Deck 26: Sexually Transmitted Infections

Question 1

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) Across amniotic membranes by the direct inoculation with the fetal scalp electrodes during labor monitoring
D) Predominately through infected cervical and secretions during the birth process

Answer 1

Predominately through infected cervical and secretions during the birth process

Question 2

Which statement 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.

Answer 2

The risk of transmission is present even during latent periods.

Question 3

What local complication of a gonococcal infection is diagnosed in approximately 10% of affected women?

A) Acute salpingitis
B) Cystitis
C) Vaginitis
D) Cervicitis

Answer 3

Acute salpingitis

Question 4

Which sexually transmitted infection frequently coexists with gonorrhea?

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

Question 5

What is the primary site for uncomplicated local gonococci infections in men?

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

Question 6

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.

Question 7

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

A) They are in an experimental phase with sexual intercourse and believe they are resistant to developing STIs.
B) The adolescent cervix is immature and lacks immunity.
C) The length of the vaginal canal is short in adolescents, allowing a greater concentration of microorganisms within the internal genitalia.
D) In adolescent girls, the anus to the vaginal introitus are in close proximity.

Question 8

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

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

Question 9

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 10

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

Question 11

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

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

Question 12

When a patient has small,vesicular lesions that last between 10 and 20 days,which sexually transmitted infection is suspected?

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

Question 13

Which organism is responsible for the development of syphilis?

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

Question 14

What is the major concern regarding the treatment of gonococci infections?

A) Development of antibiotic resistance
B) Changes in virulence
C) Changes in pathogenicity
D) Mutations into different strains

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) Darkfield microscopy

Question 16

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 17

Which is a characteristic lesion of secondary syphilis?

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

Question 18

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

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

Question 19

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 20

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

A) Neonatal infection of 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 ruptured membranes more than 6 hours before delivery.
D) The risk is higher when internal fetal monitoring devices are used.

Question 21

Match the disease with the corresponding causative organism.
Calymmatobacterium granulomatis

A)Trichomoniasis
B)Granuloma inguinale
C)Amebiasis
D)Syphilis
E)Chancroid

Question 22

Match the disease with the corresponding causative organism.
Trichomonas vaginalis

A)Trichomoniasis
B)Granuloma inguinale
C)Amebiasis
D)Syphilis
E)Chancroid

Question 23

Which of the following causes condylomata acuminata or genital warts?

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

Question 24

Which hepatitis virus is known to be sexually transmitted?

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

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 as a skin infection.
C) Lymphogranuloma venereum spreads to lymph tissues.
D) Primary and secondary lesions are apparent with this STI.
E) A 60-day course of oral erythromycin is the recommended treatment.

Question 26

Which statements are true regarding the hepatitis B infection? (Select all that apply.)

A) Hepatitis B poses a significant risk for chronic liver disease.
B) Hepatocellular cancer is a common comorbid condition.
C) Universal vaccination of infants and children is recommended.
D) The preventive method of choice is immunization.
E) Universal vaccination of sexually active adults is recommended.

Question 27

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

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; therefore a male sexual partner does not require treatment.
D) Sexual partners should be treated to prevent infection.

Question 28

Match the disease with the corresponding causative organism.
Treponema pallidum

A)Trichomoniasis
B)Granuloma inguinale
C)Amebiasis
D)Syphilis
E)Chancroid

Question 29

Which treatment is used for trichomoniasis?

A) Topical application of 5-Fluorouracil (5-FU)
B) Topical application of acyclovir
C) Systemic metronidazole
D) Systemic tetracycline

Question 30

Match the disease with the corresponding causative organism.
Entamoeba histolytica

A)Trichomoniasis
B)Granuloma inguinale
C)Amebiasis
D)Syphilis
E)Chancroid

Question 31

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

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

Question 32

Which drug may be prescribed orally for outbreak management of herpes simplex viral (HSV)infections?

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

Question 33

Match the disease with the corresponding causative organism.
Haemophilus ducreyi

A)Trichomoniasis
B)Granuloma inguinale
C)Amebiasis
D)Syphilis
E)Chancroid

Question 34

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

Question 35

Which statements are true regarding the parasitic infection referred to as 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 36

Which sexually transmitted disease occasionally causes clinical manifestations of scant intermittent penile discharge,slight pruritus,and mild dysuria?

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