Professional Documents
Culture Documents
MULTIPLE CHOICE
1. 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
Partly, perhaps, because of risk-taking behavior (unprotected intercourse or selection of highrisk partners), many adolescents have an increased risk for STI exposure and infection. The
unique factor for adolescent women is that they have a physiologically increased susceptibility
to infection because of increased cervical immaturity and lack of immunity. The remaining
options are not considered legitimate risk factors for STIs.
PTS: 1
A pregnant woman can transmit gonorrhea to her fetus during the birth process. The infection
passes from mother to child predominately through infected cervical and vaginal secretions.
The transmission is not associated with the other options.
PTS: 1
3. Which statement is false about the factors that facilitate the ascent of gonococci into the uterus
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
Several factors can facilitate the ascent of gonococci into the uterus and the fallopian tubes,
where they cause pelvic inflammatory disease (PID). Among these factors are (1)
disintegration of the cervical mucous plug and (2) a rise in vaginal pH greater than 4.5 during
menstruation. The other options are accurate statements.
PTS: 1
In women, the endocervical canal (inner portion of the cervix) is the usual site of original
gonococcal infection, although urethral colonization and infection of Skene or Bartholin
glands also are common. The other options are not usually associated with gonococcal
infections.
PTS: 1
5. What is the primary site for uncomplicated local gonococci infections in men?
a. Epididymis
c. Urethra
b. Lymph nodes
d. Prostate
ANS: C
affected women?
a. Acute salpingitis
b. Cystitis
c. Vaginitis
d. Cervicitis
ANS: A
Acute salpingitis, or pelvic inflammatory disease (PID), is the most common local
complication in women. Approximately 10% of women with untreated cervical gonorrhea
develop PID.
PTS: 1
7. Which laboratory test is considered adequate for an accurate and reliable diagnosis of
ANS: B
PTS: 1
Established infection causes bilateral corneal ulceration. The other options are not usual sites
for such an infection.
PTS: 1
Several types of drug-resistant strains have been identified; they are penicillinase-producing
Neisseria gonorrhoeae (PPNG), which is resistant to penicillin; tetracycline-resistant N.
gonorrhoeae (TRNG), which is resistant to tetracycline; chromosomal control of mechanisms
of resistance of N. gonorrhoeae (CMRNG), which is resistant to penicillin and tetracycline;
and increasingly a fluoroquinolone-resistant N. gonorrhoeae (QRNG). The other options are
not major concerns.
PTS: 1
11. During which stage of syphilis do bloodborne bacteria spread to all the major organ systems?
a. Primary
c. Latent
b. Secondary
d. Tertiary
ANS: B
Bloodborne bacteria spread to all major organ systems during only stage II, secondary syphilis
(see Box 26-2).
PTS: 1
12. In which stage of syphilis would the following clinical manifestations be found: destructive
skin, bone and soft tissue lesions, aneurysms, heart failure, and neurosyphilis?
c. Latent
d. Tertiary
a. Primary
b. Secondary
ANS: D
Stage IV, tertiary syphilis, is the only stage during which significant morbidity and mortality
occur, including destructive skin, bone, and soft-tissue lesions (see Box 26-2).
PTS: 1
15. By which method is the organism that causes syphilis best identified?
a. Acid-fast stain
c. In vitro culture
b. Gram-stained slide
d. Darkfield microscopy
ANS: D
Because Treponema pallidum cannot be cultured in vitro, early definitive diagnosis of primary
or secondary syphilis depends on darkfield microscopy of a specimen taken from a chancre,
regional lymph node, or other lesion. The remaining options are not relevant.
PTS: 1
16. When a patient has small, vesicular lesions that last between 10 and 20 days, which sexually
c. Syphilis
d. Chlamydia
ANS: A
If symptoms occur, the individual may have small (1 to 2 mm), multiple, vesicular lesions that
are generally located on the labia minora, fourchette, or penis. They may also appear on the
cervix, buttocks, and thighs and are often painful and pruritic. These lesions usually last
approximately 10 to 20 days. The other options do not demonstrate these symptoms.
PTS: 1
17. Which statement is false regarding the risk of transmission of the herpes simplex virus (HSV)
c. The risk is higher in women who experience ruptured membranes more than 6
Neonatal infections can occur in utero or, more commonly, during the intrapartum or
postpartum period. The other options are accurate statements.
PTS: 1
18. 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
ANS: C
During the latent period, the genome for the virus is maintained in the host cell nucleus
without causing the death of the cell.
PTS: 1
19. During reactivation (release from latency), herpes virus genomes are transported through
c. Autonomic
d. Peripheral motor
ANS: B
Only during reactivation are the viral genomes transported through the peripheral sensory
nerves back to the dermal surface.
PTS: 1
20. Which statement provides the most accurate information regarding the transmission of herpes
Latent infections can become reactivated and cause a recurrent infection with similar
manifestations. The other options are not accurate statements regarding the transmission of
HSV.
PTS: 1
21. Which drug may be prescribed orally for outbreak management of herpes simplex viral (HSV)
infections?
a. Acyclovir (Zovirax)
b. 5-Fluorouracil (5-FU)
ANS: A
Although no curative treatment for HSV infection is known, only oral acyclovir, valacyclovir,
penciclovir, and famciclovir are used for primary and periodic outbreaks and to prevent
recurrences.
PTS: 1
Genital warts are quite contagious and are a result of only HPV.
PTS: 1
The treatment of choice for trichomoniasis is a single 2-gram dose of metronidazole (Flagyl)
or tinidazole. The other options are not applicable.
PTS: 1
24. A woman diagnosed with trichomoniasis asks if her sexual partner should be treated as well.
treatment.
d. Sexual partners should be treated to prevent infection.
ANS: B
Sexual partners, even if asymptomatic, are also treated and examined for coexisting sexually
transmitted infections.
PTS: 1
25. Which microorganism is sexually transmitted, primarily by homosexual men, through infected
feces?
a. Shigellosis
b. Cytomegalovirus (CMV)
c. Giardia lamblia
d. Entamoeba histolytica
ANS: A
Only the Shigella infection, termed shigellosis, is transmitted by contact with infected feces
particularly among homosexual men.
PTS: 1
27. Which sexually transmitted disease occasionally causes clinical manifestations of scant
a. Campylobacter enteritis
b. Shigellosis
ANS: D
Most men with trichomoniasis are asymptomatic but may have scant intermittent discharge,
slight pruritus, and mild dysuria. The other options do not demonstration these symptoms.
PTS: 1
MULTIPLE RESPONSE
28. 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.
ANS: A, B, C, D
Hepatitis B infection poses significant health risks including chronic liver disease and
hepatocellular cancer. Immunization against hepatitis B is the most effective means of
preventing transmission. Universal vaccination of infants and children is recommended, as
well as vaccination of high-risk adults.
PTS: 1
29. What are the common modes of transmission for the hepatitis B virus (HBV)? (Select all that
apply.)
Needle punctures
Blood transfusions
Contact with infected body fluids
Skin cuts
Ingestion of infected substances
a.
b.
c.
d.
e.
ANS: A, B, C, D
Transmission of HBV can occur through needle puncture, blood transfusion, cuts in the skin,
and contact with infected body fluids. Ingestion is not a recognized transmission mode.
PTS: 1
30. Which statements are true regarding the parasitic infection referred to as scabies? (Select all
that apply.)
Scabies is spread through skin-to-skin contact.
The crab lice, Phthirus pubis, cause scabies.
Severe pruritus is its major clinical manifestation.
Symptoms worsen at night.
Treatment is provided through oral medication therapy.
a.
b.
c.
d.
e.
ANS: A, C, D
Scabies is a common parasitic infection that can be spread by skin-to-skin contact and sexual
contact. The scabies mite burrows through the skin, depositing two or three large eggs per day.
Intense pruritus, especially at night, is the most pronounced clinical manifestation. Treatment
consists of topical application of a pediculicide. Pediculosis pubis (crabs) is commonly
transmitted sexually and is caused by the crab louse, P. pubis.
PTS: 1
31. Which statements are true concerning the sexually transmitted infection (STI)
a.
b.
c.
d.
e.
ANS: B, C, D
Lymphogranuloma venereum is a chronic STI uncommon in the United States. The lesion
begins as a skin infection and spreads to the lymph tissue, causing inflammation, necrosis,
buboes, and abscesses of the inguinal lymph nodes. Primary lesions appear on the penis and
scrotum in men and on the cervix, vaginal wall, and labia in women. Secondary lesions
involve inflammation and swelling of the lymph nodes with the formation of large blue
buboes that rupture and form draining ulcerative lesions. A 21-day or longer course of oral
doxycycline or erythromycin is needed for treatment. Treatment of sexual partners is
recommended.
PTS: 1
MATCHING
Treponema pallidum
Haemophilus ducreyi
Calymmatobacterium granulomatis
Entamoeba histolytica