Chapter 24 Flashcards

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1
Q

The disorder ________ is a complication of systemic infections with Streptococcus in which antigen-
antibody complexes form in the blood and get trapped in the kidneys.

A

glomerulonephritis

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2
Q

When bacteria invade the kidney, the result can be

A

pyelonephritis

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3
Q

Which of the following is commonly the source of leptospirosis?

A

infected animal urine

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4
Q

During the spring calving season, a ranch hand begins to run a fever and feel nauseous and achy. After he
develops a headache and vomiting, he goes to a clinic. A microscopic exam of a urine sample reveals long
thin microbes which move very rapidly in a corkscrewing pattern. The man may have contracted

A

leptospirosis

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5
Q

The majority of cases of staphylococcal toxic shock syndrome are diagnosed in

A

menstruating women

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6
Q

Which of the following is a characteristic of bacterial vaginosis frequently used to confirm diagnosis?

A

the presence of clue cells

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7
Q

Why does taking antibacterial medications put women at risk for candidiasis?

A

Antibacterials deplete the normal bacterial microbiota, resulting in a change of pH.

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8
Q

Untreated infection of males with Neisseria gonorrhoeae may result in

A

sterility

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9
Q

Neisseria gonorrhoeae of the reproductive tract in women

A

is usually initially asymptomatic

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10
Q

Which of the following contributes to the invasiveness of Treponema pallidum?

A

hyaluronidase

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11
Q

Which of the following statements is FALSE regarding gonorrhea?

A

It is easily confused with syphilis

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12
Q

Neisseria gonorrhoeae most commonly infects which of the following in females?

A

the cervix

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13
Q

The presence of Gram-negative diplococci in pus from an inflamed penis is diagnostic for infection by

A

Neisseria gonorrhoeae

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14
Q

The typical sign of primary syphilis is

A

a chancre at the site of infection.

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15
Q

Diagnosis of syphilis is usually made by

A

the MHA-TP test.

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16
Q

A distinctive feature of secondary syphilis is

A

a widespread rash that can include the palms and soles

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17
Q

Syphilis can be transmitted

A

both by sexual contact and from mother to fetus

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18
Q

The noninfective, obligately intracellular forms of chlamydia are called

A

reticulate bodies.

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19
Q

Which of the following statements is CORRECT regarding the incidence of STDs?

A

Viral STDs in the U.S. are considered epidemic

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20
Q

In addition to the genital tract, various strains of Chlamydia trachomatis can infect which of the
following?

A

lymph nodes, lungs, and conjunctiva

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21
Q

A young adult shows up at a free clinic complaining of painful swellings in the groin. The young woman
has a history of occasional casual sex, but denies noticing any genital sores or experiencing painful urination. The young woman is most likely infected with

A

Chlamydia trachomatis

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22
Q

Which of the following can mimic gonorrhea infections?

A

chlamydia

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23
Q

What is the effect of TSST-1 exotoxin on the body?

A

It binds to receptors on T cells and activates them.

24
Q

Which of the following can cause pelvic inflammatory disease, characterized by fever and abdominal
pain?

A

both Chlamydia trachomatis and Neisseria gonorrhoeae

25
Q

A diagnosis of genital herpes is confirmed by the

A

detection of herpesvirus DNA by PCR

26
Q

Which of the following statements is TRUE regarding genital herpes?

A

Acyclovir is effective in reducing the occurrence of lesions, but is not a cure.

27
Q

Some strains of the virus responsible for genital warts can cause the development of

A

cervical cancer.

28
Q

Condylomata acuminata are associated with infections of which of the following?

A

papillomaviruses

29
Q

Observation of the microbes shown in the figure from a vaginal discharge specimen is diagnostic for

A

trichomoniasis

30
Q

A woman goes to her gynecologist and reports that she is experiencing pain during intercourse and
frequently has an unusual vaginal discharge that is increased in quantity and sort of foamy. A vaginal smear
shows normal appearing epithelial cells along with small leaf-shaped cells with prominent oval nuclei. What
disease is the woman experiencing?

A

trichomoniasis

31
Q

Trichomonas vaginalis is usually transmitted during sexual intercourse because it

A

cannot live long outside the body

32
Q

T or F: The risk of developing toxic shock syndrome is increased by the use of super-absorbent tampons

A

true

33
Q

T or F: Gonorrhea in women is not a risk factor for sterility

A

false

34
Q

T or F: Genital herpes and genital warts are both caused by human herpesviruses.

A

false

35
Q

T or F: The normal microbiota of the vagina help maintain a vaginal pH of around 7.5.

A

false

36
Q

T or F: The urethra is the only part of the urinary system in which one would expect to find normal microbiota.

A

true

37
Q

T or F: Mental confusion is often the only sign of a urinary tract infection in elderly patients.

A

true

38
Q

T or F: Clinical manifestations of Chlamydia infections arise primarily from an inflammatory response to the
destruction of infected cells

A

true

39
Q

T or F: Severe suppression of immune function is the only condition that results in reactivation of latent
herpesvirus infection

A

false

40
Q

T or F: A whitlow is the result of human papillomavirus infection of the skin of the hand.

A

false

41
Q

T or F: Men infected with Trichomonas vaginalis rarely have symptoms

A

true

42
Q
Because the (ductus/urethra/ureter) is shorter in females than in males, it can be a portal of entry for 
pathogens.
A

urethra

43
Q

Babies exposed to an intracellular parasite normally transmitted by sexual contact are at risk for
(conjunctivitis/trachoma/warts)

A

trachoma

44
Q

Glycogen is converted to acid in the vagina by (Lactobacilli/Streptococci/yeast), thereby contributing to
an acidic pH in that area

A

Lactobacilli

45
Q

When bacteria infect the bladder, the condition is known as (cystitis/pyelonephritis/urethritis)

A

cystitis

46
Q

The frequent, urgent, and painful urination that often results from urinary tract infections is called
(dysuria/cystitis/glomerulonephritis)

A

dysuria

47
Q
The zoonosis (leptospirosis/trichomoniasis/vaginosis) is is acquired by skin contact and becomes a 
systemic infection
A

leptospirosis

48
Q

A patient with systemic bacterial infection develops high blood pressure, and the urine output declines,
but what urine is passed contains blood. The patient does not experience pain with urination. These signs are consistent with (cystitis/glomerulonephritis/urethritis).

A

glomerulonephritis

49
Q

The presence of (bacillus/clue/streptococcal) cells is an important aspect of the diagnosis of bacterial
vaginosis

A

clue

50
Q

The yeast infection (candidiasis/trichomoniasis/vaginosis) can become systemic in AIDS patients.

A

candidiasis

51
Q

A small, red, hard but painless lesion is a sign of infection with (gonorrhea/herpes/syphilis)

A

syphilis

52
Q

The appearance of a wart on the genitalia is a sign of infection with (chlamydia/herpes/papilloma) virus

A

papilloma

53
Q

A vaccine is available to prevent infection with (herpes/HIV/HPV).

A

HPV

54
Q

The drug of choice for treating primary and secondary syphilis is (amoxicillin/penicillin/streptomycin)

A

penicillin

55
Q

When chlamydias spread from the genitalia to the rectum, they can cause an inflammatory process called
(PID/proctitis/pyelonephritis)

A

proctitis

56
Q

A lesion known as a whitlow is the result of infection with (chlamydia/herpes/syphilis)

A

herpes