Chapter 23: Urogenital System Infections
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Questions and Answers

What strains of HPV does the Gardasil vaccine protect against?

  • 4, 7, 10, 12
  • 1, 2, 3, 5
  • 6, 11, 16, 18 (correct)
  • 15, 19, 20, 21

What is the primary mode of treatment for candidiasis caused by C. albicans?

  • Long-term antifungal therapy
  • Immunotherapy
  • Antifungal medications (correct)
  • Surgery

Which symptom is commonly associated with trichomoniasis caused by Trichomonas vaginalis?

  • Severe abdominal pain
  • Heavy menstrual bleeding
  • Fever and chills
  • Itching and burning (correct)

What is the significance of C. albicans in the normal microbiota?

<p>It rarely causes problems in healthy individuals (C)</p> Signup and view all the answers

What potential risk does trichomoniasis pose during pregnancy?

<p>Increased risk of preterm birth (A)</p> Signup and view all the answers

What is the most common cause of urinary tract infections?

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

Which symptom is typically associated with cystitis?

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

Which demographic is more prone to urinary tract infections?

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

What can acute glomerulonephritis lead to?

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

What is the typical cause of pyelonephritis?

<p>Bacteria spreading from other parts of the urinary system (A)</p> Signup and view all the answers

What are the main types of bacterial urethritis?

<p>Neisseria gonorrhea and non-gonococcal urethritis (B)</p> Signup and view all the answers

What symptom is most indicative of pyelonephritis?

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

Which of the following conditions can be life-threatening if not treated?

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

What is the most common symptom of gonorrhea in women?

<p>Discharge (A), Asymptomatic (B), Pelvic pain (D)</p> Signup and view all the answers

Which complication is associated with untreated chlamydia in women?

<p>Pelvic Inflammatory Disease (PID) (A)</p> Signup and view all the answers

What is a common symptom of gonorrhea in males?

<p>Orchitis (A), Epididymitis (B)</p> Signup and view all the answers

How is syphilis primarily transmitted?

<p>Direct contact usually sexual (A)</p> Signup and view all the answers

What can happen if gonorrhea is left untreated?

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

What is the incubation period for syphilis?

<p>10-90 days (D)</p> Signup and view all the answers

Which of the following is NOT a complication of untreated gonorrhea?

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

Which organism is responsible for syphilis?

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

What characterizes the primary stage of syphilis?

<p>Painless sore that ulcerates (B)</p> Signup and view all the answers

In what timeframe does the primary syphilis sore heal spontaneously?

<p>3-6 weeks (D)</p> Signup and view all the answers

Which of the following stages begins after the chancre starts to heal?

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

Which herpes simplex virus type is primarily associated with oral herpes?

<p>HSV-1 (A)</p> Signup and view all the answers

What type of rash is associated with secondary syphilis?

<p>Reddish-brown and contagious (B)</p> Signup and view all the answers

Which complications may arise from untreated syphilis?

<p>Development of gummas and personality disorders (D)</p> Signup and view all the answers

What is a common symptom associated with a herpes infection?

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

What percentage of cervical cancers is caused by HPV strains 16 and 18?

<p>70% (C)</p> Signup and view all the answers

What is a significant health risk of congenital syphilis?

<p>Neurosyphilis and birth defects (C)</p> Signup and view all the answers

What is true regarding the transmission of herpes during pregnancy?

<p>It can lead to spontaneous abortion or severe disabilities (C)</p> Signup and view all the answers

At what stage is syphilis generally considered non-infectious?

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

Which of the following statements about HPV is accurate?

<p>Most HPV infections resolve spontaneously (D)</p> Signup and view all the answers

What condition can arise from gummas in tertiary syphilis?

<p>Spinal cord paralysis (A)</p> Signup and view all the answers

What is the main characteristic of the majority of genital warts caused by HPV?

<p>They are asymptomatic (B)</p> Signup and view all the answers

What is a common name for lesions caused by HPV in the genital area?

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

Which of the following refers to the risk associated with HIV in the context of herpes infections?

<p>Herpes increases susceptibility to HIV (D)</p> Signup and view all the answers

Flashcards

Chlamydia

A sexually transmitted infection (STI) that often has no symptoms, especially in women. It can be transmitted through direct contact with infected bodily fluids.

Gonorrhea

The most common bacterial STI in the United States. It can cause discharge, dysuria, and pelvic inflammatory disease (PID) in women.

Pelvic Inflammatory Disease (PID)

A serious complication of Gonorrhea that can affect the fallopian tubes, uterus, and ovaries. It increases the risk of infertility and ectopic pregnancy.

Syphilis

A sexually transmitted infection caused by the bacterium Treponema pallidum.

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Primary Syphilis

The first stage of Syphilis, characterized by a painless sore called a chancre at the site of infection.

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Secondary Syphilis

The stage of Syphilis that occurs after the primary stage, marked by a rash, fever, and swollen lymph nodes.

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Tertiary Syphilis

The final stage of Syphilis, characterized by damage to the heart, brain, and other organs.

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UTI (Urinary Tract Infection)

Infection of the urinary tract, usually caused by bacteria. It can affect any part of the urinary system, from the urethra to the kidneys.

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Cystitis

A type of UTI that specifically affects the bladder, often causing symptoms such as pain or burning during urination.

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Pyuria

Presence of pus in the urine, often a sign of infection.

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Hematuria

Presence of blood in the urine, often a sign of injury or inflammation in the urinary tract.

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STI (Sexually Transmitted Infection)

The condition of having a sexually transmitted infection, which can be caused by various bacteria, viruses, or parasites.

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Pyelonephritis

An inflammation of the kidney, often caused by a UTI that spreads upward.

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Urethritis

An infection of the urethra, the tube that carries urine from the bladder to the outside.

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Glomerulonephritis

Inflammation of the glomeruli, the filtering units of the kidneys, caused by an autoimmune reaction.

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Chancre

A painless sore that develops at the site of infection during primary syphilis.

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Chancre healing

The chancre ulcerates and heals spontaneously within 3 to 6 weeks.

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Bacterial spread

The bacteria spreads through the bloodstream and lymphatic system during primary syphilis.

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Contagious rash

The rash in secondary syphilis is highly contagious and lasts for 2 to 6 weeks.

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Gummas

Gummas are non-infectious, soft, painless lesions that can develop in the skin, cardiovascular system, skeletal system, and nervous system during tertiary syphilis.

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Candida Sp.

A common, usually harmless, fungus that normally lives on the skin and in the digestive tract, but can cause infections in people with compromised immune systems or in the urogenital tract.

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Candidiasis

A type of fungal infection caused by Candida Sp. that can occur in the urogenital tract, mouth, or elsewhere, leading to symptoms like itching, discharge, and odor.

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Trichomoniasis

The most common non-viral sexually transmitted infection caused by the parasite Trichomonas vaginalis.

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Trich

The infection caused by Trichomonas vaginalis, a common sexually transmitted infection that can be asymptomatic or cause itching, burning, and abnormal discharge.

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HPV vaccine

A vaccine that protects against certain strains of the human papillomavirus (HPV), which can cause cervical cancer and other cancers.

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Genital Herpes

A sexually transmitted infection (STI) caused by the herpes simplex virus (HSV). There are two types: HSV-1, which typically causes oral herpes (cold sores), and HSV-2, which typically causes genital herpes.

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Asymptomatic Herpes

Most herpes infections are asymptomatic, meaning individuals carrying the virus may not experience any symptoms.

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Herpes Symptoms

Herpes can cause fever, chills, swollen lymph nodes, and blisters. These symptoms are most common during the first outbreak.

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Herpes and HIV

Genital herpes is known to increase the risk of getting and spreading HIV (Human Immunodeficiency Virus).

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Herpes Treatment

While there is no cure for herpes, antiviral medications can help manage symptoms and reduce the frequency of outbreaks.

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Genital Warts

The human papillomavirus (HPV) is a common sexually transmitted infection that causes warts. Genital warts are also known as condylomata acuminata.

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Oncogenic HPV

Some strains of HPV are oncogenic, meaning they can cause cancer. HPV strains 16 and 18 are responsible for about 70% of cervical cancers.

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HPV and Cancer

While most HPV infections resolve spontaneously, some can lead to cervical, penile, rectal, oropharyngeal, and vulvar cancers. Regular screenings and vaccination are essential for prevention.

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Study Notes

Urogenital System Infections

  • Urinary Tract Infections (UTIs): The urinary system filters blood, removes waste, and regulates electrolytes/water. Common sites of infection include the bladder and urethra (males and females). Males can also get infections in the urethra, testes, prostate, and epididymis. Females have infections in the vulva, vagina, cervix, and fallopian tubes. UTIs can be caused by environmental colonization, shifts in microbiota (hormonal/physiological changes), fecal contamination, or sexually transmitted infections (STIs).

  • Bacterial Urinary Tract Infections:

  • Cystitis: Commonly caused by E. coli (fecal bacteria).

  • Pyelonephritis: A serious kidney infection often caused by bacteria from other urinary infections, leading to systemic issues.

  • Leptospirosis: A bacterial kidney infection spread by animal urine, especially in contaminated water. More common in warm climates than cool.

  • Bacterial Reproductive Tract Infections:

  • Bacterial Vaginosis: An imbalance in vaginal microbiota, decreased lactobacilli, and high vaginal pH. Gardnerella vaginalis is the most common cause. Characterized by vaginal discharge, odor, burning, and itching.

  • Gonorrhea: Caused by Neisseria gonorrhoeae. Affects reproductive and urinary tracts. Symptoms include urethritis; untreated, it can progress to epididymitis, salpingitis, and pelvic inflammatory disease, potentially entering the bloodstream.

  • Chlamydia: The most common reported STI caused by Chlamydia trachomatis. Usually asymptomatic, untreated cases can affect the male epididymis and cause salpingitis (inflammation of the fallopian tubes) and pelvic inflammatory disease (PID) in females.

  • Syphilis: Caused by Treponema pallidum. Has three stages: primary (painless chancre on genitals), secondary (skin/mucous membrane lesions), tertiary (severe systemic damage).

  • Chancroid: Infection of the reproductive tract by Haemophilus ducreyi, causing characteristic soft chancres.

  • Viral Reproductive Tract Infections:

  • Genital Herpes: Usually caused by HSV-2 (though HSV-1 is possible). Can cause vesicles; recurring infections are possible. Neonatal herpes is a concern for babies born to infected mothers, ranging in severity.

  • Human Papillomaviruses (HPVs): The most common ST viruses. Some strains cause genital warts; others are associated with cervical cancer.

  • Fungal Reproductive Tract Infections:

  • Candidiasis: Caused by Candida spp. Normally part of the microbiota in various parts of the body, including the vagina. Disruptions in the vaginal microbiota can lead to overgrowth, causing vaginal candidiasis (yeast infection).Treated with topical or oral fungicides.

  • Protozoan Urogenital Infections:

  • Trichomoniasis: Common STI caused by Trichomonas vaginalis. Typically asymptomatic but can cause urinary irritation, itching, burning, and discharge from the penis or vagina if symptomatic. Treated with tinidazole or metronidazole.

General Notes

  • Infection diagnosis and treatment vary but often include urinalysis (leukocyte esterase/nitrite, microscopic evaluation, and urine culture) and broad-spectrum antibiotics.
  • Infection prevention is often difficult.
  • Females tend to experience UTIs more frequently than males, possibly related to anatomy (e.g., urethra length, proximity to the rectum).

Additional Notes from the provided material

  • Review Questions: The document includes a set of multiple-choice review questions about urogenital infections.

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Description

Explore the complexities of urogenital system infections, including urinary tract infections (UTIs) and bacterial reproductive tract infections. Learn about the common causes, affected areas, and the significance of bacteria such as E. coli in these infections. This quiz aims to enhance your understanding of urogenital health.

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