Quiz 3: Common genital and urinary infections

Please choose the one, most correct answer to each question or statement.

1. Genital infections include:
   • Infections of the bladder
   • Infections of the kidneys
   • Infections of the vagina
   • All of the above
2. In South Africa sexually transmitted infections:
   • Are very common
   • Only occur in prostitutes
   • Are uncommon under the age of 20 years
   • Are rare
3. The syndromic approach to managing women with genital infections:
   • Is too inaccurate for general use
   • Is too expensive for poor countries
   • Requires laboratory investigations which may not be available
   • Provides satisfactory treatment to most women
4. When is a vaginal discharge abnormal?
   • Vaginal discharge is always normal
   • Only when it occurs in a woman who is sexually active
   • When it is offensive and causes itching
   • All vaginal discharges are abnormal
5. What is a common cause of genital infection?
   • Staphylococcus
   • Chlamydia
   • Lactobacillus
   • Klebsiella
6. Which repeated genital infection may be a sign of diabetes?
   • Gonorrhoea
   • Human papilloma virus infection
   • Candidiasis
   • Herpes infection
7. Trichomonal infection presents with:
   • An offensive yellow-green vaginal discharge
   • Genital ulcers
   • Inguinal swelling
   • A thick white vaginal discharge
8. Which genital infection typically presents with a discharge that has a fishy small?
   • Bacterial vaginosis
   • Syphilis
   • Chancroid
   • Trichomonal infection
9. Cervicitis may be caused by:
   • Trichomonal infection
   • Gonorrhoea
   • Bacterial vaginosis
   • Candidiasis
10. Which drug is used in the syndromic management of vaginal discharge?
    • Penicillin
    • Erythromycin
    • Metronidazole
    • Acyclovir
11. Which drug must be included if a woman presents with a thick white vaginal discharge which causes vulval redness and itching?
    • Doxycycline
    • Metronidazole
    • Clotrimoxazole
    • Cefotaxime
12. What is a danger sign in a woman with vaginal discharge?
    • The discharge is yellow or green
    • Burning when passing urine
    • Severe itching
    • Lower abdominal pain
13. Women with acute pelvic inflammatory disease should be referred to hospital if they:
    • Have signs of peritonitis (severe abdominal tenderness)
    • Have an abdominal mass
    • Show no improvement after 72 hours of outpatient management
    • Any of the above
14. What investigation should always be conducted in women who present with acute lower abdominal pain?
    • Pap smear
    • VDRL test
    • Pregnancy test
    • Stool test for blood
15. Acute pelvic inflammatory disease may result in:
    • Infertility
    • Renal failure
    • A generalised rash
    • A blood-stained vaginal discharge
16. Which test is used to screen for syphilis?
    • HIV rapid test
    • VDRL
    • Elisa test
    • Mantoux test
17. Genital ulcers caused by which infection are very painful?
    • Syphilis
    • Chancroid
    • HIV infection
    • Herpes infection
18. Painful, red inguinal swelling associated with genital ulcer may be caused by:
    • Syphilis
    • Chlamydia
    • Herpes
    • Chancroid
19. Which genital infections may spread to the fetus?
    • Chancroid
    • Gonorrhoea
    • Syphilis
    • Trichomonal infection
20. What clinical signs suggest acute cystitis?
    • A high temperature
    • Pain and frequency when passing urine
    • An offensive vaginal discharge
    • Pain over the bladder and kidney area