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Which of the following statements regarding vaginosis and vaginitis is correct?


A) Vaginitis may be caused by fungi or protozoans, whereas vaginosis is invariably a viral infection.
B) Both conditions can be prevented with vaccinations.
C) Both conditions result in a vaginal discharge with itching.
D) Vaginitis can complicate to pelvic inflammatory disease (PID) , but vaginosis cannot.

E) B) and D)
F) A) and B)

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Which of the following statements is true regarding the male urethral biota?


A) There are no resident biota in the urethra.
B) The urethral biota is the same as the anal biota.
C) The urethral biota varies with sexual activity of the male.
D) The urethral biota in the male is exactly the same biota as in the female urethra.

E) A) and D)
F) None of the above

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The patient's symptoms are pain upon urination and blood in the urine but no bacteria are cultured from the urine.The doctor suspects schistosomiasis.What question did the doctor asked that gave her a clue about the disease?


A) Have you had a blood transfusion?
B) Have you been having unprotected sex?
C) Have you been eating at places that might not be hygienic?
D) Have you traveled out of the U.S.?

E) A) and B)
F) None of the above

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Which of the following is not a characteristic of the normal biota of the female reproductive tract during childbearing years?


A) Vaginal pH is neutral.
B) Secretory IgA provides protection.
C) Candida albicans is present in small amounts.
D) Lactobacilli convert sugars to acid.
E) Estrogen causes glycogen release.

F) A) and E)
G) A) and B)

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A patient in your clinic has tested positive for syphilis,and following his visit,you must prepare the room for future use.To avoid spreading this organism to other patients,the best approach is to


A) contact the CDC for guidance on proper cleaning.
B) clean all surfaces with a common disinfectant.
C) discard all linens and instruments in biohazard containers.
D) lock the room and post a sign that it must be professionally decontaminated.

E) A) and B)
F) A) and C)

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Restriction factors in the reproductive tract


A) provide an innate protective effect against viral infection.
B) appear to derive from unculturable microbes in the normal microbiota.
C) adjust the pH of the mucosa and are modified during sexual maturation.
D) are enzymes that hydrolyze the phosphodiester bond in DNA.

E) C) and D)
F) A) and B)

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Janey has been taking antibiotics for 10 days to counter a urinary tract infection caused by E.coli.Her UTI is eliminated,but two weeks later she has a vaginal itch.What is the likely cause?


A) Lactobacillus acidophilus
B) Clostridium difficile
C) Escherichia coli
D) Candida albicans
E) Staphylococcus aureus

F) A) and D)
G) D) and E)

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Permanent cardiovascular and neurological damage is seen in which stage of syphilis?


A) Primary
B) Secondary
C) Tertiary
D) Latent

E) A) and C)
F) A) and B)

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The most common mode for the transmission of Schistosoma haematobium is ______.


A) fecal-oral route
B) contaminated water
C) opportunism
D) fomites
E) contaminated meat

F) None of the above
G) A) and B)

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Research published in January 2017 presented an estimate of the prevalence of HPV infection in American males at 45%.Adult males are an unvaccinated population.What are the consequences of HPV infection in males?


A) Males with HPV have a significantly higher likelihood of developing prostate cancer.
B) HPV-infected males should also be screened for gonorrhea, as the two often co-infect.
C) There are no long-term consequences; a course of antiviral medication will clear up the infection.
D) Males can develop genitourinary tract cancer from HPV infection.

E) All of the above
F) None of the above

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Which of the following is a causative agent of a discharge disease?


A) Neisseria gonorrhoeae
B) Escherichia coli
C) Leptospira interrogans
D) Schistosoma haematobium
E) Herpes simplex virus 2

F) A) and B)
G) A) and C)

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Which of the following statements regarding prostatitis is incorrect?


A) It is caused by GI tract biota.
B) It is accompanied by pain and frequent, difficult urination.
C) It can be chronic or acute.
D) The specific causative agent is readily cultured and identified.

E) A) and B)
F) B) and C)

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As a couple,you have been trying to get pregnant for a few years,but there appears to be a medical cause for the infertility.After a full checkup,your doctor tells you that there is scar tissue in the uterine tubes.What disease is the most likely cause of this problem?


A) Leptospirosis
B) Gonorrhea
C) Syphilis
D) Trichomoniasis

E) A) and C)
F) A) and B)

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Which of the following is not a defense of the genitourinary tract?


A) IgG
B) Mucus secretions
C) Lysozyme
D) IgA
E) Flushing action of urine

F) None of the above
G) All of the above

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Trichomonas vaginalis is a ______.


A) fungus
B) helminth
C) bacterium
D) protozoan

E) None of the above
F) C) and D)

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Treponema pallidum


A) has humans as the sole reservoir.
B) can cross the placenta.
C) has a hooked tip to attach to epithelium.
D) is transmitted by direct sexual contact.
E) All of the choices are correct.

F) A) and B)
G) None of the above

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During which stage of syphilis does fever,lymphadenopathy,and a red to brown rash occur?


A) Primary
B) Secondary
C) Tertiary
D) Latent

E) A) and B)
F) A) and C)

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During the tertiary stage of syphilis,tumors called _____ develop in the liver,skin,bone,and cartilage.


A) gummas
B) chancres
C) nodules
D) ulcers

E) B) and C)
F) C) and D)

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In the final trimester of pregnancy,your test results came back positive for an infection that would likely be damaging for the newborn,so your doctor wants to prescribe an antibiotic.What organism is the likely culprit here?


A) Group B Streptococcus
B) Herpes simplex 2
C) Leptospira
D) Trichomonas

E) All of the above
F) B) and C)

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Which of the following statements regarding leptospirosis in incorrect?


A) The causative organism infects the kidneys, liver, brain, and eyes.
B) Humans acquire it by contact with abraided skin or mucous membranes.
C) It can be transmitted by animal bites.
D) The causative organism is a spirochete.
E) It is most common in cattle, horses, pigs, and dogs.

F) B) and E)
G) A) and C)

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