Gonorrhea CDC – Flashcards
Unlock all answers in this set
Unlock answersquestion
1. The region of the U.S. with the highest rate of gonorrhea is a) Western U.S. b) Midwest U.S. c) Southeast U.S. d) Northeast U.S.
answer
c) Southeast U.S.
question
2. The male-to-female ratio of gonorrhea infection in the U.S. is a) 2:1 b) 1:1 c) 1:2 d) 3:1
answer
b) 1:1
question
3. Quinolone-resistant N. gonorrhoeae (QRNG) is endemic in which state? a) Hawaii b) Pennsylvania c) California d) All of the Above
answer
d) All of the Above
question
4. The proportion of gonococcal infections caused by resistant organisms is increasing. What effect does this have on treatment? a) Change in treatment recommendations b) Change in diagnostic procedures c) No effect d) Change in partner notification procedures
answer
a) Change in treatment recommendations
question
5. Peak incidence in women occurs in what age group? a) 15-19 b) 20-24 c) 25-29 d) 30-34
answer
a) 15-19
question
6. Gonorrhea is efficiently transmitted in which of the following ways: a) Male to female during vaginal intercourse b) Female to male during vaginal intercourse c) Rectal intercourse d) All of the above
answer
d) All of the above
question
7. Which of the follow best describes N. gonorrhoeae? a) Gram-negative rod b) Gram-negative diplococcus c) Gram-positive diplococcus d) Gram-positive rod
answer
b) Gram-negative diplococcus
question
8. Which of the following assists N. gonorrhoeae in evading the host response? a) Multiple sites of entry b) Short incubation period c) Alters surface structures d) Does not depend on complement system
answer
c) Alters surface structures
question
9. N. gonorrhoeae attaches to what type of cells? a) T-cells b) Epithelial cells c) Interstitial cells d) Epithelial cells and T-cells e) All cell types
answer
b) Epithelial cells
question
10.Which of the following statements best describes the clinical signs and symptoms of gonorrhea in women? a) Most women complain of a purulent discharge. b) Most women complain of urinary symptoms. c) It depends on the strain of gonorrhea. d) Most women are asymptomatic.
answer
d) Most women are asymptomatic.
question
11.Which clinical sign is indicative of gonorrhea in women? a) Cervicitis b) Dyspareunia c) Dysuria d) None of the above
answer
a) Cervicitis
question
12.A complication of untreated gonorrhea in women is a) Bartholin's abscess b) Pelvic inflammatory disease c) Skene's abscess d) All of the above
answer
d) All of the above
question
13.Which of the following statements best describes the clinical signs and symptoms of gonorrhea in men? a) Most men complain of testicular pain. b) Most men complain of dysuria or urethral discharge. c) It depends on the strain of gonorrhea. d) Most men are asymptomatic.
answer
b) Most men complain of dysuria or urethral discharge.
question
14.Which of the following is true regarding gonorrhea symptoms in men? a) Painful urination is always present. b) Purulent discharge from the urethra is always present. c) Some men have no symptoms. d) Testicular pain and epididymal tenderness are often present.
answer
c) Some men have no symptoms.
question
15.When gonorrhea is diagnosed, what is the next course of action? a) Treat and screen for chlamydia and other STDs. b) Repeat test for gonorrhea in 3 months. c) Contact, test, and treat sexual contacts from the past 60 days. d) Discuss risk reduction behaviors. e) All of the above
answer
e) All of the above
question
16.A common complication of untreated gonorrhea in men is a) Urethral stricture b) Periurethral abscess c) Fistula d) None of the above
answer
d) None of the above
question
17.Which of the following statements is true regarding pharyngeal gonorrhea? a) It is usually symptomatic. b) It produces a cough. c) It can result from autoinoculation. d) It may be the sole site of infection.
answer
d) It may be the sole site of infection.
question
18.Common sites of perinatal gonorrheal infection include all of the following except a) Genitals b) Conjunctiva c) Pharynx d) Respiratory system
answer
a) Genitals
question
19.Which of the following is a method to diagnose gonorrheal infection? a) Nucleic acid amplification technique (NAAT) b) Culture c) Gram stain d) All of the above
answer
d) All of the above
question
20.Which of the following regimens is the best option in the case of an 18-year-old male with an uncomplicated gonococcal infection, and who has not been tested for chlamydia? a) Ceftriaxone 250 mg intramusclarly in a single dose b) Azithromycin 1 g orally in a single dose c) Ceftriaxone 250 mg intramuscularly in a single dose plus azithromycin 1 g orally in a single dose d) Spectinomycin 2 g in a single IM dose plus levofloxacin 500 mg orally for 7 days
answer
c) Ceftriaxone 250 mg intramuscularly in a single dose plus azithromycin 1 g orally in a single dose
question
21.Which of the following describes the best way to handle a gonorrhea culture? a) Freeze immediately and transport. b) Put inoculated culture plate into warmer. c) Put inoculated culture plate into an O2-enriched environment. d) Put inoculated culture plate into a CO2-enriched environment.
answer
d) Put inoculated culture plate into a CO2-enriched environment.
question
22.All of the following statements about Gram stain in gonorrhea diagnosis are true except a) A Gram stain is reliable to diagnose gonorrhea in males. b) A Gram stain is reliable to diagnose gonorrhea in females. c) A Gram stain does not have a high sensitivity in asymptomatic males. d) A Gram stain is not recommended to diagnose pharyngeal gonorrhea.
answer
b) A Gram stain is reliable to diagnose gonorrhea in females.
question
23.Gonorrhea in pregnancy should be treated with quinolones or tetracyclines. a) True b) False
answer
b) False
question
24.Which of the following would be appropriate treatment for gonorrhea acquired in Las Vegas? a) Ceftriaxone 250 mg intramuscularly once and azithromycin 1 gm orally once b) Ciprofloxacin 500 mg once orally c) Ofloxacin 400 mg once orally d) Levofloxacin 250 mg once orally
answer
a) Ceftriaxone 250 mg intramuscularly once and azithromycin 1 gm orally once
question
25.All partners who have had sex with an infected person within the past ____days should be treated. a) 30 + b) 45 c) 60 d) 90
answer
c) 60
question
26.Patient education for gonorrhea should include which of the following? a) Nature of the disease and complications b) Transmission issues c) Risk reduction d) All of the above
answer
d) All of the above
