EBCOG P1 3 Months May- Contraception and STIS -Day 4

1. What percentage of women with gonorrhoea are coinfected with chlamydia?

A. 10%
B. 20%
C. 30%
D. 40%
E. 50%

Q2. A 21-year-old woman comes to the outpatient clinic requesting testing for gonorrhoea as she read a poster about gonorrhoea infection. She has had three sexual partners in the last year but uses condoms for contraception.What tests should you offer her?

A. Gonorrhoea only.
B. Gonorrhoea and chlamydia.
C. Gonorrhoea, chlamydia, HIV and syphilis.
D. Gonorrhoea, chlamydia, HIV and human papilloma virus(HPV).
E. Gonorrhoea, chlamydia, HIV and hepatitis C virus (HCV).

Q3. Chlamydia trachomatis is associated with all of the following except?

A. Is an obligate intracellular virus
B. Can cause conjunctivitis in the newborn
C. Can cause pneumonia in the newborn
D. Is the causative organism for lymphogranuloma venereum
E. It can be transmitted to the neonate during its passage through the birth canal and may cause conjunctivitis and pneumonia.

Q4. Chlamydia trachomatis infection is known to have a high frequency of transmission. If one partner is infected, what is the likelihood that the other partner will also be infected?

A. 10%
B. 25%
C. 50%
D. 75%
E. 100%

A. Endocervical swab for a nucleic acid amplification test (NAAT)
B. Low vaginal swab for a NAAT
C .Low vaginal swab for enzyme immunoassay
D. Urine test for enzyme immunoassay
E.Urine test for a NAAT

Q6. Which one of the following is correct in relation to Neisseria gonorrhoea?

A. Culture requires anaerobic medium.
B. Is not a recognised cause for neonatal ophthalmia neonatorum (neonatal ‘sticky eye’)
C. Infects superficial mucosal surfaces lined with squamous epithelium.
D. Untreated, may cause a syndrome of fever, skin lesions,arthritis and endocarditis.
E. Vaccine preventing transmission exists.

Q7. Which one of the following is correct in relation to chlamydia?

A. Chlamydial infection is the second most common bacterial sexually transmitted infection in the UK.
B. If diagnosed during pregnancy, antibiotic treatment should be deferred till after delivery.
C. May cause triad of arthritis, conjunctivitis and urethritis in young men.
D. More likely to be symptomatic than asymptomatic in women.
E. Previous chlamydia does not increase the risk of ectopic pregnancy.

Q8. A 20-year-old pregnant woman presented to the genitourinary medicine clinic two weeks previously and was found to have a chlamydia infection. She received azithromycin 1 g as a single dose. You arranged for contact tracing.What is the next step?

A. Follow-up after six months.
B. Full STI screen.
C. Nothing to be done.
D. Test of cure during this visit.
E. Test of cure after five weeks.

Q9. During diagnostic laparoscopy on a 28-year-old female for chronic pelvic pain, you noticed inflammation of the liver capsule and adjacent peritoneum. What is the most likely causative organism?

A. Calymmatobacterium granulomatis.
B. Chlamydia trachomatis.
C. Haemophilus ducreyi.
D. HSV-type 2.
E. Treponema pallidum.

Q10. A young woman presents to the genitourinary medicine clinic.After a swab was taken from the endocervix, microscopic examination reveals a Gram-negative diplococcus. What organism looks like this under a microscope?

A. Actinomyces israeli.
B. Chlamydia trachomatis.
C. Haemophilus ducreyi.
D. Neisseria gonorrhoea.
E. Trichomonas vaginalis.

EBCOG P1 3 Months May- Contraception and STIS -Day 4

EBCOG P1 3 Months May- Contraception and STIS -Day 4

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