Deck 72: Genital Tract Infections

Question 1

The predominant organisms in vaginal secretions from normal prepubescent girls and postmenopausal women are:

A)lactobacilli.
B)S.agalactiae.
C)Enterobacteriaceae.
D)staphylococci.

Answer 1

D
The lining of the normal human genital tract is a mucosal layer made up of transitional,columnar,and squamous epithelial cells.Various species of commensal bacteria colonize these surfaces,causing no harm to the host except under abnormal circumstances and helping prevent the adherence of pathogenic organisms.The flora of the female genital tract varies with the pH and estrogen concentration of the mucosa,which depends on the host's age.Prepubescent and postmenopausal women harbor primarily staphylococci and corynebacteria (the same flora present on surface epithelium).

Question 2

Infections that are acquired during sexual activity are referred to as:

A)endogenous infections.
B)pyelonephritis.
C)exogenous infections.
D)upper tract infections.

Answer 2

C
Genital tract infections may be classified as endogenous or exogenous.Exogenous infections may be acquired as people engage in sexual activity,and these infections are referred to as sexually transmitted diseases (STDs).Endogenous infections are those that involve organisms that are members of the patient's normal genital flora.

Question 3

Match the disease with the causative agent.
a.Anaerobic and polymicrobic infections originating from normal genital flora
b.Chlamydia trachomatis
c.Gardnerella,Prevotella spp. ,Porphyromonas spp. ,Peptostreptococcus spp. ,Mobiluncus spp.
d.Neisseria gonorrhoeae
e.N.gonorrhoeae and C.trachomatis
f.E.coli and other enteric organisms
g.Mumps virus
Bacterial vaginosis

Answer 3

C

Question 4

A culture performed on a vaginal specimen collected from a 60-year-old woman would likely grow primarily:

A)group B b-hemolytic streptococci.
B)staphylococci and corynebacteria.
C)Enterobacteriaceae,streptococci,staphylococci,lactobacilli,and anaerobes.
D)G.vaginalis,Prevotella spp. ,Peptostreptococcus spp. ,and Mobiluncus spp.

Question 5

Proper design of a urogenital swab expressly intended for the collection of urethral discharge should include what feature?

A)Charcoal-treated cotton or rayon
B)Antibiotic-treated calcium alginate
C)Non flexible Shaft of wood and not flexible
D)Dacron-tipped swabs

Question 6

Match the disease with the causative agent.
a.Anaerobic and polymicrobic infections originating from normal genital flora
b.Chlamydia trachomatis
c.Gardnerella,Prevotella spp. ,Porphyromonas spp. ,Peptostreptococcus spp. ,Mobiluncus spp.
d.Neisseria gonorrhoeae
e.N.gonorrhoeae and C.trachomatis
f.E.coli and other enteric organisms
g.Mumps virus
Nongonococcal urethritis

Question 7

The type of vaginitis referred to as bacterial vaginosis is thought to be caused by:

A)Gardnerella vaginalis.
B)S.agalactiae.
C)Lactobacillus spp.
D)Enterococcus spp.

Question 8

An organism that many women carry as part of their normal genital microbial flora that may be transmitted to the neonate during childbirth is:

A)Staphylococcus.
B)Escherichia coli.
C)S.agalactiae.
D)G.vaginalis.

Question 9

MATCHING
Match the condition with its definition.
a.Inflammation of the vaginal mucosa resulting in an abnormal discharge and offensive odor or itching
b.Polymicrobial type of vaginitis characterized by mild perivaginal irritation and a foul-smelling discharge
c.Infection of the uterus and its contents during pregnancy
d.Mild-to-severe inflammation of the testicles that is generally acquired by blood-borne dissemination of viruses such as the mumps virus
Chorioamnionitis

Question 10

The predominant organism in vaginal secretions from normal women of reproductive age is:

A)lactobacilli.
B)Streptococcus agalactiae.
C)Enterobacteriaceae.
D)staphylococci.

Question 11

An infection of the vaginal mucosa resulting in an abnormal discharge and offensive odor or itching is referred to as:

A)chorioamnionitis.
B)bartholinitis.
C)cervicitis.
D)vaginitis.

Question 12

MATCHING
Match the condition with its definition.
a.Inflammation of the vaginal mucosa resulting in an abnormal discharge and offensive odor or itching
b.Polymicrobial type of vaginitis characterized by mild perivaginal irritation and a foul-smelling discharge
c.Infection of the uterus and its contents during pregnancy
d.Mild-to-severe inflammation of the testicles that is generally acquired by blood-borne dissemination of viruses such as the mumps virus
Bacterial vaginosis

Question 13

Large amounts of epithelial cells,many of which are covered by tiny gram-variable rods and coccobacilli,and the absence of inflammatory cells in vaginal discharge are signs of:

A)pelvic inflammatory disease (PID).
B)bartholinitis.
C)cervicitis.
D)bacterial vaginosis.

Question 14

An infection that results when cervical microorganisms travel upward to the endometrium,fallopian tubes,and other pelvic structures and produce inflammatory conditions such as endometritis,salpingitis,peritonitis,or abscesses is:

A)chorioamnionitis.
B)bartholinitis.
C)cervicitis.
D)PID.

Question 15

The flora of the female genital tract:

A)consists primarily of staphylococci,corynebacteria,and Neisseria.
B)consists primarily of Enterobacteriaceae,streptococci,and staphylococci.
C)consists primarily of S.agalactiae and staphylococci.
D)varies with the pH and estrogen concentration of the mucosa.

Question 16

A culture performed on a vaginal specimen collected from a 38-year-old woman would likely grow primarily:

A)group B b-hemolytic streptococci.
B)staphylococci and corynebacteria.
C)lactobacilli,Enterobacteriaceae,streptococci,and staphylococci.
D)G.vaginalis,Prevotella spp. ,Peptostreptococcus spp. ,and Mobiluncus spp.

Question 17

An infection of the uterus and its contents during pregnancy is called:

A)PID.
B)bartholinitis.
C)cervicitis.
D)chorioamnionitis.

Question 18

Match the disease with the causative agent.
a.Anaerobic and polymicrobic infections originating from normal genital flora
b.Chlamydia trachomatis
c.Gardnerella,Prevotella spp. ,Porphyromonas spp. ,Peptostreptococcus spp. ,Mobiluncus spp.
d.Neisseria gonorrhoeae
e.N.gonorrhoeae and C.trachomatis
f.E.coli and other enteric organisms
g.Mumps virus
Orchitis

Question 19

MATCHING
Match the condition with its definition.
a.Inflammation of the vaginal mucosa resulting in an abnormal discharge and offensive odor or itching
b.Polymicrobial type of vaginitis characterized by mild perivaginal irritation and a foul-smelling discharge
c.Infection of the uterus and its contents during pregnancy
d.Mild-to-severe inflammation of the testicles that is generally acquired by blood-borne dissemination of viruses such as the mumps virus
Vaginitis

Question 20

MATCHING
Match the condition with its definition.
a.Inflammation of the vaginal mucosa resulting in an abnormal discharge and offensive odor or itching
b.Polymicrobial type of vaginitis characterized by mild perivaginal irritation and a foul-smelling discharge
c.Infection of the uterus and its contents during pregnancy
d.Mild-to-severe inflammation of the testicles that is generally acquired by blood-borne dissemination of viruses such as the mumps virus
Orchitis

Question 21

Match the disease with the causative agent.
a.Anaerobic and polymicrobic infections originating from normal genital flora
b.Chlamydia trachomatis
c.Gardnerella,Prevotella spp. ,Porphyromonas spp. ,Peptostreptococcus spp. ,Mobiluncus spp.
d.Neisseria gonorrhoeae
e.N.gonorrhoeae and C.trachomatis
f.E.coli and other enteric organisms
g.Mumps virus
Prostatitis

Question 22

Match the disease with the causative agent.
a.Anaerobic and polymicrobic infections originating from normal genital flora
b.Chlamydia trachomatis
c.Gardnerella,Prevotella spp. ,Porphyromonas spp. ,Peptostreptococcus spp. ,Mobiluncus spp.
d.Neisseria gonorrhoeae
e.N.gonorrhoeae and C.trachomatis
f.E.coli and other enteric organisms
g.Mumps virus
Bartholinitis

Question 23

Match the disease with the causative agent.
a.Anaerobic and polymicrobic infections originating from normal genital flora
b.Chlamydia trachomatis
c.Gardnerella,Prevotella spp. ,Porphyromonas spp. ,Peptostreptococcus spp. ,Mobiluncus spp.
d.Neisseria gonorrhoeae
e.N.gonorrhoeae and C.trachomatis
f.E.coli and other enteric organisms
g.Mumps virus
Epididymitis

Question 24

Match the disease with the causative agent.
a.Anaerobic and polymicrobic infections originating from normal genital flora
b.Chlamydia trachomatis
c.Gardnerella,Prevotella spp. ,Porphyromonas spp. ,Peptostreptococcus spp. ,Mobiluncus spp.
d.Neisseria gonorrhoeae
e.N.gonorrhoeae and C.trachomatis
f.E.coli and other enteric organisms
g.Mumps virus
Cervicitis