Chapter 26: Sexually Transmitted Infections

Chapter 26: Sexually Transmitted Infections

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

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

a.	They are in an experimental phase with sexual intercourse and believe they are resistant to developing STIs.
b.	The adolescent cervix is immature and lacks immunity.
c.	The length of the vaginal canal is short in adolescents, allowing a greater concentration of microorganisms within the internal genitalia.
d.	In adolescent girls, the anus to the vaginal introitus are in close proximity.

 

 

ANS:  B

Partly, perhaps, because of risk-taking behavior (unprotected intercourse or selection of high-risk partners), many adolescents have an increased risk for STI exposure and infection. The unique factor for adolescent women is that they have a physiologically increased susceptibility to infection because of increased cervical immaturity and lack of immunity. The remaining options are not considered legitimate risk factors for STIs.

 

PTS:   1                    REF:   Pages 918-919

 

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

a.	Unbound in the blood via the placenta
b.	Attached to immunoglobulin G (IgG) via the placenta
c.	Across amniotic membranes by the direct inoculation with the fetal scalp electrodes during labor monitoring
d.	Predominately through infected cervical and secretions during the birth process

 

 

ANS:  D

A pregnant woman can transmit gonorrhea to her fetus during the birth process. The infection passes from mother to child predominately through infected cervical and vaginal secretions. The transmission is not associated with the other options.

 

PTS:   1                    REF:   Page 920

 

3. Which statement is false about the factors that facilitate the ascent of gonococci into the uterus and 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.

 

 

ANS:  B

Several factors can facilitate the ascent of gonococci into the uterus and the fallopian tubes, where they cause pelvic inflammatory disease (PID). Among these factors are (1) disintegration of the cervical mucous plug and (2) a rise in vaginal pH greater than 4.5 during menstruation. The other options are accurate statements.

 

PTS:   1                    REF:   Page 921

 

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

a.	Endocervical canal	c.	Fallopian tube
b.	Vagina	d.	Labia majora

 

 

ANS:  A

In women, the endocervical canal (inner portion of the cervix) is the usual site of original gonococcal infection, although urethral colonization and infection of Skene or Bartholin glands also are common. The other options are not usually associated with gonococcal infections.

 

PTS:   1                    REF:   Page 921

 

5. What is the primary site for uncomplicated local gonococci infections in men?

a.	Epididymis	c.	Urethra
b.	Lymph nodes	d.	Prostate

 

 

ANS:  C

Uncomplicated local infections are observed primarily as urethral infections in men.

 

PTS:   1                    REF:   Page 921