Microbiology of Genital Tract Infection

Descripción

Microbiology of Genital Tract Infection given by Dr Mooka on 09/11/2018
Matthew Coulson
Test por Matthew Coulson, actualizado hace más de 1 año
Matthew Coulson
Creado por Matthew Coulson hace más de 5 años
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1

Resumen del Recurso

Pregunta 1

Pregunta
Sexually transmitted diseases can generally also be transmitted via inanimate objects.
Respuesta
  • True
  • False

Pregunta 2

Pregunta
The normal vaginal pH is between [blank_start]4-4.5[blank_end]
Respuesta
  • 4-4.5
  • 8-8.5
  • 6.5-7.5
  • 13-13.5

Pregunta 3

Pregunta
Which of the three following organisms are commensal bacteria in the vagina?
Respuesta
  • Group B Streptococcus
  • Group C Streptococcus
  • Strep Viridans
  • Staph Aureus
  • Candida
  • Pseudomonas Aeruginosa
  • Haemophilus Influenzae

Pregunta 4

Pregunta
The most common type off Candida is called Candida [blank_start]Albicans[blank_end]
Respuesta
  • Albicans

Pregunta 5

Pregunta
Candida Albicans is [blank_start]more[blank_end] responsive to treatment than non-candida albicans
Respuesta
  • more
  • less

Pregunta 6

Pregunta
[blank_start]Non-Candida Albicans[blank_end] is rare and usually found in immunosuppressed people
Respuesta
  • Non-Candida Albicans
  • Candida Albicans

Pregunta 7

Pregunta
Poorly controlled [blank_start]diabetes[blank_end] is a significant risk factor for symptomatic candida albicans infection.
Respuesta
  • diabetes
  • hypertension
  • renal impairment
  • hyperthyroidism

Pregunta 8

Pregunta
Candida Albicans [blank_start]is not[blank_end] typically spread via sexual contact; it [blank_start]is not[blank_end] an STI
Respuesta
  • is not
  • is
  • is not
  • is

Pregunta 9

Pregunta
An uncomplicated Candida Albicans infection should be treated with an antifungal called [blank_start]Clotrimazole[blank_end] in the form of a cream to be applied internally.
Respuesta
  • Clotrimazole

Pregunta 10

Pregunta
Which type of anaerobic gram positive bacteria, rife in the vagina, utilise glycogen in order to produce lactic acid thus protecting against the growth of infective organisms in the vagina? [blank_start]Lactobacillus[blank_end] bacteria
Respuesta
  • Lactobacillus

Pregunta 11

Pregunta
[blank_start]Bacterial vaginosis[blank_end] is a disease of the vagina caused by excessive growth of its commensal bacteria.
Respuesta
  • Bacterial vaginosis

Pregunta 12

Pregunta
Bacterial Vaginosis is not considered an STI however is more frequently found in women who are sexually active.
Respuesta
  • True
  • False

Pregunta 13

Pregunta
What is the most common bacterial STI in the UK?
Respuesta
  • Chlamydia Trachomatis
  • Neisseria Gonorrhoeae
  • Bacterial Vaginosis
  • Genital Herpes
  • Syphilis

Pregunta 14

Pregunta
If a doctor suspected a vaginal infection due to 'a positive whiff test', which infection is most likely present?
Respuesta
  • Bacterial Vaginosis
  • Chlamydia Trachomatis
  • Neisseria Gonorrhoeae
  • Syphilis
  • Genital Herpes

Pregunta 15

Pregunta
Presentations of Vaginal Infections: [blank_start]Bacterial Vaginosis[blank_end] = White creamy discharge often giving off a potent 'fishy' smell [blank_start]Chlamydia Trachomatis[blank_end] = Usually asymptomatic [blank_start]Neisseria Gonorrhoea[blank_end] = Thin, purulent, yellowish discharge [blank_start]Syphilis[blank_end] = Present with a painless ulcer known as a chancre
Respuesta
  • Syphilis
  • Neisseria Gonorrhoea
  • Chlamydia Trachomatis
  • Bacterial Vaginosis

Pregunta 16

Pregunta
In the whiff test for bacterial vaginosis, 10% solution of which chemical is added to increase the potency of the smell?
Respuesta
  • Potassium Chloride
  • Potassium Hydroxide
  • Potassium Sulphate
  • Potassium Iodide

Pregunta 17

Pregunta
Bacterial Vaginosis is mainly associated with which pathogen?
Respuesta
  • Gardnerella Vaginalis
  • Peptostreptococcus Anaerobius
  • Fusobacterium Nucleatum
  • Fusobacterium Necrophorum

Pregunta 18

Pregunta
As Bacterial Vaginosis is a anaerobic infection, it is usually treated using which drug? [blank_start]Metronidazole[blank_end]
Respuesta
  • Metronidazole

Pregunta 19

Pregunta
Chlamydia has 3 serological groupings: Serovars A-C = [blank_start]Trachoma (non-STI eye infection)[blank_end] Serovars D-K = [blank_start]Genital Infection[blank_end] Serovars L1-L3 = [blank_start]Lymphogranuloma Venereum[blank_end]
Respuesta
  • Lymphogranuloma Venereum
  • Genital Infection
  • Trachoma (non-STI eye infection)

Pregunta 20

Pregunta
The treatment plan for Chlamydia infections is 100mg [blank_start]Doxycycline[blank_end] twice daily for [blank_start]7[blank_end] days
Respuesta
  • Doxycycline
  • 7

Pregunta 21

Pregunta
Upon gram staining, chlamydia is typically found to be gram positive.
Respuesta
  • True
  • False

Pregunta 22

Pregunta
Testing for Chlamydia and Gonorrhoea is done using the same clinical testing. Which 2 of the following investigative modalities are most commonly utilised for these infections?
Respuesta
  • Combined Nucleic Acid Amplification Tests (NAATs)
  • Polymerase Chain Reaction Testing (PCR)
  • Bacterial Culture testing
  • Blood testing
  • Viral Antigen Detection testing (VAD)

Pregunta 23

Pregunta
Males being tested for chlamydia & gonorrhoea have their [blank_start]first-pass urine[blank_end] tested. Females being tested for chlamydia & gonorrhoea will have [blank_start]a vulvo-vaginal swab[blank_end] taken.
Respuesta
  • a vulvo-vaginal swab
  • their blood
  • a mid stream urine sample
  • first-pass urine
  • mid-stream urine

Pregunta 24

Pregunta
Intensely itchy white vaginal discharge tends to be indicative of ...
Respuesta
  • Bacterial Vaginosis
  • Candida Albicans Infection
  • Neisseria Gonorrhoeae Infection
  • Chlamydia Trachomatis Infection

Pregunta 25

Pregunta
Neisseria Gonorrhoea is a gram [blank_start]negative[blank_end] [blank_start]intracellular[blank_end] diplococcus
Respuesta
  • negative
  • positive
  • intracellular
  • extracellular

Pregunta 26

Pregunta
Chlamydia Trachomatis infection is much more common than Neisseria Gonorrhoeae infection.
Respuesta
  • True
  • False

Pregunta 27

Pregunta
Neisseria Gonorrhoea infection of the pharynx is common is women and MSM and is almost always asymptomatic.
Respuesta
  • True
  • False

Pregunta 28

Pregunta
All patients with Gonorrhoea infection are now treated in secondary care due to the high incidence of antibiotic resistance. They are treated with [blank_start]intramuscular[blank_end] [blank_start]Ceftriaxone[blank_end]
Respuesta
  • intramuscular
  • intravenous
  • oral
  • subcutaneous
  • Ceftriaxone
  • Azithromycin
  • Ciprofloxacin

Pregunta 29

Pregunta
Infection of the prostate (prostatitis) can occur in women and MSM. This typically presents with the same symptoms as a UTI. This is is typically treated by a four week course of the drug [blank_start]Ciprofloxacin[blank_end]
Respuesta
  • Ciprofloxacin
  • Ceftriaxone
  • Trimethoprim

Pregunta 30

Pregunta
In terms of Syphilis, when the chancre heals this means that the syphilis has cleared and there is no longer an infection present.
Respuesta
  • True
  • False

Pregunta 31

Pregunta
Tenesmus (and bloody diarrhoea) alongside symptoms of an STI is typically indicative of ...
Respuesta
  • Lymphogranuloma Venereum Chlamydia infection
  • Bacterial Vaginosis
  • Syphilis infection
  • Genital Herpes
  • Neisseria Gonorrhoeae infection

Pregunta 32

Pregunta
Serological tests for Syphilis: [blank_start]Specific tests[blank_end] = Positive for syphilis infection, however not useful in monitoring therapy [blank_start]Non-specific tests[blank_end] = Indicate tissue inflammation, useful for monitoring response to therapy. Usually become negative following syphilis treatment
Respuesta
  • Non-specific tests
  • Specific tests

Pregunta 33

Pregunta
Serological tests for Syphilis: Specific Tests = [blank_start]E.g. TPPA & TPHA[blank_end] Non-Specific Tests = [blank_start]E.g. RPR & VDRL[blank_end]
Respuesta
  • E.g. TPPA & TPHA
  • E.g. RPR & VDRL

Pregunta 34

Pregunta
[blank_start]IgM & IgG ELISA[blank_end] testing is used as the screening test for syphilis and provides a good indicator of early disease.
Respuesta
  • IgM & IgG ELISA
  • TPPA
  • TPHA
  • TPPA & TPHA

Pregunta 35

Pregunta
Of the two immunoglobulins in the ELISA syphilis test, [blank_start]IgM[blank_end] is the good indicator for early disease
Respuesta
  • IgM
  • IgG

Pregunta 36

Pregunta
Syphilis infection is typically treated by [blank_start]Penicillin G[blank_end]
Respuesta
  • Penicillin G
  • Penicillin D
  • Penicillin V

Pregunta 37

Pregunta
Genital Herpes tends to be caused by Herpes Simplex Virus Type [blank_start]2[blank_end]
Respuesta
  • 2
  • 1

Pregunta 38

Pregunta
A person presenting with shallow ulcers around the vagina which are excruciatingly sore are likely to have which of the following conditions?
Respuesta
  • Bacterial Vaginosis
  • Genital Herpes
  • Chlamydia Trachomatis infection
  • Neisseria Gonorrhoea infection
  • Syphilis
  • Trichomonas Vaginalis

Pregunta 39

Pregunta
The best investigative test for genital herpes is [blank_start]viral PCR[blank_end]
Respuesta
  • viral PCR
  • viral culture
  • NAAT testing

Pregunta 40

Pregunta
Pubic lice cause the pubic hair on the mons pubis to become intensely itchy. It is typically treated with [blank_start]Malathion[blank_end] lotion
Respuesta
  • Malathion
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