Sexually Transmitted Infections Quiz

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Questions and Answers

What condition is characterized by painful vesicles and ulcers in a male patient?

  • Genital warts
  • Molluscum contagiosum
  • Chancroid
  • Herpes (correct)

Which condition would lead to yellowing of the skin but is NOT typically associated with it?

  • Hepatitis
  • Pancreatitis (correct)
  • Biliary obstruction
  • Liver cirrhosis

Which of the following sexually transmitted infections is most likely to cause episodic outbreaks in males?

  • Chancroid
  • Human papillomavirus
  • Herpes simplex virus (correct)
  • Syphilis

In a patient with jaundice, which of these does NOT typically require urgent management?

<p>Chronic pancreatitis (D)</p> Signup and view all the answers

Which of the following conditions is characterized by the presence of ulcers and is associated with a high incidence of pain?

<p>Chancroid (D)</p> Signup and view all the answers

What is a characteristic feature of the ulcers presented by the male patient?

<p>Serpiginous border with necrotic exudate (C)</p> Signup and view all the answers

Which diagnosis is characterized by painful ulcers with a necrotic exudate in the inguinal area?

<p>Chancroid (A)</p> Signup and view all the answers

Which one of the following diagnoses is NOT typically associated with painful ulcers?

<p>HPV (C)</p> Signup and view all the answers

What does the presence of LAO in the inguinal chain indicate?

<p>There is local lymphadenopathy present (C)</p> Signup and view all the answers

Which of the following conditions may lead to complications but does not primarily cause painful ulcers?

<p>HPV (B)</p> Signup and view all the answers

Which drug is NOT classified as an anti-viral agent for herpes treatment?

<p>Ribavirin (B)</p> Signup and view all the answers

Which medication is primarily used for the treatment of syphilis?

<p>Intramuscular injection of penicillin (D)</p> Signup and view all the answers

What is a commonly mistaken substitute for Valacyclovir in herpes therapy?

<p>Xylovir (B)</p> Signup and view all the answers

Which option poses a misconception about treating syphilis effectively?

<p>Immediate surgical intervention (A), Topical ointments (C)</p> Signup and view all the answers

Which of the following is incorrectly associated with herpes treatment?

<p>Oral metronidazole (A)</p> Signup and view all the answers

Which of these symptoms is least commonly associated with colorectal cancer?

<p>Abdominal discomfort (B)</p> Signup and view all the answers

Which of the following symptoms would be considered atypical for colorectal cancer?

<p>Frequent gas formation (B)</p> Signup and view all the answers

Among the listed symptoms, which one does not frequently indicate colorectal cancer?

<p>Unexplained weight loss (A)</p> Signup and view all the answers

Identify the symptom that is least likely to suggest colorectal cancer.

<p>Sudden urge to urinate (D)</p> Signup and view all the answers

Which symptom is incorrectly associated with colorectal cancer in this context?

<p>Nausea and vomiting (C)</p> Signup and view all the answers

Which statement about types of hernias is incorrect?

<p>Femoral hernias are the most common type of hernia, occurring above the inguinal ligament (C)</p> Signup and view all the answers

Which antibiotic is least effective for treating chlamydia infections?

<p>Ciprofloxacin (D)</p> Signup and view all the answers

Which of the following is true about hernias?

<p>Both direct and indirect hernias can occur in infants (B)</p> Signup and view all the answers

Which statement about the treatment options for chlamydia is least accurate?

<p>Levofloxacin has shown high efficacy in treating chlamydia (A)</p> Signup and view all the answers

Which of these characteristics about hernias is misleading?

<p>All hernias can be symptomatic in infants (B)</p> Signup and view all the answers

Which statement accurately describes a criterion for the diagnosis of IBS?

<p>Diagnosis needs at least two of the following: pain related to defecation, change in stool frequency, or change in stool appearance. (C)</p> Signup and view all the answers

To meet the diagnostic criteria for recurrent abdominal pain, how frequently must the pain occur?

<p>At least 5 days per week for the last month. (B)</p> Signup and view all the answers

Which of the following statements is true regarding the diagnosis timeline for IBS?

<p>A diagnosis can be made within 4 weeks of the onset of symptoms. (D)</p> Signup and view all the answers

Which statement accurately describes the methodology for diagnosing inflammatory bowel disease?

<p>It can be diagnosed via labs and imaging. (B)</p> Signup and view all the answers

Which of the following is NOT a requirement for IBS diagnosis?

<p>Diagnosis solely based on laboratory tests. (D)</p> Signup and view all the answers

Which percussion finding is typically associated with fluid accumulation in Traube's space?

<p>Dullness on percussion (D)</p> Signup and view all the answers

Which symptom would most likely influence the diagnosis of pancreatitis in the patient presenting with epigastric pain?

<p>Relief of pain when leaning forward (A)</p> Signup and view all the answers

Considering the patient's history of heavy drinking and tobacco use, which diagnosis is the most likely?

<p>Pancreatitis (A)</p> Signup and view all the answers

In the context of abdominal pain presentations, which condition would be least likely in the described patient scenario?

<p>Appendicitis (A)</p> Signup and view all the answers

Which of the following best describes the nature of the epigastric pain in this patient?

<p>Constant and intense (B)</p> Signup and view all the answers

What DRE finding is most commonly associated with benign prostatic hyperplasia (BPH)?

<p>Symmetrically enlarged and soft (B)</p> Signup and view all the answers

Which DRE finding would suggest prostatitis?

<p>Boggy, fluctuant, or tender (A)</p> Signup and view all the answers

Which DRE finding is least likely to indicate prostate cancer?

<p>Symmetrically enlarged and soft (B)</p> Signup and view all the answers

What characteristic makes the DRE findings of prostatitis unique compared to BPH?

<p>Boggy and tender palpation (B)</p> Signup and view all the answers

Which of the following statements regarding DRE findings is accurate?

<p>Tenderness on palpation can indicate prostatitis. (D)</p> Signup and view all the answers

Which of the following conditions is often confused with an emergency referral, but is not categorized as one?

<p>Diverticulitis (B)</p> Signup and view all the answers

What defining feature characterizes Crohn's disease?

<p>Inflammation of the GI tract from stomach through sigmoid colon (D)</p> Signup and view all the answers

Which symptom is most indicative of the complications associated with Crohn's disease?

<p>Iron deficiency anemia (C)</p> Signup and view all the answers

In the context of malabsorption caused by Crohn's disease, which vitamins might be affected?

<p>Vitamin B12 and D (D)</p> Signup and view all the answers

Which of the following statements about the physical examination findings in Crohn's disease is true?

<p>Tenderness to palpation with no organomegaly or masses noted. (C)</p> Signup and view all the answers

In a patient with a small bowel obstruction, where are hyperactive bowel sounds typically heard?

<p>Above the obstruction (D)</p> Signup and view all the answers

Which condition is associated with a slow onset of jaundice, pale stools, cola-colored urine, and severe itching?

<p>Biliary obstruction (A)</p> Signup and view all the answers

What distinguishes the sound of bowel movements in a patient with a small bowel obstruction?

<p>High-pitched tinkling sounds (A)</p> Signup and view all the answers

Which symptom is least likely to be present with biliary obstruction?

<p>Fever and chills (A)</p> Signup and view all the answers

What is the most likely consequence of untreated biliary obstruction on liver function over time?

<p>Progressive hepatic dysfunction and potential cirrhosis (D)</p> Signup and view all the answers

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Study Notes

Herpes

  • Painful vesicles and ulcers
  • Episodic outbreaks
  • Possible diagnosis for a male patient

Syphilis

  • Non-indurated, painful ulcers with a serpiginous border
  • Necrotic, purulent exudate
  • Inguinal lymphadenopathy (LAO)
  • Possible diagnosis for a male patient

Chancroid

  • Non-indurated, painful ulcers with a serpiginous border
  • Necrotic, purulent exudate
  • Inguinal lymphadenopathy (LAO)
  • Possible diagnosis for a male patient

HPV

  • Possible diagnosis for a male patient

Molluscum Contagiosum

  • Possible diagnosis for a male patient

Jaundice

  • Yellowing of the skin
  • Not a diagnostic feature of pancreatitis

Herpes Anti-Viral Therapy

  • Acyclovir
  • Valacyclovir
  • Famciclovir
  • Xylovir is not an anti-viral therapy

Syphilis Treatment

  • Intramuscular injection of penicillin

Diverticulosis

  • Presence of small pouches (diverticula) in the digestive tract
  • Can present with diarrhea

Diverticulitis

  • Inflammation of diverticula
  • Can cause lower left quadrant (LLQ) abdominal pain

Direct Hernia

  • Protrudes through the external ring

Indirect Hernia

  • Arises through the deep internal ring and passes through the inguinal canal

Femoral Hernia

  • Arises below the inguinal ligament
  • Least common type of hernia

Chlamydia Treatment

  • Doxycycline
  • Azithromycin
  • Ciprofloxacin and Levofloxacin are not used to treat chlamydia

Colorectal Cancer Symptoms

  • Changes in bowel habits
  • Blood in stool
  • Abdominal discomfort
  • Pencil thin stools

Irritable Bowel Syndrome (IBS)

  • Cannot be diagnosed via labs and imaging
  • Diagnosed within 4 weeks of symptom onset
  • Recurrent abdominal pain at least 5 days per week for the last month
  • Diagnosed with at least two of the following: pain related to defecation, change in stool frequency, change in stool appearance

Inflammatory Bowel Disease

  • Can be diagnosed via labs and imaging

Digital Rectal Exam (DRE) Findings

  • Benign Prostatic Hyperplasia (BPH): Symmetrically enlarged, soft prostate
  • Prostatitis: Boggy, fluctuant, or tender prostate; possibly asymmetrical, hard, and protruding into the rectal lumen.

Traube's Space Percussion

  • Percussion over Traube's space can reveal:
    • Tympany
    • Dullness
    • Resonance
    • No change in sound

Epigastric Pain

  • Constant, intense, and boring epigastric pain radiating to the back
  • Relief with leaning forward
  • History of heavy drinking and tobacco use
  • Highly suggestive of pancreatitis

Emergency Referral

  • Pancreatitis
  • Cholecystitis
  • Ulcerative Colitis
  • Diverticulitis is not a typical emergency referral

Crohn's Disease

  • Inflammation of the GI tract, from stomach through sigmoid colon
  • Associated with malabsorption symptoms of vitamin D and B12
  • Associated with iron deficiency anemia
  • Tenderness to palpation, no organomegaly or masses noted

Small Bowel Obstruction

  • Hyperactive bowel sounds heard above the obstruction

Jaundice

  • Slow onset
  • Pale stools, cola-colored urine, and itching
  • Highly suggestive of biliary obstruction
  • Not a typical feature of pancreatitis or Hepatitis C

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