Nclex-Rn Practice Questions-Microbiology Microbial Diseases Of The Urinary And Reproductive Systems
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Question 1 |
Normal microbiota of the adult vagina consist primarily of
A | Lactobacillus. |
B | Streptococcus. |
C | Mycobacterium. |
D | Neisseria. |
E | Candida. |
Question 2 |
Which of the following statements about pelvic inflammatory disease is FALSE?
A | It can cause sterility and chronic pain. |
B | It can be caused by N. gonorrhoeae. |
C | It can be transmitted sexually. |
D | It can be caused by C. trachomatis. |
E | It can be caused by T. pallidum. |
Question 3 |
Which one of the following does NOT cause nongonococcal urethritis?
A | Chlamydia |
B | Mycoplasma |
C | Neisseria |
D | Ureaplasma |
E | None of the answers is correct; all of these cause NGU. |
Question 4 |
Infants born to asymptomatic mothers with recurrent genital herpes are less likely to acquire herpesvirus at birth than infants born to newly infected mothers because
A | maternal antibodies offer protection. |
B | the disease cannot be transmitted to newborns. |
C | the disease is not communicable. |
D | prophylactic antibiotics are administered to the newborn. |
E | the virus is not growing. |
Question 5 |
Which of the following is greater?
A | the number of reported cases of gonorrhea last year |
B | the number of reported cases of AIDS last year |
C | The number of reported cases of gonorrhea and AIDS are likely equal. |
Question 6 |
A patient presents with fever and extensive lesions of the labia minora. Her VDRL test was negative. What is the most likely treatment?
A | metronidazole |
B | cephalosporins |
C | acyclovir |
D | miconazole |
E | No treatment is available. |
Question 7 |
A patient is experiencing profuse greenish-yellow, foul-smelling discharge from her vagina. She is complaining of itching and irritation. What is the most likely treatment?
A | metronidazole |
B | cephalosporins |
C | acyclovir |
D | miconazole |
E | No treatment is available. |
Question 8 |
Which of the following is treated with cephalosporins because the organism is resistant to penicillin and fluoroquinolones?
A | Mycoplasma hominis |
B | Haemophilus ducreyi |
C | Neisseria gonorrhoeae |
D | Treponema pallidum |
E | Gardnerella vaginalis |
Question 9 |
Which one of the following statements about genital warts is FALSE?
A | It is transmitted by direct contact. |
B | It is caused by papillomaviruses. |
C | It is always precancerous. |
D | It is treated by removing them. |
E | It can lead to cervical cancer in women. |
Question 10 |
Staphylococcus saprophyticus causes
A | cystitis. |
B | pyelonephritis. |
C | vaginitis. |
D | gonorrhea. |
E | syphilis. |
Question 11 |
The most common NGU in the United States is treated with
A | penicillin. |
B | cephalosporins. |
C | acyclovir. |
D | AZT. |
E | doxycycline. |
Question 12 |
One form of NGU is lymphogranuloma venereum caused by
A | Leptospira interrogans. |
B | Chlamydia trachomatis. |
C | Neisseria gonorrhoeae. |
D | Treponema pallidum. |
E | Candida albicans. |
Question 13 |
All of the following can cause congenital infection or infections of the newborn EXCEPT
A | syphilis. |
B | gonorrhea. |
C | nongonococcal urethritis. |
D | genital herpes. |
E | lymphogranuloma venereum. |
Question 14 |
Which of the following recurs at the initial site of infection?
A | gonorrhea |
B | syphilis |
C | genital herpes |
D | chancroid |
E | LGV |
Question 15 |
Which of the following is diagnosed by detection of antibodies against the causative agent?
A | nongonococcal urethritis |
B | gonorrhea |
C | syphilis |
D | lymphogranuloma venereum |
E | candidiasis |
Question 16 |
Nongonococcal urethritis can be caused by all of the following EXCEPT
A | Mycoplasma homini. |
B | Candida albicans. |
C | Trichomonas vaginalis. |
D | streptococci. |
E | Neisseria gonorrhoeae. |
Question 17 |
Which of the following is caused by an opportunistic pathogen?
A | trichomoniasis |
B | genital herpes |
C | candidiasis |
D | gonorrhea |
E | chancroid |
Question 18 |
The pH of the adult vagina is acidic due to the conversion of ________ to ________ by bacteria.
A | glucose; ethanol |
B | protein; acetic acid |
C | glycogen; lactic acid |
D | mucosal cells; lactic acid |
E | urine; lactic acid |
Question 19 |
Which of the following diseases causes a skin rash, hair loss, malaise, and fever?
A | gonorrhea |
B | syphilis |
C | NGU |
D | trichomoniasis |
E | genital herpes |
Question 20 |
Most nosocomial infections of the urinary tract are caused by
A | Escherichia coli. |
B | Enterococcus. |
C | Proteus. |
D | Klebsiella. |
E | Pseudomonas. |
Question 21 |
Which of the following is NOT an antimicrobial feature of the urinary system?
A | physiological valves found in the ureter |
B | pH of the urine |
C | flushing action of urine |
D | the use of the urethra for seminal fluid in women |
E | None of the answers is correct; all of these are antimicrobial features of the urinary system. |
Question 22 |
Which of the following is NOT primarily a sexually transmitted infection (STI)?
A | lymphogranuloma venereum |
B | genital herpes |
C | gonorrhea |
D | chancroid |
E | trichomoniasis |
Question 23 |
Which of the following pairs is mismatched?
A | trichomoniasis — fungus |
B | gonorrhea — gram-negative cocci |
C | chancroid — gram-negative rod |
D | Gardnerella — clue cells |
E | syphilis — gram-negative spirochete |
Question 24 |
The most common reservoir for leptospirosis within the United States is
A | humans. |
B | water. |
C | domestic dogs. |
D | domestic cats. |
E | rats. |
Question 25 |
Pyelonephritis may result from
A | urethritis. |
B | cystitis. |
C | ureteritis. |
D | systemic infections. |
E | All of the answers are correct. |
Question 26 |
Cystitis is most often caused by
A | Escherichia coli. |
B | Leptospira interrogans. |
C | Candida albicans. |
D | Neisseria gonorrhoeae. |
E | Pseudomonas aeruginosa. |
Question 27 |
Which of the following is NOT a predisposing factors to cystitis in females?
A | the proximity of the anus to the urethra |
B | the length of the urethra |
C | sexual intercourse |
D | poor personal hygiene |
E | None of the answers is correct; all of these are predisposing factors. |
Question 28 |
The most common reportable disease in the United States is
A | cystitis. |
B | lymphogranuloma venereum. |
C | gonorrhea. |
D | syphilis. |
E | candidiasis. |
Question 29 |
Which of the following is NOT a complication of gonorrhea?
A | arthritis |
B | pelvic inflammatory disease |
C | endocarditis |
D | meningitis |
E | None of the answers are correct; all of these are potential complications of gonorrhea. |
Question 30 |
Which of the following is the most difficult to treat with chemotherapeutic agents?
A | genital herpes |
B | gonorrhea |
C | syphilis |
D | trichomoniasis |
E | leptospirosis |
Question 31 |
Vaginal itching and cheesy discharge are symptoms of
A | Gardnerella vaginosis. |
B | genital herpes. |
C | candidiasis. |
D | trichomoniasis. |
E | lymphogranuloma venereum. |
Question 32 |
Recurring vesicles on the surface of human skin are symptoms of
A | Gardnerella vaginosis. |
B | genital herpes. |
C | candidiasis. |
D | trichomoniasis. |
E | lymphogranuloma venereum. |
Question 33 |
Leukocytes at the infected site are a symptom of
A | Gardnerella vaginosis. |
B | genital herpes. |
C | candidiasis. |
D | trichomoniasis. |
E | lymphogranuloma venereum. |
Question 34 |
Which of the following is caused by Chlamydia?
A | Gardnerella vaginosis |
B | genital herpes |
C | candidiasis |
D | trichomoniasis |
E | lymphogranuloma venereum |
Question 35 |
Pyelonephritis usually is caused by
A | Pseudomonas aeruginosa. |
B | Proteus spp. |
C | Escherichia coli. |
D | Enterobacter aerogenes. |
E | Streptococcus pyogenes. |
Question 36 |
Which of the following is treated with penicillin?
A | genital herpes |
B | genital warts |
C | candidiasis |
D | syphilis |
E | trichomoniasis |
Question 37 |
All of the following result from N. gonorrhoeae infection. Which one leads to the others?
A | Antibody production is stopped. |
B | CD4+ T lymphocytes do not activate. |
C | There is an increased risk of other STIs. |
D | Opa protein attaches to CD4+ T lymphocytes. |
E | CD4+ T lymphocytes do not proliferate. |
Question 38 |
A positive LE test and 10,000 CFU/ml in urine indicates
A | cystitis. |
B | gonorrhea. |
C | urethritis. |
D | pyelonephritis. |
E | genital herpes. |
Question 39 |
A pelvic examination of a 23-year-old woman showed vesicles and ulcerated lesions on her labia. Cultures were negative for Neisseria and Chlamydia; the VDRL test was negative. Which treatment is appropriate?
A | acyclovir |
B | metronidazole |
C | miconazole |
D | penicillin |
E | surgery |
Question 40 |
A pelvic examination of a 23-year-old woman showed vesicles and ulcerated lesions on her labia. Cultures were negative for Neisseria and Chlamydia; the VDRL test was negative. Which of the following is probable?
A | candidiasis |
B | genital herpes |
C | gonorrhea |
D | NGU |
E | syphilis |
Question 41 |
A 25-year-old male presented with fever, malaise, and a rash on his chest, arms, and feet. Diagnosis was based on serological testing. The patient then reported that he had an ulcer on his penis two months earlier. This disease can be treated with
A | acyclovir. |
B | metronidazole. |
C | miconazole. |
D | penicillin. |
E | surgery. |
Question 42 |
A 25-year-old man presented with fever, malaise, and a rash on his chest, arms, and feet. Diagnosis was based on serological testing. The patient then reported that he had an ulcer on his penis two months earlier. What stage of disease is the patient in?
A | NGU |
B | primary |
C | secondary |
D | tertiary |
Question 43 |
A 25-year-old man presented with fever, malaise, and a rash on his chest, arms, and feet. Which of the following will be most useful for a rapid diagnosis?
A | bacterial culture |
B | microscopic examination of blood |
C | serological test for antibodies |
D | serological test for antigen |
E | viral culture |
Question 44 |
A 25-year-old man presented with fever, malaise, and a rash on his chest, arms, and feet. Which of the following causative agents is most likely to cause these symptoms?
A | Nesseria |
B | HPV |
C | HSV-2 |
D | Candida |
E | Treponema |
Question 45 |
A urine sample collected directly from the urinary bladder
A | is sterile. |
B | contains fewer than 100 pathogens/ml. |
C | contains fewer than 10,000 pathogens/ml. |
D | contains more than 100,000 pathogens/ml. |
E | has leukocyte esterase. |
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