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Microbiology of Genital Tract Infection

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Microbiology of Genital Tract Infection given by Dr Mooka on 09/11/2018
Matthew Coulson
Quiz por Matthew Coulson, atualizado more than 1 year ago
Matthew Coulson
Criado por Matthew Coulson quase 6 anos atrás
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Resumo de Recurso

Questão 1

Questão
Sexually transmitted diseases can generally also be transmitted via inanimate objects.
Responda
  • True
  • False

Questão 2

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

Questão 3

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

Questão 4

Questão
The most common type off Candida is called Candida [blank_start]Albicans[blank_end]
Responda
  • Albicans

Questão 5

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

Questão 6

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

Questão 7

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

Questão 8

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

Questão 9

Questão
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.
Responda
  • Clotrimazole

Questão 10

Questão
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
Responda
  • Lactobacillus

Questão 11

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

Questão 12

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

Questão 13

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

Questão 14

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

Questão 15

Questão
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
Responda
  • Syphilis
  • Neisseria Gonorrhoea
  • Chlamydia Trachomatis
  • Bacterial Vaginosis

Questão 16

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

Questão 17

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

Questão 18

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

Questão 19

Questão
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]
Responda
  • Lymphogranuloma Venereum
  • Genital Infection
  • Trachoma (non-STI eye infection)

Questão 20

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

Questão 21

Questão
Upon gram staining, chlamydia is typically found to be gram positive.
Responda
  • True
  • False

Questão 22

Questão
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?
Responda
  • Combined Nucleic Acid Amplification Tests (NAATs)
  • Polymerase Chain Reaction Testing (PCR)
  • Bacterial Culture testing
  • Blood testing
  • Viral Antigen Detection testing (VAD)

Questão 23

Questão
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.
Responda
  • a vulvo-vaginal swab
  • their blood
  • a mid stream urine sample
  • first-pass urine
  • mid-stream urine

Questão 24

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

Questão 25

Questão
Neisseria Gonorrhoea is a gram [blank_start]negative[blank_end] [blank_start]intracellular[blank_end] diplococcus
Responda
  • negative
  • positive
  • intracellular
  • extracellular

Questão 26

Questão
Chlamydia Trachomatis infection is much more common than Neisseria Gonorrhoeae infection.
Responda
  • True
  • False

Questão 27

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

Questão 28

Questão
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]
Responda
  • intramuscular
  • intravenous
  • oral
  • subcutaneous
  • Ceftriaxone
  • Azithromycin
  • Ciprofloxacin

Questão 29

Questão
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]
Responda
  • Ciprofloxacin
  • Ceftriaxone
  • Trimethoprim

Questão 30

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

Questão 31

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

Questão 32

Questão
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
Responda
  • Non-specific tests
  • Specific tests

Questão 33

Questão
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]
Responda
  • E.g. TPPA & TPHA
  • E.g. RPR & VDRL

Questão 34

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

Questão 35

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

Questão 36

Questão
Syphilis infection is typically treated by [blank_start]Penicillin G[blank_end]
Responda
  • Penicillin G
  • Penicillin D
  • Penicillin V

Questão 37

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

Questão 38

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

Questão 39

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

Questão 40

Questão
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
Responda
  • Malathion

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