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Chapter 25: Genitourinary Infections
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1
The urinary tract is protected from infection by antibody-forming _____________and ______________ cells.
A)red blood cells; white.
B)lymphocytes; phagocytic.
C)white cells; red blood.
D)lymphocytes; red blood.
2
What physical characteristic of urine helps to prevent bacterial growth?
A)color.
B)odor.
C)pH.
D)water content.
3
The normal flora of the genital tract of women is influenced by the action of ____________ on the epitihelial cells of the vaginal mucosa.
A)enzymes.
B)protein.
C)vaginal acid.
D)estrogen.
4
The most common cause of urinary infection involves the bladder and is called
A)cystitis.
B)pyelonephritis.
C)glomerulonephritis.
D)urethritis.
5
Specific strains of _____________________ cause most of the cases of bacterial urinary infection.
A)Staphylococcus saprophyticus
B)Escherichia coli.
C)Proteus vulgaris.
D)Klebsiella
6
A zoonotic causative agent of urinary infections which usually enters the urinary system through the blood rather than through the urethra is
A)Staphylococcus saprophyticus.
B)Escherichia coli.
C)Enterobacter
D)Leptospira interrogans.
7
The most common treatment for vaginosis is
A)bacitracin.
B)penicillin.
C)metronidazole.
D)none of the above.
8
Vulvovaginal candidiasis often occurs as a result of
A)antibacterial therapy.
B)imbalance in the normal vaginal flora.
C)uncontrolled diabetes.
D)all of the above.
9
Which of the following is NOT usually a symptom of sexually transmitted diseases?
A)abnormal discharge from the vagina or penis.
B)pain or burning sensation with urination.
C)itching in the vagina or rectal area.
D)fever and headache.
10
Women are more likely than men to become unknowing carriers of gonorrhea because
A)there is usually no painful urination or vaginal discharge.
B)women are not susceptible to the invading organism.
C)it is more difficult for women to contract the disease.
D)none of the above.
11
The causative agent associated with gonorrhea is in the genus ________________.
A)Staphylococcus.
B)Neisseria
C)Escherichia.
D)Treponema.
12
A progressive complication of gonorrhea in women may result in fallopian tube involvement known as
A)ectopic pregnancy.
B)ophthalmia neonatorum.
C)pelvic inflammatory disease.
D)disseminated gonococcal infection.
13
The leading cause of non-gonococcal urethritis in women is due to this obligate intracellular bacterium.
A)Neisseria gonorrhoeae
B)Chlamydia trachomatis
C)Treponema pallidum
D)None of the above
14
Which of the following organisms does not cause a disease of the genital area?
A)Neisseria gonorrhoeae
B)Chlamydia trachomatis
C)Treponema pallidum
D)Bacillus anthracis
15
Which of the following states of syphilis is not infectious?
A)primary.
B)secondary.
C)tertiary.
D)All are infectious.
16
The causative agent of chancroid is
A)Haemophilus ducreyi.
B)Human papillomaviruses.
C)Treponema pallidum.
D)Herpes simplex virus, type 2.
17
Which of the following statements is NOT true of viral STDs?
A)They are at least as common as bacterial STDs.
B)They are very widespread.
C)They are curable.
D)They may play a role in cancer of the cervix.
18
Which of these organisms is a cause of non-venereal genital tract infections?
A)Candida albicans
B)Haemophilus ducreyi
C)Treponema pallidum.
D)Neisseria gonorrhoeae.
19
Which of these organisms can cause problems in a developing fetus?
A)Candida albicans.
B)Haemophilus ducreyi.
C)Treponema pallidum
D)Trichomonas vaginalis.
20
All of the following are symptoms of herpes simplex, type 2 infection EXCEPT
A)fever blisters.
B)itching.
C)painful urination.
D)urethritis.
21
It is common for physicians to collect urine for microbiological analysis. Which of the following organisms from a female patient's urine culture would alert physicians to a potential urinary tract infection?
A)E. coli.
B)Corynebacterium.
C)Streptococcus.
D)Candida albicans.
E)Bacteroides.
22
Toxic shock syndrome was most commonly noted in menstruating women during the early 1980s. Which of the following was the reason for this observation?
A)Fewer condoms were being used during sexual activity in the 1980s.
B)Stressful lifestyles in the 1980's weakened the immune system of women.
C)Birth control pills became common, leading to an overgrowth of vaginal staphylococcus.
D)A certain brand of tampon encouraged the growth of the bacteria causing toxic shock.
E)Its increase correlated with the increase in AIDS.
23
Which of the following is a major problem with tracking the spread of STDs?
A)Many people cannot recall all of their sex partners.
B)The diseases kill many people.
C)Some STDs are transmitted by means other than sexual contact.
D)It takes a long time to identify STD organisms.
E)Many of the diseases go unnoticed and undiagnosed.
24
The Centers for Disease Control and the World Health Organization are striving to eradicate syphilis. Which of the following is the most important barrier to eliminating the disease?
A)Finding enough antibiotics to treat the disease.
B)Eliminating all cases in from small, unidentified populations spread around the world.
C)Finding funding to carry out programs in developing nations.
D)Distributing the treatment to afflicted people.
E)Treating babies with congenital syphilis is dangerous.
25
Physicians diagnosing this sexually transmitted disease regularly advise female patients to be vigilant about getting checkups for cervical cancer.
A)Genital herpes.
B)Syphilis.
C)Gonorrhea.
D)Genital warts.
E)Non-gonococcal urethritis.





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