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18. Symptoms of gonorrhoea in women usually do not include a) cervicitis b) urethritis ¢) proctitis 4) oropharyngitis 19, Non-gonorrhoeal urethritis is most frequently caused by a) Ureaplasma urealytica b) Gardenella vaginalis ¢) Trichomonas vaginalis e) Candida albicans 20. Jaris-Hertzheimer syndrome a) appear 7-8 hrs after treatment b) fever and myalgia c)antipyretic wont help SLE 14, Primary lesio early syphilis a) develops within 6-8 weeks of infection b) usually presents as disseminated maculopapular rash ¢) heals with scar formation ©) never develops in ....2rea 15. Complications of primary syphilis do not include: 4) phimosis ») paraphimosis ©) oedema induratum 4) secondary infection «) scar formation 16, Tertiary syphilis refers to 2) cardiovascular syphilis and gummata b) cardiovascular syphilis only ©) neurosyphilis and cardiovascular syphilis «) neurosyphilis only ) gummata and neurosyphilis ‘f)all comect 17. In congenital syphilis treatment decisions frequently must be made on the basis of 4) identification of syphilis in the mother b) adequacy of maternal treatment ©) presence of clinical, laboratory, or radiographic evidence of syphilis in the infant 4) comparison of maternal (afier delivery) end infant nontreponcmal serologic tests by using the same test and preferably the same laboratory most common STI a) Chlamydia b) gonorrhea d) HIV e) HIV 9. alopecia syphilitica a) at least | month b) c) do not regress spontaneously d) nga aoe 10. earliest diagnosis method for syphilis d) TPA 11. difference primary lesion between congenital syphilis and acquired syphilis a) papule b) macule d) erosion 12. Genital warts are induced mainly by a) HPV1 and HPV3 c) HPV1 and HPV6 d) HPV6 and HPV16 e) HPV16 and HPV18 13. Patients with acute retroviral infection may have a) fever b) lymphadenopathy ©) maculo-papular rash 1, Genital ulcers caused by a) herpes b) syphils c) chancre e) none of them 2. the longest incubation period a) herpes b) gonorrhea d) HBV e) HIV 3. Non-treponemal screening test a) TPA b) TPHA °) aa IgM antibody 4) category C HIV symptoms a) lymphadenopathy b) ae a) 5. which 1 is not effective for treatment of condylomata acuminata a) gosegtin c) cryotherapy d) laser therapy 6. a trachomatis infection cannot be treated with b) erythromycin c) azithromycin d) ampicillin e) doxycyclin 7. Papular rash in secondary syphilis may mimic a) varicella b) psoriasis ©) contact dermatitis 4d) rosacea 7. Genital ulcer disease GUD do NOT include: * Syphilis + Chancroid + Genital herpes * Gonorrhoea * Lymphogranuloma venereum (LGV) 8. Cervical intraepithelial neoplasia (CIN) is induced mainly by: * HPV 6and HPV 18 + HPV 6 and HPV 11 + HPV land HPV 6 + HPV land HPV 3 + HPV 16 and HPV 18 9. Symptoms of gonorrhea in women usually do NOT include: + Conjunctivitis * Urethritis * Oropharyngitis * Cervicitis * Proctitis 10. Treatment of trichomoniasis includes: + Amoxycillin 3 x 500mg (7-10 days ) + Metronidazole 2 x 250 mg / day ( 10 days ) * Erythromycin 4 x 500mg / day (a 250mg ) ( 10 days ) * Doxycycline 2 x 100 mg / day ( 7-10 days ) * Procaine Penicillin 4800 000 Ui.m. + Allanswes are correct Venereology 2021 1. Patients with acute retroviral infection may have: * Neuro abnormalities * Fever * Maculo-papular rash + Lymphadenopathy + Allare correct 2. Complications of the primary lesion in syphilis do NOT include * Oedema induratum * Paraphimosis + Phimosis + Secondary infections * Lichenification 3. Treatment of condylomata lata includes * Penicillin * Surgical excision + Laser therapy + Cryotherapy * Acyclovir + Imiquimod 4. Incontrast to adult secondary syphilis, congenital syphilis may have: * Vesicular and bullous lesions + Lymphadenopathy + Hepatitis * Papular lesions * Positive serological tests 5. Alopecia syphilitica: * Serological tests for syphilis are negative + Sometimes may be the only symptom * Lasts for about 1-2 months * Usually develops 2 yrs after infection (in late syphilis) * Donot regress spontaneously 6. Which forms of disease occur only in tertiary syphilis: * Cardiovascular syphilis only + Gummata and neurosyphilis * Neurosyphilis only] * Neurosyphilis and cardiovascular syphilis * Cardiovascular syphilis and gummata 1. Genital ulcer diseases (GUD) inci — ——~s) genital hefpes b) syphilis ¢) chancroid D d) all above e) none of them 2. The longest time of incubation (Le time to appearance of first clinical symptoms) is in: a) syphilis b) chlamydiosis c) gonorrhoea d) HPV infection e) trichomoniasis 3, Which test is nontreponemal: a) TPHA b) TP-PA c) FTA d) Captia IgM e) RPR 4, What treatment is not effective in condylomata acuminata Pi a) condyline b) penicillin 5 Papular rash in secondary syphilis mimic: @) varicella b) psoriasis ¢) contact dermatitis d) rosacea = e) urticaria 6, The Jarisch-Herxheimer reaction is @) acute febrile reaction frequently accompanied by headache, myalgia b) usually occur within the first 24 hours after any therapy for sypt c) occurs most frequently among patients who have early syphilis d) antipyretics may be used, but tt have not been proven to prever this reaction + —-S)-slLanewore aro corsct—____ 7. The earliest diagnosis of acquired a can be established by: E) b) PRP D ©) TP-PA (TPHA) d) Dark field microscopy e) VDORL 8. Category C of clinical symptoms in Positive patient includes: a) persistent lymphadenopathy b) hairy leukoplakia c) macular rash d) psoriatic lesions €) invasive cervical cancer 4 9. The most STI is caused t b) HSV ¢) HPV d) HBV e) HIV 18 Spl of gnorfoea it usualy do not include 6) rethts on OE 4) crophanyngitis e) anthnts 19. Non-gonorrhoeal urethrit rent saueiy C. Chlamydia ~ 3-7 weeks D. HPV ~ several weeks to months to years . - E. HSV — 2-20 days Which of the following is not effective in treatment of condyloma acuminata A, Condylin (Podophyllotoxin) Be Acyclovir Daa E.? Which tests for syphilis are non-specific/qualitative? = Non-specific: cardiolipin antigen, VDRL, USR, RPR - Quantitative: VDRL, RPR, FTA The highest risk of infection after one sexual contact ‘A. Syphilis -40-60 % B. HIV -0,3% C. Chlamydiosis -90% © ! D. HPV -70% E. HSV = Chlamydia almost 90 % nN oun wo 12. A3; 14. NG: . Serological test: Syphilis, HIV . Primary Syphilis lymph node: Painless, enlarged . Chlamydia cystitis . Secondary --> fetus/partner . Shortest incubation --> gonorrhea . Cause of nongonorrheal urethritis--> chlamydia trachomatis . Tabes dorsalis . Hoigne Syndrome . Nontreponemal Test . Which is not complication of primary syphilis . Which does not belong to primary syphilis lesion HPV 16,18 - VIN Condylomata therapy CNS Involvement in syphilis HIV increase risk of infections ‘Treponema pallidum penetrates A. Abraded skin | B. Abraded mucosa C. Intact mucosae >. All true Lymph sedes a pele arpa the [farms [a Are firm to palpation ) Are freely mobile May soften ). Are painless Constitutional symptoms in secondary syphilis may consist of A. Low grade fever B. Headache C. Sore throat D. Photophobia Phimosis may be a complication of A. Yeast infection B_ Contact dermatitis C. Primary syphilis 1). Stevens Johnson syndrome Papular rash in secondary syphilis may mimic A - Also measles, mononucleosis, leukaemia, and drug eruption ‘Typical of secondary syphilis is A. Generalized rash B__ Resolving of eruptions without treatment C. Generalized lymphadenopathy D. Good response to penicillin treatment ‘Congenital syphilis and acquired syphilis have in common Hist pees A. Primary sore sope 4 B. Papular rash C. Sore throat D. Condylomata lata as ‘What is true in patients with early syphilis A. Are infectious to sex partners B. May give birth to a baby with congenital syphilis. C. Serological tests for syphilis may be negative D, Tendon reflexes are exaggerated Patients with acute retroviral infection may have eseo eeocrpe segPN epgee BETES pegpe BO SPN pege ys UV light: Can decrease DNA synthesis in comeocytes Is immunostimulating ‘Causes melanogenesis in phototype | patients Penetrates the skin depending on the wavelength ‘Turnover time of the epidermis lasts for: 12 hours 3 days 7 days 30 days Langerhans cells Cannot be found in healthy skin Are preferentially located in reticular layer Can be found in lymph nodes Can be visualized in regular histological HE staining ‘Acute urticaria is usually related to Type | allergic mechanism Type Il allergic mechanism ‘Type Il allergic mechanism | Type IV allergic mechanism . Which cells have increased proliferation in psoriasis? a. Basal cells Impetigo contagiosa is Superficial bacterial infection of the skin Deep bacterial infection of the skin Superficial viral infection of the skin Deep viral infection of the skin Hemidesmosomes are Located between epithelial cells and the basal lamina Located in the basal membrane Are part of the endosome system of dermal phagocytes Are endosomes of sebocytes ‘Antinuclear antibodies examination is routine procedure in the diseases, except: A. Fever 8, Generalized lymphadenopathy C. Maculo-papular rash D. CD4 under 400 ~ Under 200 Proliferation of condylomata acuminata may be encouraged by ‘A. Gonococeal infection B. LTV infection C. Chlamydial infection 1D. Steroid therapy In patients with HSV2 infection you may observe ‘A. Low titers of tests for syphilis B. Flu-like symptoms C. Risk of autoinoculation of cornea 1D. Good response to topical steroids ‘What treatment is effective in keratitis parenchymatosa ‘A. Procaine penicillin 3 B. Crystalline penicillin C. Tetracyclines D. Macrolides E. Steroids “Which positive test will prove congenital syphilis in a newborn A, VDRL B. TPHA C. FTA D. CaptialgM # E. RPR The ik of ineting fet by HV parive women ven retroviral Mery & B. 50% C. 30% D. 2% E. None Meningovascular syphilis and cardiovascular syphilis do not have in common ‘A. Endarteritis obliterans B. Belong to late syphilis C. Belong to secondary syphilis pe ptthert — pewentypbilis pmogretpenel sep estion 1 yet answered rked out of 1.00 Flag question ee -Omplications of the primary lesion in syphilis do NOT include: a. Paraphimosis © b. Blister formation ~ €. Oedema induratum _ d. Phimosis " &. Secondary infections Clear my choice Papular rash in secondary syphilis may mimic: O a. Urticaria © b. Rosacea O c. Varicella O d. Contact dermatitis e, Psoriasis 1 | | Lifetime risk of genital HPV infection (according to the US Centers for Disease Control for || Penile intraepithelial neoplasia (PIN) is caused mainly by: a. HPV16 and HPV18 O b. HPV11 and HPV6 O ¢. HPV11 and HPV16 O d. HPV6 and HPV16 O e. HPV1 and HPV5 Complications of the primary lesion in syphilis do NOT include: O a. Paraphimosis b. Blister formation O c. Phimosis O d. Secondary infections O e. Oedema induratum Claar mw chaira The most common way of HIV transmission globally is: O a. MSM (homosexual contact) O b. Vertical (mother to child) O c. Blood transfusion O d. Drugs (i.v.) e, Heterosexual contact Clear my choice Category A of clinical symptoms in HIV positive patient includes: O a. Kaposi sarcoma b. Persistent lymphadenopathy O c. Long-lasting genital herpes © d. Cutaneous T cell lymphoma O e. Hairy leukoplakia Clear my choice Treatment of C. trachomatis D-K types infection includes: O a. Ceftriaxone 500 mg I.M. once O b. Metronidazole 2 x 250 mg/day (10 days) c. Doxycycline 2 x 100 mg/day (7 days) O d. Procaine Penicillin 4800 000 U |.M. once O e. All answes are correct Clear my choice uestion 6 lot yet answered Aarked out of 1.00 a Flag question Differential diagnosis of the Primary lesion in syphilis includes: ~~ a. Genital herpes b. Ulcerative tuberculosis 9 c.All answers are correct us cell carcinoma Lifetime risk of genital HPV infection women is about: {according to the US Centers for Disease Control) for sexu 0a.75% e@ CSW: commercial sex workers Criteria of AIDS e@ CD4 number (normal 800-1000) e 1. more than 500 Al Bl cl e 2.200-499 A2 B2 c2 e 3. under 200/ul (under 14 %) A3 B3 c3 e A-beginning _ B- initial symptoms C- AIDS e AIDS: clinical or immunological fulfilled criteria; A3, B3, all C 1. Category A ° Al — asymptomatic juestion 9 jot yet answered jarked out of 1.00 ~ Flag question Category A of clinical symptoms in HIV positive patient includes: a. Long-lasting genital herpes b. Hairy leukoplakia © c. Persistent lymphadenopathy d, Cutaneous T cell lymphoma €. Kaposi sarcoma Clear my choice

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