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All of the following are signs and symptoms of urinary tract infection except ______.


A) diarrhea
B) white blood cells in urine
C) nausea
D) red blood cells in urine
E) painful urination

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

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Which of the following characteristics can distinguish vaginitis and vaginosis?


A) Causative agent
B) Presence of vaginal inflammation
C) Presence of discharge
D) All of the choices are correct.

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

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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 C)
F) None of the above

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Gardasil prevents infection by group B Streptococcus types 6,11,16,and 18.

A) True
B) False

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There is a controversy over pre-teen girls receiving the HPV vaccine.Many parents think that giving this vaccine condones sexual activity at a young age.On the other hand,there are parents who do not want their kids to pick up STIs.Why is the vaccine recommended for 11-12 year old girls? Why not give the vaccine to young adult women who are just becoming sexually active?


A) The vaccine is cheaper for young girls since the dosage of virus in the vaccine is far less than that given for older women.
B) The immune system is strongest in pre-teen girls, so it is best to give the vaccine very early in life.
C) Once the young woman becomes infected with HPV, the virus gets into cells. It is then too late to vaccinate.
D) Very young women tend to get cancer from HPV, whereas women who are older get warts from HPV.

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

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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) Lactobacillus can cause urinary tract infections when transferred from the reproductive system to the urinary system.
B) Use of spermicide must be carefully monitored so that it doesn't inadvertently enter the urinary tract.
C) Production of spermicidal chemicals must be rigorously controlled to avoid contamination with organisms like
D) Without the protective coating of Lactobacillus, organisms like
E) coli can attach to bladder epithelial cells.

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

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Which of the following statements regarding the Chlamydia life cycle is incorrect?


A) The elementary body is the infectious stage of Chlamydia.
B) Elementary bodies are released from the host cell to continue the infectious cycle.
C) Elementary bodies differentiate into reticulate bodies in the cell nucleus.
D) Reticulate bodies multiple by binary fission.

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

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

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The pathogenesis of Neisseria gonorrhoeae is dependent upon phase variation.Which of the following statements concerning phase variation is incorrect?


A) Phase variation involves alterations to the structure of the fimbriae.
B) Phase variations results from genetic rearrangements in the Neisseria chromosome.
C) Phase variation allows Neisseria cells to escape immune detection.
D) Phase variation results in Neisseria cells adopting a pleomorphic morphology.

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

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Normal biota of the urinary tract in both genders include all of the following except ______.


A) Staphylococcus
B) Escherichia coli
C) Lactobacillus
D) nonhemolytic Streptococcus
E) Corynebacterium

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

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Even after a positive test for a microbial cause,chronic prostatitis is unresponsive to antibiotic therapy.Why might this be the case?


A) Mixed species biofilms are hard to eliminate with antibiotics.
B) The side effects of the drug are too great.
C) It is a viral infection.
D) The infection is sporadic.

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

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Chlamydia infection can lead to cervicitis,salpingitis,and pelvic inflammatory disease.

A) True
B) False

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The most commonly reported STI in the United States is ______.


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

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

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

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Why does the microbiota of the reproductive tract change as the female ages from childhood to adulthood to old age?


A) Her estrogen and progesterone levels change over time.
B) The pH of the vagina changes over time.
C) The microbes in the vagina change the environment, which affects the populations of microbes living there.
D) Post-menopausal women have a stable microbiota.
E) All of these statements are true.

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

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Warts are caused by ______.


A) bacteria
B) nonenveloped RNA viruses
C) enveloped RNA viruses
D) nonenveloped DNA viruses
E) enveloped DNA viruses

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

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Infected animals shed Leptospira interrogans in their ______.


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

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

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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) C) and E)
G) None of the above

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