Question 1

How is gonorrhea transmitted from a pregnant woman to her fetus?

Accepted Answer

A) Unbound in the blood via the placenta 
B) Attached to immunoglobulin G (IgG) via the placenta 
C) By direct inoculation with the fetal scalp electrodes exposed to maternal body fluids 
D) Predominately through infected cervical and secretions during the birth process 
A) Unbound in the blood via the placenta 
B) Attached to immunoglobulin G (IgG) via the placenta 
C) By direct inoculation with the fetal scalp electrodes exposed to maternal body fluids 
D) Predominately through infected cervical and secretions during the birth process D

Question 2

A healthcare professional wants to join a research team working on treatments for gonococci infections. What is the major concern regarding the treatment the professional will likely work on?

Accepted Answer

A) Antibiotic resistance 
B) Changes in virulence 
C) Changes in pathogenicity 
D) Mutations into different strains 
A) Antibiotic resistance 
B) Changes in virulence 
C) Changes in pathogenicity 
D) Mutations into different strains A

Question 3

Which is a characteristic lesion of secondary syphilis?

Accepted Answer

A) Condylomata lata 
B) Gummas 
C) Chancroid 
D) Donovan bodies 
A) Condylomata lata 
B) Gummas 
C) Chancroid 
D) Donovan bodies A

Question 4

During reactivation, herpes virus genomes are transported through which nerves to the dermal surface?

Accepted Answer

A) Somatic 
B) Peripheral sensory 
C) Autonomic 
D) Peripheral motor 
A) Somatic 
B) Peripheral sensory 
C) Autonomic 
D) Peripheral motor

Question 5

During which stage of syphilis do bloodborne bacteria spread to all the major organ systems?

Accepted Answer

A) Primary 
B) Secondary 
C) Latent 
D) Tertiary 
A) Primary 
B) Secondary 
C) Latent 
D) Tertiary

Question 6

A healthcare professional is learning about how gonococci ascend into a woman's uterus and fallopian tubes. Which statement is inconsistent about the factors that facilitate this ascent?

Accepted Answer

A) Ascent of gonococci is facilitated because the cervical plug disintegrates during menstruation. 
B) Ascent of gonococci is facilitated because the vaginal pH decreases to 2 or 3. 
C) Ascent of gonococci is facilitated because the uterine contractions may cause retrograde menstruation into the fallopian tubes. 
D) Ascent of gonococci is facilitated because the bacteria may adhere to sperm and be transported to the fallopian tubes. 
A) Ascent of gonococci is facilitated because the cervical plug disintegrates during menstruation. 
B) Ascent of gonococci is facilitated because the vaginal pH decreases to 2 or 3. 
C) Ascent of gonococci is facilitated because the uterine contractions may cause retrograde menstruation into the fallopian tubes. 
D) Ascent of gonococci is facilitated because the bacteria may adhere to sperm and be transported to the fallopian tubes.

Question 7

Which of these causes condylomata acuminata or genital warts?

Accepted Answer

A) Chlamydia 
B) Adenovirus 
C) Human papillomavirus (HPV) 
D) Herpes simplex virus 1 (HSV-1) 
A) Chlamydia 
B) Adenovirus 
C) Human papillomavirus (HPV) 
D) Herpes simplex virus 1 (HSV-1)

Question 8

A patient is found to have "strawberry spots" on the vagina and cervix. Which medication does the healthcare professional discuss with the patient?

Accepted Answer

A) Metronidazole 
B) Acyclovir 
C) Lindane 1% cream 
D) Tetracycline 
A) Metronidazole 
B) Acyclovir 
C) Lindane 1% cream 
D) Tetracycline

Question 9

During the latent period of a herpes virus infection, where in the host cell is the genome of the virus maintained?

Accepted Answer

A) Mitochondria 
B) Lysosomes 
C) Nucleus 
D) Cytoplasm 
A) Mitochondria 
B) Lysosomes 
C) Nucleus 
D) Cytoplasm

Question 10

What unique factor causes adolescent girls to have a high risk for sexually transmitted infections (STIs)?

Accepted Answer

A) They are in an experimental phase and believe they are resistant to developing STIs. 
B) The position of susceptible cells on the adolescent cervix is different than in older women. 
C) The length of the vaginal canal is short in adolescents 
D) In adolescent girls, the anus to the vaginal introitus is in close proximity. 
A) They are in an experimental phase and believe they are resistant to developing STIs. 
B) The position of susceptible cells on the adolescent cervix is different than in older women. 
C) The length of the vaginal canal is short in adolescents 
D) In adolescent girls, the anus to the vaginal introitus is in close proximity.

Question 11

How does an established gonococcal infection usually express itself in newborns?

Accepted Answer

A) Generalized skin rash 4 to 6 days after birth 
B) Systemic infection with fever 
C) Bilateral corneal ulceration 
D) Yellow vaginal or penile discharge approximately 10 days after birth 
A) Generalized skin rash 4 to 6 days after birth 
B) Systemic infection with fever 
C) Bilateral corneal ulceration 
D) Yellow vaginal or penile discharge approximately 10 days after birth

Question 12

A healthcare professional is teaching a high school group about STIs. Which statement by the professional provides the most accurate information regarding the transmission of herpes simplex virus (HSV)?

Accepted Answer

A) HSV is transmitted only when vesicles are present. 
B) HSV is transmitted only while lesions are present. 
C) The use of condoms prevents the transmission of HSV. 
D) The risk of transmission is present even during latent periods. 
A) HSV is transmitted only when vesicles are present. 
B) HSV is transmitted only while lesions are present. 
C) The use of condoms prevents the transmission of HSV. 
D) The risk of transmission is present even during latent periods.

Question 13

In women, what is the usual site of original gonococcal infection?

Accepted Answer

A) Endocervical canal 
B) Vagina 
C) Fallopian tube 
D) Labia majora 
A) Endocervical canal 
B) Vagina 
C) Fallopian tube 
D) Labia majora

Question 14

Which sexually transmitted infection frequently coexists with gonorrhea?

Accepted Answer

A) Syphilis 
B) Herpes simplex virus 
C) Chlamydia 
D) Chancroid 
A) Syphilis 
B) Herpes simplex virus 
C) Chlamydia 
D) Chancroid

Question 15

A patient reports small, vesicular lesions that last between 10 and 20 days. What treatment does the healthcare professional educate the patient about?

Accepted Answer

A) Acyclovir (Zovirax) 
B) Three injections of penicillin 
C) One time dose of azithromycin 
D) Test of cure 
A) Acyclovir (Zovirax) 
B) Three injections of penicillin 
C) One time dose of azithromycin 
D) Test of cure

Question 16

What are the common modes of transmission for the hepatitis B virus (HBV)? (Select all that apply.)

Accepted Answer

A) Needle punctures 
B) Blood transfusions 
C) Contact with infected body fluids 
D) Skin cuts 
E) Ingestion of infected substances 
A) Needle punctures 
B) Blood transfusions 
C) Contact with infected body fluids 
D) Skin cuts 
E) Ingestion of infected substances

Question 17

A woman diagnosed with trichomoniasis asks if her sexual partner should be treated as well. What is the appropriate response by the healthcare professional?

Accepted Answer

A) Sexual partners should be treated only if symptoms are present. 
B) Sexual partners should be treated even if they are asymptomatic. 
C) Infections in men are self-limiting even without treatment. 
D) Sexual partners should be treated to prevent infection. 
A) Sexual partners should be treated only if symptoms are present. 
B) Sexual partners should be treated even if they are asymptomatic. 
C) Infections in men are self-limiting even without treatment. 
D) Sexual partners should be treated to prevent infection.

Question 18

Which organism is responsible for the development of syphilis?

Accepted Answer

A) Neisseria syphilis 
B) Treponema pallidum 
C) Haemophilus ducreyi 
D) Chlamydia trachomatis 
A) Neisseria syphilis 
B) Treponema pallidum 
C) Haemophilus ducreyi 
D) Chlamydia trachomatis

Question 19

A healthcare professional had taught a pregnant woman about the risk of transmitting herpes simplex virus (HSV) from her to her fetus. What statement by the woman indicates the professional needs to provide more information?

Accepted Answer

A) Neonatal infection with HSV rarely occurs in the intrapartum or postpartum period. 
B) The risk is higher in women who have a primary HSV infection. 
C) The risk is higher in women who experience prolonged ruptured membranes. 
D) The risk is higher when internal fetal monitoring devices are used. 
A) Neonatal infection with HSV rarely occurs in the intrapartum or postpartum period. 
B) The risk is higher in women who have a primary HSV infection. 
C) The risk is higher in women who experience prolonged ruptured membranes. 
D) The risk is higher when internal fetal monitoring devices are used.

Question 20

Which laboratory test is considered adequate for an accurate and reliable diagnosis of gonococcal urethritis in a symptomatic man?

Accepted Answer

A) Ligase chain reaction (LCR) 
B) Gram-stain technique 
C) Polymerase chain reaction (PCR) 
D) DNA testing 
A) Ligase chain reaction (LCR) 
B) Gram-stain technique 
C) Polymerase chain reaction (PCR) 
D) DNA testing

Exam 27: Sexually Transmitted Infections

How is gonorrhea transmitted from a pregnant woman to her fetus?

A healthcare professional wants to join a research team working on treatments for gonococci infections. What is the major concern regarding the treatment the professional will likely work on?

Which is a characteristic lesion of secondary syphilis?

During reactivation, herpes virus genomes are transported through which nerves to the dermal surface?

During which stage of syphilis do bloodborne bacteria spread to all the major organ systems?

A healthcare professional is learning about how gonococci ascend into a woman's uterus and fallopian tubes. Which statement is inconsistent about the factors that facilitate this ascent?

Which of these causes condylomata acuminata or genital warts?

A patient is found to have "strawberry spots" on the vagina and cervix. Which medication does the healthcare professional discuss with the patient?

During the latent period of a herpes virus infection, where in the host cell is the genome of the virus maintained?

What unique factor causes adolescent girls to have a high risk for sexually transmitted infections (STIs)?

How does an established gonococcal infection usually express itself in newborns?

A healthcare professional is teaching a high school group about STIs. Which statement by the professional provides the most accurate information regarding the transmission of herpes simplex virus (HSV)?

In women, what is the usual site of original gonococcal infection?

Which sexually transmitted infection frequently coexists with gonorrhea?

A patient reports small, vesicular lesions that last between 10 and 20 days. What treatment does the healthcare professional educate the patient about?

What are the common modes of transmission for the hepatitis B virus (HBV)? (Select all that apply.)

A woman diagnosed with trichomoniasis asks if her sexual partner should be treated as well. What is the appropriate response by the healthcare professional?

Which organism is responsible for the development of syphilis?

A healthcare professional had taught a pregnant woman about the risk of transmitting herpes simplex virus (HSV) from her to her fetus. What statement by the woman indicates the professional needs to provide more information?

Which laboratory test is considered adequate for an accurate and reliable diagnosis of gonococcal urethritis in a symptomatic man?

Cellular Biology

Altered Cellular and Tissue Biology: Environmental Agents

The Cellular Environment: Fluids and Electrolytes, Acids and Bases

Genes and Genetic Diseases

Genes, Environment-Lifestyle, and Common Diseases

Epigenetics and Disease

Innate Immunity: Inflammation and Wound Healing

Adaptive Immunity

Alterations in Immunity and Inflammation

Infection

Stress and Disease

Cancer Biology

Cancer Epidemiology

Cancer in Children

Structure and Function of the Neurologic System

Pain, Temperature Regulation, Sleep, and Sensory Function

Alterations in Cognitive Systems, Cerebral Hemodynamics, and Motor Function

Disorders of the Central and Peripheral Nervous Systems and the Neuromuscular Junction

Neurobiology of Schizophrenia, Mood Disorders, and Anxiety Disorders

Alterations of Neurologic Function in Children

Mechanisms of Hormonal Regulation

Alterations of Hormonal Regulation

Obesity and Disorders of Nutrition

Structure and Function of the Reproductive Systems

Alterations of the Female Reproductive System

Alterations of the Male Reproductive System

Structure and Function of the Hematologic System

Alterations of Erythrocytes, Platelets, and Hemostatic Function

Alterations of Leukocyte and Lymphoid Function

Alterations of Hematologic Function in Children

Structure and Function of the Cardiovascular and Lymphatic Systems

Alterations of Cardiovascular Function

Alterations of Cardiovascular Function in Children

Structure and Function of the Pulmonary System

Alterations of Pulmonary Function

Alterations of Pulmonary Function in Children

Structure and Function of the Renal and Urologic Systems

Alterations of Renal and Urinary Tract Function

Alterations of Renal and Urinary Tract Function in Children

Structure and Function of the Digestive System

Alterations of Digestive Function

Alterations of Digestive Function in Children

Structure and Function of the Musculoskeletal System

Alterations of Musculoskeletal Function

Alterations of Musculoskeletal Function in Children

Structure, Function, and Disorders of the Integument

Alterations of the Integument in Children

Shock, Multiple Organ Dysfunction Syndrome, and Burns in Adults

Shock, Multiple Organ Dysfunction Syndrome, and Burns in Children

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