Pregunta 1
Pregunta
Sexually transmitted diseases can generally also be transmitted via inanimate objects.
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]
Pregunta 5
Pregunta
Candida Albicans is [blank_start]more[blank_end] responsive to treatment than non-candida albicans
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
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.
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
Pregunta 11
Pregunta
[blank_start]Bacterial vaginosis[blank_end] is a disease of the vagina caused by excessive growth of its commensal bacteria.
Pregunta 12
Pregunta
Bacterial Vaginosis is not considered an STI however is more frequently found in women who are sexually active.
Pregunta 13
Pregunta
What is the most common bacterial STI in the UK?
Respuesta
-
Chlamydia Trachomatis
-
Neisseria Gonorrhoeae
-
Bacterial Vaginosis
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Genital Herpes
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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
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Potassium Iodide
Pregunta 17
Pregunta
Bacterial Vaginosis is mainly associated with which pathogen?
Pregunta 18
Pregunta
As Bacterial Vaginosis is a anaerobic infection, it is usually treated using which drug?
[blank_start]Metronidazole[blank_end]
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]
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
Pregunta 21
Pregunta
Upon gram staining, chlamydia is typically found to be gram positive.
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
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Combined Nucleic Acid Amplification Tests (NAATs)
-
Polymerase Chain Reaction Testing (PCR)
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Bacterial Culture testing
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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.
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.
Pregunta 27
Pregunta
Neisseria Gonorrhoea infection of the pharynx is common is women and MSM and is almost always asymptomatic.
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.
Pregunta 31
Pregunta
Tenesmus (and bloody diarrhoea) alongside symptoms of an STI is typically indicative of ...
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
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]
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?
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