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Birth Control Methods and Sexually Transmitted Diseases

Description: This test is designed in such away that it will help the students to revise their topics thoroughly.
Number of Questions: 15
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Tags: syphilis Birth Control and Contraception Birth Control Methods Sexually Transmitted Diseases
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Which among the following statements does not characterise syphilis in humans?

  1. An infected mother can pass syphilis to her developing fetus.

  2. The first sign of syphilis usually appears 2 to 4 weeks following exposure.

  3. A rash frequently appears about 6 weeks to 3 months after the chancre has healed.

  4. The late syphilis, begins 3 or more years after infection.

  5. The bacteria remain inactive in the lymph nodes and the spleen.


Correct Option: B
Explanation:

The first sign of syphilis usually appears 2 to 10 weeks following exposure. A red, oval sore, called a chancre (pronounced shanker) develops at the site where the bacteria entered the body. The lesion typically looks clean, is not pus filled, and is often painless.

Human immunodeficiency virus uses all of the following virus-specific enzymes to reproduce within the host cell, except ___________.

  1. reverse transcriptase

  2. integrase

  3. protease

  4. ribonuclease H

  5. apoptase


Correct Option: E
Explanation:

Apoptase is not an enzyme identified with a role in HIV infection.

Which type of cell is allegedly infected by Neisseria gonorrhoeae and Chlamydia trachomatis?

  1. Germ cells

  2. Transitional epithelial cells

  3. Columnar epithelial cells

  4. Renal tubular cells

  5. Endothelial cell


Correct Option: C
Explanation:

Gonococci and the elementary body form of chlamydia enter the body by attaching to nonciliated columnar epithelial cells. Remember that infection by gonococci leads to LPS-mediated cytotoxic events on adjacent cells, causing surface damage and allowing for easier access to infection by other organisms such as chlamydia.

Histamine is involved in local immune responses against the infections. Which among the following statements characterises histamines?

  1. Has no effect on the permeability of venules

  2. Constricts arterioles

  3. Upregulates IL-8

  4. Induces neutrophil chemotaxis

  5. Upregulates adhesion molecules on vascular endothelium


Correct Option: E
Explanation:

Histamine upregulates P-selectin of vascular endothelium.

Extracellular bacteria such as Streptococcus pyogenes infecting the humans are optimally killed by

  1. macrophages

  2. complement

  3. antibody

  4. macrophages plus complement

  5. macrophages plus antibody plus complement


Correct Option: E
Explanation:

Bacteria opsonized by IgG and C3b will adhere and activate both macrophages and neutrophils for phagocytosis and killing.

Opsonization is a process to increase the susceptibility of bacteria to be ingested by phagocytes. Opsonization of STDs causing bacteria occurs through coating bacteria just with

  1. C8

  2. C3b

  3. Membrane attack complex

  4. F(ab')2 IgG

  5. IgM


Correct Option: B
Explanation:

There are receptors for C3b on the surface of phagocytic cells.

IgE levels in blood are raised in infections with

  1. Trypanosoma cruzi

  2. Trichinella spiralis

  3. Trypanosoma rhodesiense

  4. Plasmodium falciparum

  5. Leishmania tropica


Correct Option: B
Explanation:

Parasites like Trichinella frequently increase the IgE levels, usually polyclonally. This tends to inhibit the protective effect of IgE by diluting out the specific IgE on the mast cell. Inflammation induced by mast cell degranulation leads to influx of IgG which causes damage to the parasite.

The pyrogenic streptococcal exotoxins SPE, A, B, and C ________________.

  1. are M proteins

  2. cause post-streptococcal autoimmune disease

  3. produce high titers of anti-streptolysin O

  4. are superantigens

  5. have hyaluronidase activity


Correct Option: D
Explanation:

The superantigens combine with the framework regions of certain TCR V beta families irrespective of their complementarity determining regions.

Mr. Kapoor does not have C8 cells in his blood. Individuals lacking C8 or C9 are more prone to infection with the following type of bacteria?

  1. Neisseria

  2. Haemophilus influenzae

  3. Bacillus anthrax

  4. Vibrio cholerae

  5. Listeria monocytogenes


Correct Option: A
Explanation:

The membrane attack complex containing C8 and C9 is important for destroying the Neisseria bacterium.

The first intrauterine device was developed by __________.

  1. Richard Richter

  2. Gregory Goodwin

  3. John Rock

  4. Margaret Higgins Sanger

  5. Ernst Grafenberg


Correct Option: A
Explanation:

In 1909, Richard Richter developed the first intrauterine device made from silkworm gut.

World Contraception Day is celebrated on ______________.

  1. 5th of June

  2. 10th of December

  3. 26th of September

  4. 25th of April

  5. 14th of November


Correct Option: C
Explanation:

The 26th of September is World Contraception Day, devoted to raising awareness and improving education about sexual and reproductive health, with a vision of a world where every pregnancy is wanted.

An intrauterine device is a small contraceptive device, particularly 'T'-shaped. Which among the following statements regarding the intrauterine device is incorrect?

  1. Other shapes of IUD are held in place by a suture to the fundus of the uterus.

  2. Most copper IUDs have a plastic T-shaped frame.

  3. Copper acts as a spermicide within the uterus.

  4. An intrauterine device is inserted into the vagina.

  5. The hormonal IUDs may stop menstruation altogether.


Correct Option: D
Explanation:

An intrauterine device (IUD or coil)[1] is a small contraceptive device, often 'T'-shaped. It contains either copper or levonorgestrel, which is inserted into the uterus.

Among the following pairs, which one is a false pair regarding the stages of syphilis and its characteristics?

  1. Latent – asymptomatic stage of variable length between primary and secondary stage syphilis

  2. Secondary – disseminated disease with immune complex deposition in joints, kidneys and eyes

  3. Tertiary – end-organ damage that will kill approximately 25% of untreated patients

  4. Primary – localized genital chancre lesion for 1–2 months

  5. Final stage – death of an individual within a week


Correct Option: A
Explanation:

The latent phase of infection is an asymptomatic period between the secondary and tertiary stages of disease which can last from months to years.

Many forms of male contraception are in different stages of research and development. Which among the following methods remarkably minimises sperm count?

  1. Phenoxybenzamine

  2. Trestolone

  3. Silodosin

  4. VasalGel

  5. Immunocontraception


Correct Option: B
Explanation:

Trestolone is an anabolic steroid that has been shown to significantly reduce sperm count.

Which sexual pathogen is most likely to become resistant to antibiotics through plasmid-mediated mechanisms?

  1. Neiserria gonorrhoeae  

  2. Chlamydia trachomatis

  3. Human immunodeficiency virus (HIV)

  4. Treponema pallidum

  5. Borrelia afzeli


Correct Option: A
Explanation:

Gonococci develop resistance to antibiotics through plasma-mediated mechanisms, most leading to resistance to penicillin and tetracycline.  

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