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Chlamydia trachomatis is commonly transmitted by sexual activity.

A) True
B) False

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

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

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Lactobacillus in the female reproductive tract


A) is indicative of underlying infection.
B) can contribute to STIs.
C) can lead to pelvic inflammatory disease.
D) is protective.
E) is the causative agent in common yeast infections.

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

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Which of the following organisms causes urinary tract infections?


A) Treponema pallidum
B) Schistosoma haematobium
C) Group B Streptococcus
D) Gardnerella vaginalis
E) Proteus mirabilis

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

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The leading cause of pelvic inflammatory disease is ______.


A) genital herpes
B) HIV infection
C) syphilis
D) gonorrhea
E) Chlamydia infection

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

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Trichomonas vaginalis is a ______.


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

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

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

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

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The key characteristic of the herpes family of viruses is


A) their ability to stay in host cells without causing symptoms.
B) their ability to cause organ death.
C) their ability to transform normal cells into cancer cells.
D) their propensity to destroy bone marrow.

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

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The vaginal microbiome changes as a female matures because


A) hormonal changes and sexual activity alter the environment of the vagina.
B) estrogen has an antibiotic effect on the vaginal microbiome.
C) most sexually mature women use douching as a means to eliminate the vaginal microbiome.
D) episodic treatments with antibiotics for UTIs and antifungals for vaginitis eliminate many of the normal microbiota.

E) None of the above
F) A) and B)

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The latency period of syphilis is ______.


A) 3 to 6 months
B) 1 year
C) 10 years
D) 20 years or longer

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

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Infected animals shed Leptospira interrogans in their ______.


A) saliva
B) urine
C) blood
D) feces

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

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


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

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

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Which of the following statements regarding genital warts is incorrect?


A) They are sexually transmitted.
B) Certain strains predispose a person to cancer of the cervix or penis.
C) They are not common in the United States.
D) They often occur on the penis, vagina, and cervix.
E) They form large cauliflower-like masses called condyloma acuminata.

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

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Which of the following statements regarding HSV-2 (genital herpes) is incorrect?


A) Virus is shed from active lesions only.
B) It can be reactivated by bacterial infections.
C) It can also infect oral mucosa.
D) It can become latent in the sacral ganglion.

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

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The chancre of syphilis


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

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

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Leptospirosis


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

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

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Which of the following statements regarding vaginosis and vaginitis is correct?


A) Vaginitis may be caused by fungi or protozoans, whereas vaginosis is invariably a viral infection.
B) Both conditions can be prevented with vaccinations.
C) Both conditions result in a vaginal discharge with itching.
D) Vaginitis can complicate to pelvic inflammatory disease (PID) , but vaginosis cannot.

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

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An occasional serious complication of herpes simplex-1 infection is ______.


A) infertility
B) shingles
C) encephalitis
D) paralysis
E) kidney failure

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

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


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

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

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Neisseria gonorrhoeae is


A) the cause of ophthalmia neonatorum.
B) the cause of gonorrhea.
C) called the gonococcus.
D) virulent due to fimbriae and a protease that inactivates IgA.
E) All of the choices are correct.

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

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