NBCE Part II - Associated Clinical Sciences: STDs, Dermatology, Psychology, Toxicology, & Geriatrics QUESTIONS WITH COMPLETE SOLUTIONS

Chlamydia CORRECT ANSWERS: MC STD in US and MC cause of female infertility in US Syphilis CORRECT ANSWERS: Treponema pallidum (spirochete); hard, painless, indurated lesion in early stage Gonorrhea CORRECT ANSWERS: Gram Negative diplococcus; commonly cultured on chocolate agar. MC symp = dysuria; MC sign = clear green mucopurulent discharge (copious amounts) Salpingitis CORRECT ANSWERS: aka PID; an infection of the organs of reproduction (especially the fallopian tubes) where inflammation is caused by STDs, parasites or Candida Gonorrhea CORRECT ANSWERS: Can lead to sterility in males and salpingitis, ectopic pregnancy and/or the inability to get pregnant in females; MC joint affected is knee Hutchinson's Triad CORRECT ANSWERS: Congenitally acquired STD causes interstitial keratitis, permanently notched incisors, CN VIII deafness Chlamydia CORRECT ANSWERS: Organism involved in Reiter's (reactive arthritis) and Opthalmia Neonatorum Syphilis CORRECT ANSWERS: Ultimate result of this disease is tabes dorsalis, gummas, or vascular damage; no transmission during this stage Trichimoniasis CORRECT ANSWERS: Parasite that causes greenish- yellow, frothy, foul discharge and is severely itchy in females, while males are generally asympto Candida albicans CORRECT ANSWERS: Cottage cheese discharge in mouth or vagina caused by opportunistic diploid yeast/fungus Lympogranuloma Venerum (LGV) CORRECT ANSWERS: Enlarges inguinal lymph nodes; may lead to elephantiasis and rectal strictures. Caused by C. trachomatis. Chlamydia CORRECT ANSWERS: Yellow, odorless discharge; leads to non-gonococcal and non-specific genitourinary infection (NGU) Granuloma Inguinale CORRECT ANSWERS: Bright, beefy red granulomatous lesions that are painless and velvety. Caused by Klebsiella granulomatis. Herpes CORRECT ANSWERS: STD with painful vesicles, red lesions with oozing center preceded by an itching prodrome, diagnosis by tissue culture, recurrance with decreased immunity or increased stress Condylomata accuminata (HPV) CORRECT ANSWERS: Painful, s