Chapter 26 MULTIPLE CHOICE Choose the one alternative that best completes the statement or answers the question 1 A patient is experiencing profuse greenish yellow foul smelling discharge from her vagina She is complaining of itching and irritation What is the most likely treatment A acyclovir B miconazole C metronidazole D cephalosporins E No treatment is available Answer C 2 One form of NGU is lymphogranuloma venereum caused by A Leptospira interrogans B Chlamydia trachomatis C Candida albicans D Neisseria gonorrhoeae E Treponema pallidum Answer B 3 Cystitis is most often caused by A Leptospira interrogans B Neisseria gonorrhoeae C Pseudomonas aeruginosa D Escherichia coli E Candida albicans Answer D 4 All of the following can cause congenital infection or infections of the newborn EXCEPT A gonorrhea B nongonococcal urethritis C genital herpes D lymphogranuloma venereum E syphilis Answer D 5 Normal microbiota of the adult vagina consist primarily of A Streptococcus B Mycobacterium C Candida D Lactobacillus E Neisseria Answer D 1 6 Infants born to asymptomatic mothers with recurrent genital herpes are less likely to acquire herpesvirus at birth than infants born to newly infected mothers because A maternal antibodies offer protection B prophylactic antibiotics are administered to the newborn C the virus is not growing D the disease cannot be transmitted to newborns E the disease is not communicable Answer A 7 Which of the following is NOT a predisposing factors to cystitis in females A sexual intercourse B the proximity of the anus to the urethra C the length of the urethra D poor personal hygiene E None of the answers is correct all of these are predisposing factors Answer E 8 Most nosocomial infections of the urinary tract are caused by A Pseudomonas B Escherichia coli C Proteus D Enterococcus E Klebsiella Answer B 9 Which one of the following statements about genital warts is FALSE A It can lead to cervical cancer in women B It is always precancerous C It is transmitted by direct contact D It is treated by removing them E It is caused by papillomaviruses Answer B 10 Which of the following diseases causes a skin rash hair loss malaise and fever A syphilis B trichomoniasis C NGU D genital herpes E gonorrhea Answer A 11 Which of the following is greater A the number of reported cases of AIDS last year B the number of reported cases of gonorrhea last year C The number of reported cases of gonorrhea and AIDS are likely equal Answer B 2 12 Recurring vesicles on the surface of human skin are symptoms of A Gardnerella vaginosis B genital herpes C trichomoniasis D lymphogranuloma venereum E candidiasis Answer B 13 Which of the following is caused by an opportunistic pathogen A gonorrhea B trichomoniasis C chancroid D candidiasis E genital herpes Answer D 14 The most common reportable disease in the United States is A lymphogranuloma venereum B syphilis C cystitis D gonorrhea E candidiasis Answer D 15 Which of the following is the most difficult to treat with chemotherapeutic agents A syphilis B genital herpes C gonorrhea D leptospirosis E trichomoniasis Answer B 16 Which one of the following does NOT cause nongonococcal urethritis A Ureaplasma B Chlamydia C Mycoplasma D Neisseria E None of the answers is correct all of these cause NGU Answer D 17 A patient presents with fever and extensive lesions of the labia minora Her VDRL test was negative What is the most likely treatment A miconazole B acyclovir C metronidazole D cephalosporins E No treatment is available Answer B 3 18 Which of the following recurs at the initial site of infection A syphilis B LGV C gonorrhea D genital herpes E chancroid Answer D 19 All of the following result from N gonorrhoeae infection Which one leads to the others A CD4 T lymphocytes do not activate B Opa protein attaches to CD4 T lymphocytes C CD4 T lymphocytes do not proliferate D Antibody production is stopped E There is an increased risk of other STIs Answer B 20 Which of the following is treated with cephalosporins because the organism is resistant to penicillin and fluoroquinolones A Gardnerella vaginalis B Mycoplasma hominis C Treponema pallidum D Haemophilus ducreyi E Neisseria gonorrhoeae Answer E 21 A positive LE text and 10 000 CFU ml in urine indicates A genital herpes B pyelonephritis C gonorrhea D urethritis E cystitis Answer B 22 Which of the following pairs is mismatched A Gardnerella clue cells B gonorrhea gram negative cocci C chancroid gram negative rod D trichomoniasis fungus E syphilis gram negative spirochete Answer D 23 Which of the following is NOT an antimicrobial feature of the urinary system A the use of the urethra for seminal fluid in women B flushing action of urine C physiological valves found in the ureter D pH of the urine E None of the answers is correct all of these are antimicrobial features of the urinary system Answer A 4 24 A 25 year old man presented with fever malaise and a rash on his chest arms and feet Which of the following causative agents is most likely to cause these symptoms A HPV B Candida C Nesseria D HSV 2 E Treponema Answer E 25 A pelvic examination of a 23 year old woman showed vesicles and ulcerated lesions on her labia Cultures were negative for Neisseria and Chlamydia the VDRL test was negative Which treatment is appropriate A metronidazole B acyclovir C miconazole D penicillin E surgery Answer B 26 A 25 year old man presented with fever malaise and a rash on his chest arms and feet Diagnosis was based on serological testing The patient then reported that he had an ulcer on his penis two months earlier What stage of disease is the patient in A primary B secondary C NGU D tertiary Answer B 27 Which of the following statements about pelvic inflammatory disease is FALSE A It can cause sterility and chronic pain B It can be caused by N gonorrhoeae C It can be caused by T pallidum D It can be transmitted sexually E It can be caused by C trachomatis Answer C 28 Staphylococcus saprophyticus causes A pyelonephritis B syphilis C gonorrhea D vaginitis E cystitis Answer E 29 Which of the following is treated with penicillin A syphilis B candidiasis C genital herpes D trichomoniasis E genital warts Answer A 5 30 Which of the following is NOT primarily a sexually transmitted infection STI A genital herpes B trichomoniasis C lymphogranuloma venereum D chancroid E gonorrhea Answer B 31 Pyelonephritis may result from A systemic infections B ureteritis C cystitis D urethritis E All of the answers are correct Answer E