29 Jul WHICH OF THE FOLLOWING IS A CORRECT STATEMENT ABOUT SPERMICIDES?
Which form of the exam do you have?
A. A
B. B
2. A friend of yours, Garrett, complains that it burns when he urinates. You know that he met a
new girl, Jaclyn, a while ago. Their relationship has become close and they have become
sexually involved with one another. You suggest that he may have chlamydia. He insists that this
is not possible because he has not had sex with anyone except Jaclyn and that they have always
been completely honest with each other. She would have told him if she had chlamydia. You
then correctly explain to him that:
A. although chlamydia may be sexually transmitted, it is usually obtained by non-sexual
means
B. women with chlamydia usually have no symptoms, so Jaclyn may not have known she
was infected
C. he should be treated immediately because, if untreated, chlamydia is usually fatal
D. it doesn’t matter how he got the disease, because there is no treatment and he’ll now
have it for life
3. Things don’t work out for Jaclyn and Garrett. Several years later, Jaclyn marries another friend
of yours, George. Although they would like to have children, they are unable to conceive a child
after two years of trying. You recall your earlier suspicion that Jaclyn may have had chlamydia.
You correctly mention to the frustrated couple that chlamydial infections may cause infertility
because:
A. the remaining organisms attack and kill sperm cells
B. bacteria causing the infection often attack and kill the potential egg cells in the
woman’s ovaries
C. the high fever during the illness damages the potential egg cells
D. in its final stages chlamydia attacks the nervous system and may disrupt hormone
levels
E. they may cause scar tissue to form in the oviducts
4. Choose the INCORRECT statement about plasmids.
A. Plasmids are necessary for the survival of bacteria.
B. Plasmids can carry many genes for antibiotic resistance (to different antibiotics).
C. Plasmids can be copied and transferred to other bacteria.
D. Plasmids can be transferred to different kinds (species) of bacteria.
5. All of the following are correct statements EXCEPT:
A. A reason that a properly used condom may not prevent the spread of an STD is that
the infected site may not be covered by the condom.
B. A reason that a properly used condom may not prevent the spread of an STD is that
disease organisms can sometimes pass through the latex
C. A diaphragm offers a woman some protection against getting an STD from an infected
male, but it offers little protection for the male if the woman is infected.
D. A woman who is using the birth control pill as a means of contraception has an
increased risk of developing certain STDs.
6. You are a physician. Your first client is an 18 year old, unmarried woman. Her friends refer to
her as the airhead because she is so forgetful and disorganized. She is sexually active but not in
any stable, long-term relationship. You wisely suggest that the best choice contraception for this
woman would be:
A. a condom for her partner
B. a diaphragm
C. spermicides
D. Depo-Provera with a condom for her partner
7. Your next client is a young unmarried college student. She has dated only one guy for the last
few years. They have been sexually intimate for a number of years and are comfortable and
familiar with one another. He lives in her hometown and she went away to school. They agreed
that they would date other people. They are still eager to get together whenever possible – on
school vacations and on the occasional weekends that he can get off from work. She has high
blood pressure. Considering the health risks and benefits associated with each means of birth
control, which would be the best choice for this couple.
A. a diaphragm plus condom combination
B. douching after intercourse
C. the rhythm method
D. the IUD
E. the combination birth control pill
8. Which of the following is NOT a likely cause of pelvic inflammatory disease?
A. chlamydia
B. gonorrhea
C. syphilis
9. Your best friend, Suzie, just got married. She calls you from San Diego in a panic-stricken
frenzy because she forgot her diaphragm. You assure her that you will send it Fed-Ex. She’ll
have it tomorrow. In the meantime, you suggest that the most effective means of birth control for
the honeymoon couple to use is:
A. coitus interruptis
B. a vaginal sponge and condom combination
C. the rhythm method
D. douching after intercourse
E. an IUD
10. Droplet infection:
A. is transmitted by mosquitoes
B. occurs by kissing
C. occurs when contaminated food is eaten
D. occurs when droplets of mucus containing disease-causing organisms are expelled
from the upper respiratory system, usually by sneezing or coughing
11. Which of the following contains choices of contraception that can be purchased over-thecounter without a prescription?
1. condom
2. diaphragm
3. spermicide
4. IUD
5. vaginal sponge
Choices:
A. 1, 2, 3
B. 2, 3, 4
C. 3, 4, 5
D. 1, 3, 5
E. 1, 2, 5
12. Your friend Alicia is in a state of panic. She had intercourse with her husband on day 14 of
her menstrual cycle and the condom broke. She’s worried that she may be pregnant. You ask how
long her typical cycle is. She says she’s very regular and it is always 21 days. So, you correctly
respond:
A. Don’t worry. No matter what the cycle length is, ovulation always occurs on day 1 so
it is unlikely that you are pregnant.
B. Didn’t you have your period at that time? It is impossible to get pregnant then.
C. Get a pregnancy test to be sure you arent pregnant, but don’t worry too much. It is not
very likely that a fertile egg was present at that point in your cycle.
D. Start knitting little booties. You idiot. Don’t you know that all women ovulate on day
14? Of course, you are pregnant.
E. You didn’t enjoy it did you? You can’t get pregnant if you didn’t enjoy it.
13. Which of the following is a CORRECT statement about spermicides?
A. If used as the only means of contraception, foams are the best form to use.
B. Spermicides are as effective in preventing pregnancy as a male latex condom if both
are used correctly..
C. Spermicides are as effective in the spread of STDs as a male latex condom if both are
used correctly.
14. Regarding the effectiveness in preventing pregnancy: In which choice are the contraceptives
listed in order from greatest to least protection (if used correctly).
A. diaphragm, male condom, Depo-Provera
B. male condom, spermicides, the birth control pill
C. the birth control pill, diaphragm, rhythm method
D. spermicides, male condom, diaphragm
4
15. What is an important difference between human cell structure and bacteria cells?
A. bacteria have a cell wall
B. bacteria lack DNA
C. human cells lack ribosomes
D. human cells reproduce both sexually and asexually
16. The symptoms of a bacterial disease are caused by:
A. damage or death of cells that occurs as bacteria leave the cells after having made
many copies of themselves
B. mutations in the host cell caused by bacteria
C. chemicals ( toxins or enzymes) released by the bacteria that damage cells in the
infected organism
D. plasmids
E. none of the above
17. Which of the following is a way that you personally can reduce the development of antibiotic
resistance in bacteria?
A. Don’t demand an antibiotic when your health-care provider determines one isn’t
appropriate. Ask about ways to help relieve your symptoms.
B. Never take an antibiotic for a viral infection such as a cold, a cough, or the flu.
C. Take medicine exactly as your health-care provider prescribes. If he or she prescribes an
antibiotic, take it until it is gone, even if you’re feeling better.
D. Don’t take leftover antibiotics or antibiotics prescribed for someone else. These
antibiotics may not be appropriate for your current symptoms. T
aking the wrong
medicine could delay getting correct treatment and allow bacteria to multiply.
E. All of the above
18. You are a practitioner in a family planning clinic. Your first client would like to use DepoProvera (an injection of progesterone every 3 months) as a means of birth control. You wisely
mention all of the following EXCEPT:
A. You can expect that your menstrual cycles may become irregular.
B. You may gain a few pounds.
C. You may experience some breast tenderness.
D. Depo-Provera increases your risk of pelvic inflammatory disease.
E. You may miss some periods.
19. She asks you how Depo-Provera is thought to prevent pregnancy in all of the following ways
EXCEPT:
A. The endometrium will not be properly prepared for implantation.
B. If implantation does occur, the embryo may be killed or physically dislodged from the
endometrium.
C. It increases the thickness of cervical mucus
D. It may interfere with sperm movement.
20. Which of the following is an example of disease transmission by a vector?
A. West Nile Virus transmission by mosquito
B. transmission of a cold by sneezing
C. food poisoning
D. transmission of an STD
21. Which of the following would help a woman pinpoint the day on which ovulation had
occurred?
A. Body temperature increases slightly and remains elevated
B. Her sex drive increases to almost uncontrollable levels.
C. She begins to bleed from the vagina.
D. none of the above
22. The bacteria that cause anthrax can cause a skin lesion (sore) or respiratory problems. Which
of the following is an INCORRECT statement explaining why the same bacterium can cause
different symptoms.
A. The symptoms depend on how (where) the bacteria enter the body.
B. The bacteria release different toxins in these locations
C. The symptoms appear at the site (location) where the toxins are released.
23. You are a physician. A mother brings her 8 year old son to visit because he has a bad cold.
She is very concerned that he get well quickly, because he has already missed a week of school.
All of the following would be reasonable responses to this woman EXCEPT:
A. No, I wont prescribe an antibiotic because antibiotics are not effective against
viruses. Antibiotic treatment will not shorten his illness.
B. No, I wont prescribe an antibiotic because antibiotics cause plasmids to develop in
the good bacteria causing them to develop antibiotic resistance.
C. No, I wont prescribe an antibiotic because antibiotics could kill the good bacteria in
the body, allowing harmful bacteria to take over and cause other illness.
24. Which of the following STDs can cause an aneurysm?
A. chlamydia
B. gonorrhea
C. syphilis
25. Which of the following statements is CORRECT?
A. The organism that causes syphilis can be spread on toilet seats, drinking glasses and
wet towels.
B. The organism that causes syphilis can enter the body through a break in the skin.
C. Syphilis often causes sterility.
D. Men and women are equally likely to contract (get) gonorrhea from an infected
partner.
26. How do most disease-causing bacteria cause damage?
A.
causing high fevers
B.
causing lesions
C.
releasing toxins
D.
reproducing asexually
27. Mucous membranes are the most likely area where sexually transmitted organisms can enter
the body. Which of the following structures are NOT lined with mucous membranes?
A. the urethra
B. the vagina
C. the scrotum
D. the eyes
E. the mouth
28. Choose the INCORRECT statement:
A. Chlamydia can lead to sterility in either sex.
B. Gonorrhea is a common cause of pelvic inflammatory disease.
C. The bacterium that causes syphilis can cross the placenta and infect a fetus growing in
the uterus if the mother has syphilis
D. The most common STD in the US is syphilis.
29. Chlamydia:
A. may lead to sterility if it goes untreated
B. is incurable
C. is usually incredibly painful
D. causes chancres
E. none of the above
30. Choose the INCORRECT statement:
A. If the bacteria that cause chlamydia are transferred to the eyes, it can cause blindness.
B. Gonorrhea, chlamydia, and syphilis can be cured with antibiotics.
C. Most women with chlamydia have no symptoms.
D. A man with gonorrhea must ejaculate in order to spread the infectious organism to a
partner.
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