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Common spermicidal preparations have a toxic effect on Lactobacillus species and are associated with increased risk of urinary tract infection. Which of the following statements best explains this observation? A) Use of spermicide must be carefully monitored so that it doesn't inadvertently enter the urinary tract. B) Lactobacillus can cause urinary tract infections when transferred from the reproductive system to the urinary system. C) Without the protective coating of Lactobacillus, organisms like E. coli can attach to bladder epithelial cells. D) Production of spermicidal chemicals must be rigorously controlled to avoid contamination with organisms like E. coli.

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Without the protective coating...

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Which of the following has not been an effective treatment for syphilis?


A) Penicillin G
B) Mercury
C) Vancomycin
D) Arsenic

E) All of the above
F) A) and B)

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Leptospirosis _______.


A) is communicable
B) is contracted by the fecal-oral route
C) can be contracted from the environment
D) is strictly transmitted by sexual contact
E) has only humans as a reservoir

F) C) and D)
G) All of the above

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The most common cause of vaginitis is ______.


A) Candida albicans
B) Escherichia coli
C) Pseudomonas aeruginosa
D) Streptococcus pyogenes
E) Staphlococcus aureus

F) A) and D)
G) B) and E)

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Which of the following statements regarding prostatitis is incorrect?


A) It is caused by GI tract biota.
B) It is accompanied by pain and frequent, difficult urination.
C) The specific causative agent is readily cultured and identified.
D) It can be chronic or acute.

E) A) and C)
F) B) and C)

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Trichomonas vaginalis _______.


A) does not produce cysts
B) infection is generally asymptomatic in males
C) causes vaginitis in females
D) has four ?agella and an undulating membrane
E) All of the choices are correct.

F) B) and E)
G) B) and D)

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A woman is much more likely than a man to contract a UTI. Which of the following practices would best reduce her chances of getting a UTI?


A) Daily antibiotic dose
B) Using birth control pills
C) Not wearing tight-fitting clothes
D) Wiping with toilet paper in a front-to-back direction

E) B) and C)
F) A) and B)

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The chancre of syphilis _______.


A) is very painful
B) develops into a lesion with ?rm margins and an ulcerated central crater
C) occurs during the tertiary stage
D) occurs due to small hemorrhaging of capillaries

E) A) and D)
F) A) and C)

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The most common mode of disease transmission in UTIs is ______.


A) endogenous transfer
B) opportunism
C) fomites
D) indirect contact
E) aerosol

F) B) and E)
G) D) and E)

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Which of the following is not a defense of the genitourinary tract?


A) Flushing action of urine
B) Lysozyme
C) IgG
D) Mucus secretions
E) IgA

F) A) and B)
G) A) and E)

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You have been a carrier of HSV-2 for many years, with sporadic outbreaks perhaps once a year. You are pregnant and about to deliver your baby. What does your doctor suggest, now that you currently have an outbreak of herpes lesions?


A) Have an abortion
B) Put the baby on a high dose of antivirals
C) Delivery by cesarean section
D) Give you a high dose of antibiotics

E) A) and B)
F) A) and C)

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The best way to directly observe Treponema pallidum is through ______ microscopy.


A) fluorescent
B) phase contrast
C) scanning electron
D) bright-field
E) dark-field

F) B) and C)
G) A) and E)

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Candida albicans is a ______.


A) helminth
B) bacterium
C) fungus
D) protozoan

E) A) and B)
F) C) and D)

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Janey has been taking antibiotics for 10 days to counter a urinary tract infection caused by E. coli. Her UTI is eliminated, but two weeks later she has a vaginal itch. What is the likely cause?


A) Candida albicans
B) Lactobacillus acidophilus
C) Clostridium difficile
D) Staphylococcus aureus
E) Escherichia coli

F) B) and C)
G) None of the above

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The population most likely to be affected by catheter-associated urinary tract infections is _______.


A) elderly women in a nursing home
B) urban sex workers
C) women who have recently delivered a baby by caesarean section
D) women who abuse intravenous drugs

E) All of the above
F) A) and B)

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The primary virulence factor of Neisseria gonorrhoeae is ______.


A) an endotoxin
B) a protease
C) a hemolysin
D) fimbriae
E) an exotoxin

F) B) and E)
G) A) and D)

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The patient's symptoms are pain upon urination and blood in the urine but no bacteria are cultured from the urine. The doctor suspects schistosomiasis. What question did the doctor asked that gave her a clue about the disease?


A) Have you had a blood transfusion?
B) Have you traveled out of the U.S.?
C) Have you been eating at places that might not be hygienic?
D) Have you been having unprotected sex?

E) C) and D)
F) B) and D)

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Restriction factors in the reproductive tract _______.


A) adjust the pH of the mucosa and are modified during sexual maturation
B) appear to derive from unculturable microbes in the normal microbiota
C) provide an innate protective effect against viral infection
D) are enzymes that hydrolyze the phosphodiester bond in DNA

E) A) and B)
F) A) and C)

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Which of the following is not a characteristic of the normal biota of the female reproductive tract during childbearing years?


A) Candida albicans is present in small amounts.
B) Vaginal pH is neutral.
C) Lactobacilli convert sugars to acid.
D) Secretory IgA provides protection.
E) Estrogen causes glycogen release.

F) A) and E)
G) B) and E)

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Which population is at greatest risk for group B Streptococcus infection?


A) AIDS patients
B) Neonates
C) College age women
D) Post-menopausal women
E) Pregnant women

F) A) and B)
G) C) and D)

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