PID Diagnosis and Implications Quiz
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Questions and Answers

Which symptom is least indicative of a diagnosis of PID?

  • Dysuria with negative urinalysis (correct)
  • Elevated C-reactive protein
  • Moderate bilateral lower abdominal pain
  • Abnormal cervical mucopurulent discharge

    • What percentage of infertility is associated with one episode of PID?

  • 50%
  • 25%
  • 18%
  • 12% (correct)

    • Which diagnostic method is considered the gold standard for diagnosing PID?

  • Clinical diagnosis
  • Saline microscopy
  • Transvaginal Doppler ultrasound
  • Laparoscopy (correct)

    • What is the increased risk of ectopic pregnancy after one or more episodes of PID?

    <p>Eightfold</p> Signup and view all the answers

    What is a common clinical sequel associated with PID that affects 18% of women?

    <p>Chronic pelvic pain</p> Signup and view all the answers

    How accurate is clinical diagnosis for PID compared to laparoscopy or transvaginal Doppler ultrasound?

    <p>65% to 90% sensitive</p> Signup and view all the answers

    Which method is NOT used for diagnosing PID?

    <p>Endometrial biopsy</p> Signup and view all the answers

    What is the primary method suggested to reduce the incidence of PID?

    <p>Actively screening for Chlamydia</p> Signup and view all the answers

    What was the original name given to bacterial vaginosis (BV) before it was clearly defined as a syndrome?

    <p>Haemophilus vaginitis</p> Signup and view all the answers

    Which of the following sexually transmitted pathogens was differentiated in the 1960s?

    <p>Herpes simplex virus (HSV) type 2</p> Signup and view all the answers

    What is a major consequence of Neisseria gonorrhoeae infection in women?

    <p>Pelvic inflammatory disease (PID)</p> Signup and view all the answers

    Which of the following infections can lead to disseminated gonococcal infection (DGI)?

    <p>Oropharyngeal infection</p> Signup and view all the answers

    Which sexually transmitted virus was recognized as a significant pathogen in the 1980s?

    <p>Human immunodeficiency virus (HIV)</p> Signup and view all the answers

    What type of infection can disseminated gonococcal infection (DGI) lead to?

    <p>Endocarditis</p> Signup and view all the answers

    Which population is more likely to transmit hepatitis C virus (HCV) through sexual contact?

    <p>Men who have sex with men (MSM) coinfected with HIV</p> Signup and view all the answers

    What is the causal organism of gonorrhea?

    <p>Neisseria gonorrhoeae</p> Signup and view all the answers

    What are common signs and symptoms of rectal gonorrhea?

    <p>Anorectal pain and mucopurulent discharge</p> Signup and view all the answers

    Which of the following pathogens should be tested for in a patient suspected of having rectal Chlamydia?

    <p>N.gonorrhoeae and C.trachomatis</p> Signup and view all the answers

    What is the recommended first-line treatment for anorectal gonorrhea?

    <p>Ceftriaxone 250 mg IM as a single dose</p> Signup and view all the answers

    What alternative treatment may be used for patients with isolated anal gonorrhea who cannot receive cephalosporins?

    <p>Desensitization before treatment</p> Signup and view all the answers

    Which of the following conditions should be differentiated from proctitis in homosexual males?

    <p>Proctocolitis</p> Signup and view all the answers

    What additional infection should patients with pharyngeal gonorrhea be tested for?

    <p>HIV</p> Signup and view all the answers

    Which of these options should NOT be used as a first-line agent for anorectal gonorrhea?

    <p>Oral cefixime</p> Signup and view all the answers

    What symptom might indicate asymptomatic pharyngeal gonorrhea upon examination?

    <p>Pharyngeal exudates</p> Signup and view all the answers

    What common symptom is associated with vulvovaginal candidiasis (VVC)?

    <p>Thick, white vaginal discharge</p> Signup and view all the answers

    How can VVC be differentiated from other vaginal infections based on discharge characteristics?

    <p>A viscous, nonodorous, white discharge</p> Signup and view all the answers

    Which method can increase the visibility of Candida in a vaginal discharge sample?

    <p>Wet-mount preparation with 10% KOH</p> Signup and view all the answers

    What should be done if a wet mount for Candida is negative?

    <p>Culture the vaginal discharge for Candida</p> Signup and view all the answers

    Which of the following statements is true regarding normal vaginal flora?

    <p>Candida is part of normal vaginal flora for a small percentage of women.</p> Signup and view all the answers

    What is the typical vaginal pH associated with VVC?

    <p>Above 4.5</p> Signup and view all the answers

    What is the role of nonprescription home screening tests in diagnosing VVC?

    <p>They can indicate pH changes but have low specificity.</p> Signup and view all the answers

    Which condition could delay appropriate treatment if incorrectly diagnosed as VVC?

    <p>Bacterial vaginosis (BV)</p> Signup and view all the answers

    What is the primary method used for culturing bacteria in suspected gonorrhea cases?

    <p>Thayer–Martin medium</p> Signup and view all the answers

    Which of the following is a common symptom of gonorrhea in women?

    <p>Vaginal discharge</p> Signup and view all the answers

    What complication can arise in women with untreated acute gonococcal infection?

    <p>Pelvic inflammatory disease (PID)</p> Signup and view all the answers

    What percentage of women with acute gonococcal infections may experience complications like PID?

    <p>10% to 20%</p> Signup and view all the answers

    Which diagnostic test is recommended for detecting N.gonorrhoeae in urogenital sites?

    <p>Nucleic acid amplification tests (NAATs)</p> Signup and view all the answers

    What is a significant risk associated with gonorrhea during pregnancy?

    <p>Spontaneous abortion</p> Signup and view all the answers

    How might the symptoms of gonorrhea differ in pregnant women compared to non-pregnant women?

    <p>Symptoms are mild but may lead to complications</p> Signup and view all the answers

    What is a primary reason for thoroughly testing pregnant women for gonorrhea?

    <p>To prevent complications like acute chorioamnionitis</p> Signup and view all the answers

    What organism is responsible for causing syphilis?

    <p>Treponema pallidum</p> Signup and view all the answers

    What was the primary reason for the increase in syphilis rates in the late 1980s?

    <p>Crack cocaine use</p> Signup and view all the answers

    What significant trend occurred with the rates of primary and secondary syphilis from 1990 to 2000 in the US?

    <p>They sharply decreased by 89.7%.</p> Signup and view all the answers

    What does the Healthy People 2020 goal set for primary and secondary syphilis among men?

    <p>6.8 cases per 100,000 individuals</p> Signup and view all the answers

    Which treatment is considered the mainstay for syphilis?

    <p>Penicillin</p> Signup and view all the answers

    What was the effect of increased awareness and treatment on the incidence of severe forms of syphilis?

    <p>It led to a decrease in the incidence of severe forms.</p> Signup and view all the answers

    What finding is consistent with syphilis infection in a laboratory test?

    <p>Positive rapid plasma reagin (RPR) test</p> Signup and view all the answers

    In the patient case described, which symptom is not typically associated with syphilis?

    <p>Chronic cough</p> Signup and view all the answers

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    Description

    Test your knowledge on Pelvic Inflammatory Disease (PID) with this quiz. Explore critical symptoms, diagnostic methods, and the implications of PID on women's health, including infertility and the risk of ectopic pregnancy. Dive into the important facts regarding bacterial vaginosis and sexually transmitted pathogens.

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