micro - STIs and genital infections Flashcards

1
Q

Which of the following viruses cause a genital ulcer type disease?

a. HIV
b. HSV
c. HBV
d. HPV

A

b. HSV

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2
Q

Infection with Neisseria gonorrhoea is easily distinguishable from Chlamydia trachomatis by the clinical signs.

a. true
b. false

A

false

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3
Q

For which of the following STDs, do we currently have an effective vaccine?

a. genital warts
b. herpes
c. gonorrhoea
d. HIV-related AIDS

A

genital warts (HPV)

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4
Q

A man presents with purulent urethral discharge containing gram negative diplococci. This is:

a. Treponema pallidum
b. Chlamydia trachomatis
c. Neisseria gonorrhoea
d. Candida albicans

A

c. Neisseria gonorrhoea

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5
Q

Which of the following is TRUE regarding syphilis?

a. Syphilitic chancre are painful and not infectious
b. Penicillin is the antibiotic used to treat syphilis
c. The causative organism cannot cross the placenta
d. Neurosyphilis is a feature of secondary syphilis

A

b. Penicillin is the antibiotic used to treat syphilis

a. chancres are painless ulcerative lesions
c. Treponema pallidum can cross placenta
d. feature of tertiary syphillis

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6
Q

For Gonorrhoea - how many months of sexual partners needs to be considered (0-12)?

A

2 months

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7
Q

Human papilloma virus (HPV) is associated with which of the following cancers?

a. Cervical
b. Vulval
c. Anal
d. Oropharynx
e. Penis

A

All of the above.

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8
Q

Condoms will not protect against which of the following sexually transmitted infections?

Select one:

a. HIV
b. Chlamydia
c. Gonorrhoea
d. Genital Warts
e. Hepatitis B

A

d. Genital warts (HPV)

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9
Q

what is the most curable STI? what drug is used to treat?

A

Trichomoniasis (Trichomonas vaginalis)
metronidazole

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10
Q

Not all STIs are curable. Which of the following do we have treatments for that can completely cure them?

a. HPV
b. HSV
c. Gonorrhoea
d. Syphilis

A

c. Gonorrhoea (antibiotics eg. azithromycin)
d. Syphilis (Penicillin)

HPV and HSV have no cure
HPV has a vaccine

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11
Q

a patient presents with pain upon urination and watery penile discharge. Hx reveles that he had unprotected sex around a week ago.
Pending the result of a PCR test using his urine sample, you indicate that the required treatment would be azithromycin. What condition do you suspect?

a. neisseria gonorrhoea
b. chlamydia trachomatis
c. herpes simplex virus
d. trichomoniasis

A

b. chlamydia trachomatis

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12
Q

metronidazole would be used to treat which of the following infections?
a. candida albicans
b. trichomoniasis
c. neisseria gonorrhoea
d. syphilis

A

b. trichomoniasis (trichomonas vaginalis)

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13
Q

Which of the following is the most common cause of pelvic inflammatory disease?

a) Chlamydia trachomatis
b) Neisseria gonorrhea
c) Staph aureus
d) None of the above cause PID

A

a. chlamydia trachomatis

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14
Q

A 36-year-old woman comes to the physician for an annual pelvic examination and Pap smear. A pap smear was done, and the cervical cells were dysplastic squamous epithelial cells. Which is the most likely condition?

A

HPV (enters squamous epithelium via microabrasion)

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15
Q

Mr C has uncomplicated chlamydia identified on FPU. Which is the most appropriate management for him?

a. Azithromycin OR Ceftriaxone
b. Azithromycin OR Doxycycline
c. Azithromycin AND Ceftriaxone
d. Azithromycin AND Doxycycline

A

b. azithromycin or doxycycline

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16
Q

Which of the following statements is TRUE regarding syphilis

a. syphilis is caused by a Gram-negative rod
b. A rapid plasma reagin (RPR) test confirms the diagnosis of syphilis
c. Syphilitic chancre is painless and highly infectious
d. Azithromycin is the antibiotic most commonly used to treat syphilis

A

c. syphilitic chancre is painless and highly infectious

a. spirochete bacteria
b. screening
d. penicillin

17
Q

To diagnose Trichomoniasis in a male, you would:

a. Use first pass urine and microscopy to visualise large motile parasites
b. Swab of penile discharge and PCR for viral identification
c. Take blood sample for serology as pathogen hard to grow and detect
d. Use mid-stream urine for both PCR and gram stain for diplococci

A

a. Use first pass urine and microscopy to visualise large motile parasites

18
Q

Why are Chlamydia and Gonorrhoea notifiable diseases with contact tracing?

a. These STDs can lead to cervical cancers and require early intervention
b. To identify female contacts to prevent long-term damage from PID
c. They can cause considerable mortality if left untreated
d. Viral STDs with no treatments available needing government case management

A

b. To identify female contacts to prevent long-term damage from PID