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Self Assessment Quiz - Sexually Transmitted Diseases
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The greatest risk factor for contracting a sexually transmitted disease is
A)practice of unprotected anal-genital intercourse.
B)practice of unprotected anal-oral intercourse.
C)practice of unprotected oral-genital intercourse.
D)number of sexual partners.
E)illicit drug use.

The CDC recommends that a penicillin-allergic pregnant patient with a diagnosis of primary syphilis should be treated with
E)none of the above.

Neonatal infections caused by which of the following can result in severe neurologic impairment?
A)N. gonorrhoeae
B)C. trachomatis
C)T. vaginalis
D)Herpes simplex virus
E)Human papillomavirus

Which of the following statements is false regarding patients with a diagnosis of symptomatic urethral or cervical gonorrhea?
A)Concurrent infection with chlamydia is more common in females than in males.
B)Persistence of urethritis following successful treatment of gonorrhea can be due to a number of organisms, including C. trachomatis, U. urealyticum, or T. vaginalis.
C)Gram-stained smears are more sensitive for urethral infections than for cervical infections.
D)DNA probe and PCR methods are available to detect gonorrhea in first-void urine samples of individuals with urethral infections.
E)None of the above are false.

Which of the following regimens does not consistently eradicate C. trachomatis genital infections?
A)Ofloxacin 300 mg bid for 7 days
B)Ciprofloxacin 500 mg PO bid for 7 days
C)Azithromycin 1 g PO as a single dose
D)Doxycycline 100 mg PO bid for 7 days
E)Erythromycin base 500 mg PO qid for 7 days

Which of the following is the recommended treatment for neonatal gonococcal ophthalmia?
A)Silver nitrate ophthalmic solution
B)Erythromycin ophthalmic solution
C)Tetracycline ophthalmic solution
E)a, b, and c

For which of the following STDs does the CDC recommend that patients be tested for HIV infection?
E)Genital herpes

The recommended treatment of choice for the treatment of trichomoniasis is
A)metronidazole 500 mg PO bid for 7 days.
B)metronidazole 500 mg PO bid for 2 days.
C)metronidazole 2 g PO for 3 days.
D)metronidazole 1 g PO as a single dose.
E)metronidazole 2 g PO as a single dose.

Which of the following statements regarding genital herpes infection is false?
A)Most genital infections are caused by HSV-1.
B)Clinical manifestations of infection can occur within 2 days following exposure.
C)Asymptomatic viral shedding is considered the most important source of transmission.
D)Widely available nonspecific serologic assays for detecting HSV antibodies have limited usefulness in the diagnosis of genital herpes.
E)The risk of transmission during birth appears to be much greater for first-episode rather than for recurrent infections.

Ophthalmia neonatorum can result from exposure to
A)C. trachomatis.
B)T. vaginalis.
C)T. pallidum.
D)a and b only.
E)a, b, and c.

A false-positive VDRL slide test or RPR card test for syphilis can occur in patients who have
A)chronic infections.
B)autoimmune diseases.
D)a and b only.
E)a, b, and c.

Which of the following statements regarding the management of recurrent genital herpes infections is(are) true?
A)Symptoms of recurrent infections are generally milder and of shorter duration that those of primary episodes.
B)In most patients treated with episodic therapy administered within 48 hours of symptom onset, appreciable effects on symptomatology are not seen.
C)Suppressive therapy with acyclovir, famciclovir, or valacyclovir has been shown to reduce viral shedding and significantly decrease the risk of disease transmission.
D)a and b
E)a, b, and c

Which of the following statement regarding trichomoniasis is(are) true?
A)Nonvenereal transmission of trichomoniasis is possible.
B)The majority of infected men are asymptomatic.
C)Infection during pregnancy can result in preterm labor and delivery.
D)Wet-mount specimen examination is less sensitive in diagnosing infections in females than in males.
E)All the above are true.

Which of the following is associated with possible development of pelvic inflammatory disease?
B)Genital herpes infection
D)Genital chlamydial infection
E)None of the above

The CDC recommends that sexually active adolescent females undergo screening for which of the following during their routine annual pelvic examinations?
D)Genital herpes
E)None of the above

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