they are located at the mediafire.com link located above. it is .....
1. Gonococcal infections can spread to many tissues; the most common disseminated infection is:
a. pharyngitis b. conjunctivitis c. meningitis d. septic arthritis
2. Which of these is not due to zoonotic transmission?
a. Treponema b. Leptospira c. Borrelia d. C. psittici
3. In females, an extension of gonococcal or chlamydial urethritis to other reproductive tissues is called
a. PID b. septicemia c. proctitis d. UTI
4. Which of these is a rash not a common symptom?
a. Borrelia b. Treponema c. meningiococcemia d. Chlamydia
5. The G- diplococcus that causes acute urethritis, and other reproductive tract infections is
a. Moraxella catarrhalis b. N. gonorrheae c. Chlamydia d. N. meningitidis
6. Which of these bacteria [that grow intracellularly] is not a common cause of urethritis?
a. Ureaplasma b. Neisseria c. Chlamydia d. Rickettsia
7. Which of these could occur in a male patient with gonorrhea?
a. urethral strictures b. epididymitis c. prostatitis d. septic arthritis e. all of these
8. Which of these is not a possible result of Chlamydia infections in females?
a. ectopic pregnancy b. fallopian scarring c. 2º syphilis d. self-innoculated conjunctivitis
9. Which of these is not expected to cause bacterial arthritis?
a. Borrelia b. N. meningitidis c. 2º syphilis d. N. gonorrheae
10. Which of these might occur during the final phase of untreated syphilis?
a. dementia, psychosis, or paranoid delusions b. gummatic ulcers of tissues and organs
c. demyelination of dorsal ganglia d. all of the above may occur
11. Which of these gonococcal infections does not occur in males?
a. proctitis b. urethritis c. cervicitis d. pharyngitis e. prostatitis
12. The common disseminated gonorrhea infection in females is:
a. meningitis b. conjunctivitis c. gonococcal shock d. PID
13. An ancient disease - "trachoma" - is due to Chlamydia and is:
a. a leading cause of blindness b. the leading cause of childhood CAP
c. transmitted by parrots d. strictly sexually transmitted
14. Which of these is not one of the recognized signs of Treponema infection?
a. painful chancre b. painless chancre c. extensive rash d. tabes dorsalis
15. A college age female is told by her [clueless] friend that she probably has "machlydia". She has
burning urination, mild fever, and mild supra-pubic pain. Many G- rods are seen in the Gram stain
of the urine. What's your diagnosis?
a. likely E. coli UTI; Rx is hydration and oral sulfa, cipro, or MacroBid
b. likely Staph saprophyticus UTI; Rx is keflex.
c. it's obviously "machlydia" and Rx is oral doxycycline
d. probably N. gonorrhea; Rx is I.M. Rocephin
16. Chlamydia trachomatis is usually diagnosed with fluorescent antibodies. This is necessary because
a. trachoma is an eye infection b. Chlamydia grows only on chocolate agar
c. Chlamydia cannot be cultured on agar d. gonorrhea co-infection inhibits Chlamydia
17. Which of these is incorrect regarding HiB and N. meningitidis disease?
a. in the absence of vaccination, both cause meningitis in infants and children
b. HiB and N. meningitidis sepsis is due to endotoxin.
c. vaccines for HiB and N. meningitidis induce formation of Ab's to capsule
d. meningitis due to either is generally mild and often mistaken for viral meningitis
18. CAP due to C. pneumoniae is often treated with azithromycin at home, because
a. it's is an intracellular infection
b. azithromycin preferentially accumulates inside cells
c. most others forms of bacterial CAP are intracellular infections too,
d. cultures are generally not necessary, unless the pt. is severely ill
e. all of the above are correct geez-oh-whiz ....is everyone up to speed on CAP yet???
19. A 41 year old female pt. develops mild fever, alopecia, and an extensive red rash, including
the palms and soles of the feet. Which of these is a likely cause?
a. disseminated gonococcal infection with purpura b. secondary Treponema infection
c. septic arthritis secondary to gonorrhea d. systemic Chlamydia infection with PID
20 A 26 year old male has a moderate fever, painful urination, and urethritis with a constant discharge of
pus from the urethra. What would likely be seen in a microscopic examination of the discharge?
a. a thin spirochete b. encapsulated Streptococci
c. G- diplococci and many neutrophils d. no bacteria, the pus suggests chlamydia
21. Doxycycline added to the cephalosporin therapy for all gonorrhea patients because
a. doxycycline prevents gonorrhea from causing trachoma
b. doxycycline prevents gonorrhea from causing gummatic aortitis
c. doxycycline will eliminate co-infection with Chlamydia
d. intraocular infection is the most common complication of gonococcal infection
22. Which of the following is a possible route of transmission of syphilis?
a. epidemic transmission via ticks, or human body lice
b. transmission from environmental contamination, frequently toilets
c. unprotected hand contact with secondary epidermal syphilis
d. private water systems (wells) contaminated with animal urine
23. A female patient has a single painless small ulcer of the cervix, discovered during a routine pelvic
exam. She admits to unprotected sexual intercourse with her husband who returned only 2 days ago
after 15 months in combat in Bloatedgoatistan. Which of these is incorrect?
a. the husband should be treated with penicillin, (I.M).
b. the woman should be treated with pcn (I.M.)
c. the woman acquired the infection from her husband
d. the wife has some explaining to do
24. An 13 year old 8th grader has unprotected sexual intercourse. Which of these might she contract?
a. syphilis b. gonorrhea c. chlamydia
d. HIV e. genital herpes f. all of these.
g. none of these ["I haven't started my periods, so it's safe"]
25 A female patient has a small, raised, firm, painless ulcer on her lip. She admits to recent oral
sexual contact. What's the disease?_________________
[answer must include the correct phase of the infection, if any]
26. What organism is responsible? _________________
27 A homosexual male prostitute develops a rash over the whole body, including the palms and
soles of his feet. He recently had a painless rectal "sore". What's the disease?______________
[answer must include the correct phase of the infection, if any]
28 What organism is responsible? _________________
29 A 6 year old in who lives in rural New Hampshire develops a fever and a
ring-shaped rash at the on his upper arm. What's the likely disease?________________
30 what's the usual organism causing the infection in #29? ____________________
31 Without abx therapy, the pt. in #29 may, [in a few months to a year later], develop painful,
persistent __________ , commonly of the knee. Name the disease.
32 A patient develops large erosive rubbery ulcers of the skin, bone ulceration, and an aortic
aneurysm. What STD is a likely cause of the disease?_________________
33. What's the organism in #32? __________________
34. An 53 year old college professor develops tremors of limbs, altered gait, episodes of extreme
abdominal pain,... then, over the course of a few months, psychosis and profound dementia .
Schizophrenia, Alzheimer's disease, drug use, and Parkinson's disease are ruled out.
A VDRL blood test is found to be strongly positive. What the disease? _______________
[answer must include the correct phase and specific form of the infection]
35 what organism causes the infection in #34? ____________________
36 A patient [amusingly named Johnson] has "white stuff" dripping from his urethra, and complains
of excruciating pain when he urinates. He has a fever [......and looks scared, and angry].
The organism almost assuredly responsible is ___________________
37 The disease in #36 is called _________________
38 A 20 year old nursing student is seen at the college clinic for a hot, swollen, painful right ankle.
She denies any trauma, or exercise injury [she denies...everything. heh]. Fluid collected by
fine-needle biopsy of the joint fluid reveals numerous WBC's and G- diplococci.
This is a case of __________________ [name the disease]
39. Epidemiologically, the bacteria very likely to cause the infection in #38 is ________________.
40. A female patient has fever, abdominal pain, a watery/mucoid vaginal exudate, and painful
urination. A pelvic exam reveals a swollen, red, painful cervix. A swab of cervix reveals cells
with large intracellular inclusions. No G- diplococci are in urine or on the swab.
This is a case of ____________ [probably]. name the disease.....
Hopefully you can help me! PLEASE!! thank you you for any help you can do~
as many as you can is very helpful, thank you so much!
ok don't I click accept after I get all the answers in time? Sorry I am confused. I def. will accept but How do I get answers If I already accepted answers?
thank you for helping with all questions (40) thank you~
Victor was robbed and beaten by a man wearing a rubber