Question 1
Question
Sexually transmitted diseases can generally also be transmitted via inanimate objects.
Question 2
Question
The normal vaginal pH is between [blank_start]4-4.5[blank_end]
Answer
-
4-4.5
-
8-8.5
-
6.5-7.5
-
13-13.5
Question 3
Question
Which of the three following organisms are commensal bacteria in the vagina?
Answer
-
Group B Streptococcus
-
Group C Streptococcus
-
Strep Viridans
-
Staph Aureus
-
Candida
-
Pseudomonas Aeruginosa
-
Haemophilus Influenzae
Question 4
Question
The most common type off Candida is called Candida [blank_start]Albicans[blank_end]
Question 5
Question
Candida Albicans is [blank_start]more[blank_end] responsive to treatment than non-candida albicans
Question 6
Question
[blank_start]Non-Candida Albicans[blank_end] is rare and usually found in immunosuppressed people
Answer
-
Non-Candida Albicans
-
Candida Albicans
Question 7
Question
Poorly controlled [blank_start]diabetes[blank_end] is a significant risk factor for symptomatic candida albicans infection.
Answer
-
diabetes
-
hypertension
-
renal impairment
-
hyperthyroidism
Question 8
Question
Candida Albicans [blank_start]is not[blank_end] typically spread via sexual contact; it [blank_start]is not[blank_end] an STI
Question 9
Question
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.
Question 10
Question
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
Question 11
Question
[blank_start]Bacterial vaginosis[blank_end] is a disease of the vagina caused by excessive growth of its commensal bacteria.
Question 12
Question
Bacterial Vaginosis is not considered an STI however is more frequently found in women who are sexually active.
Question 13
Question
What is the most common bacterial STI in the UK?
Answer
-
Chlamydia Trachomatis
-
Neisseria Gonorrhoeae
-
Bacterial Vaginosis
-
Genital Herpes
-
Syphilis
Question 14
Question
If a doctor suspected a vaginal infection due to 'a positive whiff test', which infection is most likely present?
Answer
-
Bacterial Vaginosis
-
Chlamydia Trachomatis
-
Neisseria Gonorrhoeae
-
Syphilis
-
Genital Herpes
Question 15
Question
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
Answer
-
Syphilis
-
Neisseria Gonorrhoea
-
Chlamydia Trachomatis
-
Bacterial Vaginosis
Question 16
Question
In the whiff test for bacterial vaginosis, 10% solution of which chemical is added to increase the potency of the smell?
Answer
-
Potassium Chloride
-
Potassium Hydroxide
-
Potassium Sulphate
-
Potassium Iodide
Question 17
Question
Bacterial Vaginosis is mainly associated with which pathogen?
Question 18
Question
As Bacterial Vaginosis is a anaerobic infection, it is usually treated using which drug?
[blank_start]Metronidazole[blank_end]
Question 19
Question
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]
Question 20
Question
The treatment plan for Chlamydia infections is 100mg [blank_start]Doxycycline[blank_end] twice daily for [blank_start]7[blank_end] days
Question 21
Question
Upon gram staining, chlamydia is typically found to be gram positive.
Question 22
Question
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?
Answer
-
Combined Nucleic Acid Amplification Tests (NAATs)
-
Polymerase Chain Reaction Testing (PCR)
-
Bacterial Culture testing
-
Blood testing
-
Viral Antigen Detection testing (VAD)
Question 23
Question
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.
Question 24
Question
Intensely itchy white vaginal discharge tends to be indicative of ...
Answer
-
Bacterial Vaginosis
-
Candida Albicans Infection
-
Neisseria Gonorrhoeae Infection
-
Chlamydia Trachomatis Infection
Question 25
Question
Neisseria Gonorrhoea is a gram [blank_start]negative[blank_end] [blank_start]intracellular[blank_end] diplococcus
Answer
-
negative
-
positive
-
intracellular
-
extracellular
Question 26
Question
Chlamydia Trachomatis infection is much more common than Neisseria Gonorrhoeae infection.
Question 27
Question
Neisseria Gonorrhoea infection of the pharynx is common is women and MSM and is almost always asymptomatic.
Question 28
Question
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]
Answer
-
intramuscular
-
intravenous
-
oral
-
subcutaneous
-
Ceftriaxone
-
Azithromycin
-
Ciprofloxacin
Question 29
Question
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]
Answer
-
Ciprofloxacin
-
Ceftriaxone
-
Trimethoprim
Question 30
Question
In terms of Syphilis, when the chancre heals this means that the syphilis has cleared and there is no longer an infection present.
Question 31
Question
Tenesmus (and bloody diarrhoea) alongside symptoms of an STI is typically indicative of ...
Question 32
Question
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
Answer
-
Non-specific tests
-
Specific tests
Question 33
Question
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]
Answer
-
E.g. TPPA & TPHA
-
E.g. RPR & VDRL
Question 34
Question
[blank_start]IgM & IgG ELISA[blank_end] testing is used as the screening test for syphilis and provides a good indicator of early disease.
Answer
-
IgM & IgG ELISA
-
TPPA
-
TPHA
-
TPPA & TPHA
Question 35
Question
Of the two immunoglobulins in the ELISA syphilis test, [blank_start]IgM[blank_end] is the good indicator for early disease
Question 36
Question
Syphilis infection is typically treated by [blank_start]Penicillin G[blank_end]
Answer
-
Penicillin G
-
Penicillin D
-
Penicillin V
Question 37
Question
Genital Herpes tends to be caused by Herpes Simplex Virus Type [blank_start]2[blank_end]
Question 38
Question
A person presenting with shallow ulcers around the vagina which are excruciatingly sore are likely to have which of the following conditions?
Question 39
Question
The best investigative test for genital herpes is [blank_start]viral PCR[blank_end]
Answer
-
viral PCR
-
viral culture
-
NAAT testing
Question 40
Question
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