervical and secretions during the birth process

Question 3

A healthcare professional wants to join a research team working on treatments for gonococci infections. What is the major concern regarding the treatment the professional will likely work on?

A)Antibiotic resistance
B)Changes in virulence
C)Changes in pathogenicity
D)Mutations into different strains

Answer 3

Antibiotic resistance

Question 4

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 5

A patient reports small, vesicular lesions that last between 10 and 20 days. What treatment does the healthcare professional educate the patient about?

A)Acyclovir (Zovirax)
B)Three injections of penicillin
C)One time dose of azithromycin
D)Test of cure

Question 6

During reactivation, herpes virus genomes are transported through which nerves to the dermal surface?

A)Somatic
B)Peripheral sensory
C)Autonomic
D)Peripheral motor

Question 7

During which stage of syphilis do bloodborne bacteria spread to all the major organ systems?

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

Question 8

A male comes to the health clinic and reports a recent exposure to gonorrhea. Where should the healthcare professional focus the physical exam on as the priority?

A)Epididymis
B)Lymph nodes
C)Urethra
D)Prostate

Question 9

How does an established gonococcal infection usually express itself in newborns?

A)Generalized skin rash 4 to 6 days after birth
B)Systemic infection with fever
C)Bilateral corneal ulceration
D)Yellow vaginal or penile discharge approximately 10 days after birth

Question 10

Which organism is responsible for the development of syphilis?

A)Neisseria syphilis
B)Treponema pallidum
C)Haemophilus ducreyi
D)Chlamydia trachomatis

Question 11

Which is a characteristic lesion of secondary syphilis?

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

Question 12

Which sexually transmitted infection frequently coexists with gonorrhea?

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

Question 13

In women, what is the usual site of original gonococcal infection?

A)Endocervical canal
B)Vagina
C)Fallopian tube
D)Labia majora

Question 14

A healthcare professional had taught a pregnant woman about the risk of transmitting herpes simplex virus (HSV) from her to her fetus. What statement by the woman indicates the professional needs to provide more information?

A)Neonatal infection with HSV 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 prolonged ruptured membranes.
D)The risk is higher when internal fetal monitoring devices are used.

Question 15

By which method is the organism that causes syphilis best identified?

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

Question 16

Which of these causes condylomata acuminata or genital warts?

A)Chlamydia
B)Adenovirus
C)Human papillomavirus (HPV)
D)Herpes simplex virus 1 (HSV-1)

Question 17

During the latent period of a herpes virus infection, where in the host cell is the genome of the virus maintained?

A)Mitochondria
B)Lysosomes
C)Nucleus
D)Cytoplasm

Question 18

A healthcare professional is learning about how gonococci ascend into a woman's uterus and fallopian tubes. Which statement is inconsistent about the factors that facilitate this ascent?

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.

Question 19

A healthcare professional is teaching a high school group about STIs. Which statement by the professional provides the most accurate information regarding the transmission of herpes simplex virus (HSV)?

A)HSV is transmitted only when vesicles are present.
B)HSV is transmitted only while lesions are present.
C)The use of condoms prevents the transmission of HSV.
D)The risk of transmission is present even during latent periods.

Question 20

What unique factor causes adolescent girls to have a high risk for sexually transmitted infections (STIs)?

A)They are in an experimental phase and believe they are resistant to developing STIs.
B)The position of susceptible cells on the adolescent cervix is different than in older women.
C)The length of the vaginal canal is short in adolescents
D)In adolescent girls, the anus to the vaginal introitus is in close proximity.

Question 21

A patient is found to have "strawberry spots" on the vagina and cervix. Which medication does the healthcare professional discuss with the patient?

A)Metronidazole
B)Acyclovir
C)Lindane 1% cream
D)Tetracycline

Question 22

Which hepatitis virus is most commonly known to be sexually transmitted?

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

Question 23

A woman diagnosed with trichomoniasis asks if her sexual partner should be treated as well. What is the appropriate response by the healthcare professional?

A)Sexual partners should be treated only if symptoms are present.
B)Sexual partners should be treated even if they are asymptomatic.
C)Infections in men are self-limiting even without treatment.
D)Sexual partners should be treated to prevent infection.

Question 24

What information does the student learn about scabies? (Select all that apply.)

A)Scabies is spread through skin-to-skin contact.
B)The crab lice, Phthirus pubis, cause scabies.
C)Severe pruritus is its major clinical manifestation.
D)Symptoms worsen at night.
E)Treatment is provided through oral medication therapy.

Question 25

Which statements are true concerning the sexually transmitted infection (STI) lymphogranuloma venereum? (Select all that apply.)

A)Lymphogranuloma venereum is an STI commonly diagnosed in the United States.
B)It begins in the skin or mucus membranes.
C)Lymphogranuloma venereum spreads to lymph tissues.
D)Rectal lesions are readily apparent with this STI.
E)A 60-day course of oral erythromycin is the recommended treatment.

Question 26

What are the common modes of transmission for the hepatitis B virus (HBV)? (Select all that apply.)

A)Needle punctures
B)Blood transfusions
C)Contact with infected body fluids
D)Skin cuts
E)Ingestion of infected substances