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10/23/22, 2:04 PM Untitled form
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Email *
mtadesagun@gmail.com
name cler/intern/school *
Ma. Therese Angela de Sagun/ Clerk / BCCM
1. A 25-year-old male came to the ER due to a high fever and painful *···/1
urination associated with urethral discharge. On examination, you noted
skin lesions on various stages of evolution, from petechial, and papular
lesions mostly at the distal ends of extremities. The right knee
has redness, swelling, and warmth. Gram's staining of urethral discharge

would likely show.
A. Gram-negative bacilli
b. Gram-negative intracellular diplococci
c. Gram-positve cocci in chains
d. Gram-positive cocci in cluster
No correct answers
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2. The treatment of urethritis in the above case should include * ···/1
a. Ceftriaxone(250 mg IM) plus azithromycin (1g PO)
b. Metronidazole or tinidazole (2g single dose)
c. Moxifloxacin and pristinamcyin
d. Ceftriaxone (250 mg IM)
No correct answers
3.Approach to male patients coming in your clinic presenting with *···/1

urethral discharge, dysuria,
or both, without frequency of urination, except.
a. Establish the presence of urethritis, if proximal-to-distal "milking" of the urethra

does not express purulent discharge, obtain a specimen by passage of a small
urethrogenital swab 2-3 cm into the urethra.
b. Evaluate for complications or alternative diagnoses. Doing digital

examinations should contribute highly to the evaluation of sexually active young
men with urethritis.
c. Evaluate for gonococcal and chlamydial infection. The absence of a typical gram
stain finding to diagnose gonococcal infection; warrants a preliminary diagnosis of
NGU.
d. Treat urethritis promptly while test results are pending.
No correct answers
4.Management of recurrence of urethral discharge in men * ···/1
a. If a patient was reexposed to an untreated new partner, treat the partner only
b. if a patient was reexposed to the same partner, oral f luoroquinolones are

recommended as an alternative treatment
c. If a patient was not reexoosed. consider infection with T. vaainalis or

antibiotic resistant M. genitalium Or Ureaplasma,and consider treatment
metronidazole, azithromycin, or both.
d.If a patient was not reexposed to the same partner, may treat with the same
regimen as previousiy.
No correct answers
5.In sexually active men under the age of 35 presenting with unilateral *···/1
pain, swelling, and tenderness of the scrotum with or without symptoms
of urethritis are most frequently caused by:
a. HSV
b. Neisseria gonorrhoeae
c. Chlamydia trachomatis
d. Mycoplasma genitalium
No correct answers
6.Effective treatment of the above case * ···/1
a. Ceftriaxone 250mg single dose IM followed by azithromycin 1g single dose
b. Ceftriaxone 250mg single dose IM followed by doxycycline 100mg BID x10

days
c. Levofloxacin 500mg once daily for 10 days
d. Ofloxacin 300mg twice daily for 10 days
No correct answers
7.The following causes symptomatic urethritis -known as the urethral *···/1

syndrome in women that is characterized by "internal" dysuria, pyuria,
and an absence of E.coli in urine, except.
a. Chlamydia trachomatis
b. Neisseria gonorrhoede
c. HSV
d. Mvcoplasma genitallum
No correct answers
8.A 30-year-old female consulted an OB-GYN at the clinic due to profuse, *···/1
yellow, purulent,
homogenous vaginal discharge. Vaginal examination showed erythema

and petechial lesions on the cervix described as "strawberry
appearance". What is the likely organism?
a. Chlamydia trachomatis
b. Gardnerella vaginalis
c. candida albicans
d. Trichomonas vaginalis
No correct answers
9.Diagnostic features of the above case include * ···/1
a. Has amine ("fishy") odor with 10% KOH
b. Presence of "clue cells" in microscopy
c. a pH of vaginal fluid usually ≥ 5
d. Nugent's score ≥7
No correct answers
10. Effective and less expensive treatment of the above case compared *···/1
to alternatives.
a. Metronidazole or tinidazole, 2g orally (single dose)
b. Clindamycin, 2% cream, vaginally each night for 7 days
c. Miconazole 100-mg vaginal suppository once daily for 7 days
d. Metronidazole gel, 0.75% daily for 5 days
No correct answers
11. A sexuallv active 30-year-old female sought a consult at your clinic, *···/1
presenting with vagina malodor, with increased homogenous white-gray
discharge uniformly covering the vaginal mucosa. She claimed to have
unprotected vaginal intercourse and used vaginal douching
The wet mount of vaginal fluid of the patient is shown below
What is your likely diagnosis?
a. Mucopurulent cervicitis
b. Trichomonal Vaginitis
c. Bacterial Vaginosis
d. Vulvovaginal Candidiasis
No correct answers
12. You conventionally diagnosed the above case by using Amsel criteria, *···/1
which include the
following except:
a. white homogenous vaginal discharge
b. liberation of a distinct fishy odor after vaginal secretion if mixed with a 10%
solution of KOH
c. a vaginal pH of ≥ 5
d. microscopic demonstration of "clue cells" on a wet mount
No correct answers
13. Treatment of choice of the above case * ···/1
a. Metronidazole 500mg/tablet, 1 tablet BID for 7 days
b. Miconazole 100mg vaginal suppository OD for 7 days
c. Fluconazole 150mg single dose
d. Ciprofloxacin 500 BID for 7 days
No correct answers
14. The following disease causes genital ulcers. The following *···/1
combinations are correct except.
a. chancroid: Haemonus ducreyi
b. Lymphogranuloma venereum: Chlamydia trachomatis
c. Syphilis: Treponema pallidum
d. Donovanosis: Mycoplasma genitallum
No correct answers
15. Which of the following genital lesion-treatment pairs is correct? * ···/1
a. Chancroid- Ceftriaxone
b. Granuloma inguinale: Acyclovir
c. Primary syphilis- Azithromycin
d. FSV: Doxvcvcline
No correct answers
16.A 25 y/o female presented with multiple, painful, punched-out ulcers *···/1
with soft
induration on the labia. A tender lymph node at the left inguinal area was
also noted.
a. Syphilis
b. Herpes
c. Chancroid
d. Lymphogranuloma Venereum
e. Donovanosis
No correct answers
17.A 20 y/o male, MSM, presented with tender lymphadenopathy at the *···/1
right femoral and
inguinal lymph nodes, separated by a groove "sign-of-the-groove". Two

weeks ago, he had a
small papule at the same site which spontaneously resolved.
a. Syphilis
b. Herpes
c. Chancroid
e. Donovanosis
No correct answers
18.A 40 y/o male presented an initially firm nodule at the penile area *···/1
which later
developed into a painless bleeding ulcer.
a. Syphilis
b. Herpes
c. Chancroid
e. Donovanosis
No correct answers
19.A 32 V/o male presented with a painless genital ulcer and bilateral *···/1
enlargement of
inguinal lymph nodes. Initial VDRL is non-reactive but TPPA is positive.
a. Syphilis
b. Herpes
c. Chancroid
e. Donovanosis
No correct answers
20. 20 y/o female presented with erythematous multiple vesicular *···/1

lesions in the vulva. "Izanck smear was requested to contrm the
diagnosis.
a. Syphilis
b. Herpes
c. Chancroid
e. Donovanosis
No correct answers
21. In general, what is the most common etiologic agent of Pelvic *···/1
inflammatory disease?
a. Neisseria gonorrhoede
b. Mycobacterium genitalium
c. Prevotella species
d. Haemophilus influenza
No correct answers
22. The following are important risk factors for acute PID, except * ···/1
a. Endocervical infection or BV
b.History of salpingitis or recent vaginal douching
c. Recent insertion of IUD
d. Multiple pregnancies
No correct answers
23. Pleuritic upper-abdominal pain and tenderness, localized to the RUQ, *···/1
develop in 3-10% of
women with acute PID are called.
a. Periappendicitis
b. Fitz-Hugh-Curtis syndrome
c. Acute cholangitis
d. Acute cholecystitis
No correct answers
24. Whenever the diagnosis or PID is considered, this should be *···/1

pertormed. These tests are
usually positive for ectopic pregnancy.
a. transvaginal ultrasound
b. human B-chorionic gonadotropin
c. pregnancy test
d. laparoscopy
No correct answers
25. Antimicrobial regimen recommended for outpatient treatment or PID * ···/1
a. Ceftriaxone (250mg IM once) plus Doxycycline (100mg PO bid x 14 days)

plus Metronidazole (500mg PO BID for 14 days)
b. Cefotetan (2g IV q12) plus Doxycycline (100mg PO q12h)
c. Clindamycin (600mg/tablet q8) plus Gentamicin (1.5mg/kg q8)
d. Metronidazole (500mg PO BID for 14 days)
No correct answers
26. Refers to inflammation of the columnar epithelium and subepithelium *···/1

of the endocervix and of any contiguous columnar epithelium that lies
exposed in an ectopic position on the ectocervix. In women. this
represents the "silent partner" of urethritis in men.
a. Vulvovaginal candidiasis
b. Gonococcal infection
c. Pelvic Inflammatory Disease
d. Mucopurulent cervicitis
No correct answers
27. Produces vulvar pruritis, burning, or irritation, generally without *···/1

symptoms of increased vaginal discharge or malodor.
b. Cervical ectopy
No correct answers
28. A condition normally found during adolescence and early adulthood. *···/1
Can represent the presence of one-cell-thick columnar epithelium
extending from the endocervix out onto the visible ectocervix. Often
mislabeled as "cervical erosion'
b. Cervical ectopy
No correct answers
29. Results from direct rectal inoculation of typical STD pathogen *···/1
causing inflammation to the rectal mucosa. Commonly produces
tenesmus, has anorectal pain, and mucopurulent bloody discharge.
a. Enteritis
b. Proctocolitis
c. Proctitis
d. Enterocolitis
No correct answers
30. * ···/1
Prevention and control of Sexually Transmitted infections requires:
a. Impose financial and time constraints in clinical practice along with a

reluctance to ask questions about sexual behaviors.
b. Shortening the duration of infectivity by giving appropriate empiric treatment.
c. Screening sexually active males 30 years old and above whenever they present
for health care.
d. Reduction of the efficiency of transmission through the promotion of safe sexual

practices, the use of condoms during casual or commercial sex, vaccination
against HBV and HPV infection, male circumcision, and a growing number of other
approaches.
No correct answers
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10/23/22, 2:04 PM Untitled form

Untitled form Total points 0/30

Ma. Therese Angela de Sagun/ Clerk / BCCM

has redness, swelling, and warmth. Gram's staining of urethral discharge

b. Gram-negative intracellular diplococci

c. Gram-positve cocci in chains

d. Gram-positive cocci in cluster

2. The treatment of urethritis in the above case should include * ···/1

a. Ceftriaxone(250 mg IM) plus azithromycin (1g PO)

b. Metronidazole or tinidazole (2g single dose)

c. Moxifloxacin and pristinamcyin

d. Ceftriaxone (250 mg IM)

3.Approach to male patients coming in your clinic presenting with *···/1

or both, without frequency of urination, except.

a. Establish the presence of urethritis, if proximal-to-distal "milking" of the urethra

b. Evaluate for complications or alternative diagnoses. Doing digital

d. Treat urethritis promptly while test results are pending.

4.Management of recurrence of urethral discharge in men * ···/1

b. if a patient was reexposed to the same partner, oral f luoroquinolones are

c. If a patient was not reexoosed. consider infection with T. vaainalis or

6.Effective treatment of the above case * ···/1

a. Ceftriaxone 250mg single dose IM followed by azithromycin 1g single dose

b. Ceftriaxone 250mg single dose IM followed by doxycycline 100mg BID x10

c. Levofloxacin 500mg once daily for 10 days

d. Ofloxacin 300mg twice daily for 10 days

7.The following causes symptomatic urethritis -known as the urethral *···/1

homogenous vaginal discharge. Vaginal examination showed erythema

9.Diagnostic features of the above case include * ···/1

a. Has amine ("fishy") odor with 10% KOH

b. Presence of "clue cells" in microscopy

c. a pH of vaginal fluid usually ≥ 5

a. Metronidazole or tinidazole, 2g orally (single dose)

b. Clindamycin, 2% cream, vaginally each night for 7 days

c. Miconazole 100-mg vaginal suppository once daily for 7 days

d. Metronidazole gel, 0.75% daily for 5 days

What is your likely diagnosis?

a. white homogenous vaginal discharge

d. microscopic demonstration of "clue cells" on a wet mount

13. Treatment of choice of the above case * ···/1

a. Metronidazole 500mg/tablet, 1 tablet BID for 7 days

b. Miconazole 100mg vaginal suppository OD for 7 days

c. Fluconazole 150mg single dose

d. Ciprofloxacin 500 BID for 7 days

a. chancroid: Haemonus ducreyi

b. Lymphogranuloma venereum: Chlamydia trachomatis

c. Syphilis: Treponema pallidum

d. Donovanosis: Mycoplasma genitallum

15. Which of the following genital lesion-treatment pairs is correct? * ···/1

b. Granuloma inguinale: Acyclovir

c. Primary syphilis- Azithromycin

inguinal lymph nodes, separated by a groove "sign-of-the-groove". Two

small papule at the same site which spontaneously resolved.

developed into a painless bleeding ulcer.

inguinal lymph nodes. Initial VDRL is non-reactive but TPPA is positive.

20. 20 y/o female presented with erythematous multiple vesicular *···/1

b.History of salpingitis or recent vaginal douching

c. Recent insertion of IUD

women with acute PID are called.

24. Whenever the diagnosis or PID is considered, this should be *···/1

usually positive for ectopic pregnancy.

b. human B-chorionic gonadotropin

25. Antimicrobial regimen recommended for outpatient treatment or PID * ···/1

a. Ceftriaxone (250mg IM once) plus Doxycycline (100mg PO bid x 14 days)