Chapter 34: Sexually Transmitted Infections

Chapter 34: Sexually Transmitted Infections

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. The organism most commonly associated with pelvic inflammatory disease is

ANS:  A

Pelvic inflammatory disease is usually the result of acute salpingitis caused by gonococcal or chlamydial infection that has extended into nearby pelvic tissue. Syphilis is acquired when T. pallidum penetrates intact mucous membrane or abraded skin during sexual contact. Escherichia coli is not generally associated with pelvic inflammatory disease. Pelvic inflammatory disease is not associated with Pseudomonas infection.

REF:   Pg. 689

2. A long asymptomatic latent phase is characteristic of which of the following sexually transmitted infections?

ANS:  B

The secondary stage of syphilis is self-limiting and is followed by a latent phase in which no symptoms are present. Infection with gonorrhea is not associated with a latent phase. After invasion of the mucosa by Chlamydia during sexual contact, a painless lesion appears on the genitalia after a 1- to 3-week incubation period. Hepatitis B infection is not characterized by a long latent phase.

REF:   Pgs. 690-691

3. A painless ulceration called a chancre is a lesion associated with infection by

ANS:  D

The primary phase of syphilis begins with the formation of a chancre, a painless, ulcerative lesion that arises at the original portal of entry. Human papillomavirus is not associated with chancre lesions. In gonorrhea, chancres are not present. The symptoms of infection with Chlamydia are generally less severe than those of syphilis and are not evidenced by a chancre lesion.

REF:   Pg. 690

4. Which infection can be a risk factor for cervical cancer?

ANS:  A

Condylomata acuminata, or genital warts, are associated with infection by human papillomavirus. Persistent human papillomavirus infection is an important risk factor for cervical cancer. Molluscum contagiosum is associated with infection by a poxvirus. The disease is usually asymptomatic and self-limiting. Granuloma inguinale is caused by an intracellular bacterium. The initial papule is painless and subsequently ulcerates into a growing granulomatous ulcer resembling a tumor. Chancroid is caused by infection with an anaerobic bacillus. Lesions resemble those of syphilis; however, the lesions of syphilis are painless.

REF:    Pgs. 693-694