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The most common cause of vaginitis is ______.


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

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

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Candida albicans is a ______.


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

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

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


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

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

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

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Pelvic inflammatory disease often leads to ______.


A) HIV infection
B) infertility
C) cervical cancer
D) multiple births
E) low birthweight babies

F) None of the above
G) All of the above

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

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

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A health care provider who suspects that a woman may have vaginitis caused by Candida infection can confirm that by


A) plating a sample of the discharge on a medium containing salt as a selective agent.
B) identifying pseudohyphae in a Gram-stained smear examined using a light microscope.
C) identifying the characteristic protozoans in a smear examined using a fluorescence microscope.
D) submitting a sample of the discharge for PCR amplification.
E) submitting a sample of the discharge for metagenomic sequencing.

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

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The antivirals used for herpes simplex infections have the ability to completely destroy the virus and permanently cure the latent infection.

A) True
B) False

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The best method for culturing Chlamydia is


A) enrichment through several rounds of blood culture.
B) eukaryotic cell culture.
C) a minimal, defined selective medium.
D) to incubate the medium at slighty lower than body temperature.

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

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

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

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C

You,a 29 year old sexually active male,have discovered some small vesicles on the penis.They are fluid-filled,red,and very painful.This is the second time that you have seen this.The first time around,about 2 months ago,you saw them but managed to ignore them.The lesions went away--no doctor,no treatment.But here they are again.You think that perhaps you picked up this infection six months ago,the last time that you had sex.Identify the likely infection.


A) Chlamydia
B) HSV-2 infection
C) Candidiasis
D) Syphilis
E) HSV-1 infection

F) All of the above
G) None of the above

Correct Answer

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In which of the following ways are Chlamydia and viruses the same?


A) Both can remain dormant in the cell nucleus for long periods of time.
B) Both are best treated with antiviral chemotherapy.
C) Both have surface proteins that cannot be recognized by the immune system.
D) Both are able to reproduce only within a eukaryotic cell.

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

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The rash of secondary syphilis


A) causes severe itching.
B) can last for months.
C) only lasts a few days.
D) does not impair function.
E) is intensely painful.

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

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B

The Tuskegee Study gathered information on ______.


A) chlamydia
B) syphilis
C) HIV
D) genital herpes
E) gonorrhea

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

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B

Chancroid


A) presents with a hard chancre.
B) is very painful in both sexes.
C) is caused by Haemophilus ducreyi.
D) is caused by a spirochete.

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

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Prostatitis and urinary tract infections (UTIs) are alike in that


A) treatment will minimize the symptoms but will never completely eliminate the disease.
B) untreated cases may complicate by infecting the kidneys.
C) women are far more susceptible to both infections than men.
D) both result from the transfer of normal biota from the GI tract.

E) None of the above
F) All of the above

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The secondary stage of syphilis


A) has no symptoms.
B) is when gummas develop in tissues.
C) is when the patient is no longer infectious to others.
D) occurs within 10 days of the primary stage.
E) is a time when the pathogen enters and multiplies in the blood.

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

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Which of the following statements regarding gonorrhea is incorrect?


A) It is a sexually transmitted infection.
B) Females can have asymptomatic infections.
C) Pelvic inflammatory disease (PID) , epididymitis, and infertility are complications.
D) A chancre-type lesion develops at the portal of entry.
E) Symptoms include painful urination and discharge.

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

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