Lesson 23 Gonorrhoeal and non-gonorrhoeal urethritis in males. Treatment and prevention.

1. Choose the causative agen of diseases which are transmitted by sexual contact:

1. Syphilis; a) Chlamydia trachomatis;

2. Gonorrhoea; b) Trichomonas vaginalis;

3. Chlamydias ; c) Gonococcus;

4. HIV infection; d) Treponema pallidum;

5. Trichomoniasis ; е) Human immunodeficiency virus.

(1d, 2с, 3а, 4е, 5b).

2. Social factors which promote to dissemination of venereal diseases:

1. Unemployment;

2. Prostitution;

3. Drug addiction;

4. Alcoholism;

5. Doing sports;

6. Tourism;

7. Business trip.

3. What complaints has a patient with acute anterior gonorrhoeal urethritis?

1. An abundance discharge from an urethra;

2. A scanty discharge from an urethra;

3. There is no discharge from an urethraare;

4. Cutting pain at the beginning of urination ;

5. Cutting pain at the end of urination;

4. The external urethral opening in case of acute anterior urethritis is:

1. Swollen and hyperemic;

2. Cyanotic;

3. Everted.

5. Results of the two-glass test in acute anterior urethritis :

1. The first portion of urine is cloudy, second - transparent;

2. The first and second portions of urine are cloudy;

3. Two portions of urine with flakes;

4. The first portion of urine with flakes, second, is transparent;

6. What laboratory examinations are conducted in a gonorrhoea:

1. Virological ;

2. Bacterioscopic;

3. Serological;

4. Bacteriological;

5. Immunofluorescence method.

7. What medicines inexpedient to prescribe for pregnant patients with a gonorrhoea:

1. Benzyl-penicillin ;

2. Erythromycin ;

3. Levomycetin;

4. Tetracycline;

5. Sulphonamides.

8. How long does last a latent period in Chlamydias?

1. 3-5 days;

2. 1-2 weeks;

3. 5-30 days;

4. 14 days;

5. 6-14 days.

9. Laboratory diagnostics of Chlamydias are:

1. Microscopic examination;

2. Method of direct immunofluorescence;

3. Bacteriological examination;

4. Skin-allergic test;

5. Gene method of polymerase chain reaction.

10. Laboratory diagnostics of Trichomoniasis is:

1. Microscopy;

2. Complement-fixation test;

3. Luminescent microscopy;

4. Reaction of lysis;

5. Reaction of immunofluorescence.

11. What routes of infection with a gonorrhoea do you know?

1. Transfusion of blood;

2. Transmissible;

3. Community acquired;

4. Transplacental;

5. Sexual.

12. In case if smears are stained by the Gram-method a gonococcus becomes:

1. Gr(+);

2. Gr(-);

3. Not painted;

4. Such method in practical medicine is not use;

5. Can be painted, as Gr(+) as Gr(-).

13. What kind of epithelium is affected most often in case of gonorrhoea?

1. Cylinder;

2. Stratified non-keratinized epithelium;

3. Interjacent;

4. Cubical;

5. Stratified epithelium undergoing keratinization.

14. The causative agent of gonorrhoea - gonococcus belongs to:

1. Gram-negative diplococcus;

2. Gram - positive diplococcus;

3. Gram – variable diplococcus;

4. Gram-negative coccal bacillus;

5. Gram – variable coccal bacillus.

15. Bacterioscopy authentication of gonococcus is based on the following signs:

1. Twoness of cocci;

2. Gram-negative;

3. Gram - positive;

4. Intracellular location;

5. The form of coffee grains.

16. Experimental gonorrhoea was induced in following laboratory animals:

1. Subhuman primates;

2. Guinea-pigs;

3. Rabbits;

4. Dogs;

5. No animals.

17. In the patient’s organism gonococci can spread the following ways:

1. Lymphogenic;

2. Hematogenic;

3. Along the surfaces of the urethral mucosa;

4. Through intercellular spaces;

5. By all enumerated ways.

18. The following clinical forms of gonorrhoea are distinguished:

1. Fresh acute;

2. Fresh subacute;

3. Fresh torpid;

4. Latent;

5. Chronic.

19. What latent period does frequently occur in gonorrhoea?

1. 1-3 days;

2. 30 - 40 days;

3. 10 -15 days;

4. 21 - 24 day;

5. 3 -4 weeks.

20. What symptoms does diagnose a diagnosis the “Fresh gonorrhoea” by?

1. Pain at the beginning of urination;

2. Frequent urinations;

3. Discharges are abundant and purulent;

4. Discharges are scanty and morning;

5. Pain at the end of urination.

21. What signs are characteristic for a fresh acute anterior gonorrhoeal urethritis?

1. Discharges are abundant and purulent;

2. Pain during an urination;

3. The lips of the external urethral opening are hyperemic;

4. Purulent threads are in 1 and 2th portions of urine;

5. Purulent threads are in 1th portion of urine.

22. Men’s chronic total gonorrhoeal urethritis is characterized:

1. The lips of the external urethral opening are congested hyperemic;

2. Discharge are scanty and purulent;

3. Pain at the end of urination;

4. Presence of small amount purulent threads in 1 and 2th portions of urine;

5. Purulent threads are in 1th portion of urine.

23. What symptoms does diagnose a diagnosis the “ Chronic gonorrhoea” by?

1. Pain at the beginning of urination;

2. Frequent urinations;

3. Discharges are abundant and purulent;

4. Discharges are scanty and morning;

5. Pain at the end of urination.

24. All clinical forms are characteristic the extragenital gonorrhoea, except for:

1. Vesiculitis;

2. Arthritis;

3. Proctitis ;

4. Pharyngitis;

5. Conjunctivitis.

25. In the case of gonorrhoeal urethritis all medicines are prescribed, except for:

1. Tetracycline;

2. Macrolide;

3. Imidazole;

4. Fluoroquinolones;

5. Cephalosporins.

26. Which methods are used for examination of patient with a gonorrhoea?

1. Cultures;

2. Microscopy of smears;

3. Tompson’s two-glass test;

4. Histological;

5. Method of provocations.

27. Which additional methods of examination help in diagnostics of fresh acute gonorrhoeal urethritis?

1. Provocation (with the purpose of exacerbation of process);

2. Tompson’s test;

3. Bougienage of urethra;

4. Baltser's test;

5. Examination of discharges in dark field illumination of the microscope.

28. What types of provocations are applied in the case of detection of criteria of cure of gonorrhoea?

1. Alimentary;

2. Immunobiologic;

3. Chemical;

4. Mechanical;

5. Allergologic.

29. What examinations it is necessary to carry out for diagnose of diagnosis „Fresh gonorrhoea. Acute anterior gonorrhoeal urethritis?

1. Microscopy of smears stained by the methylene blue;

2. Microscopy of smears stained by the Gram-method;

3. Provocation (with the purpose of exacerbation of process);

4. Tompson’s test;

5. Urethroscopy.

30. What examinations it is necessary to carry out for diagnose of diagnosis fresh acute anterior gonorrhoeal urethritis?

1. Examination of discharges from an urethra on the etiological factor of urethritis;

2. Examination of the secretions of the prostate;

3. Urethroscopy;

4. X-ray examination of urinoexcretory system;

5. All above-listed examinations.

31. What medicines are most recommended for treatment of fresh gonorrhoeal urethritis?

1. Metronidazole;

2. Penicillin;

3. Gonococcal vaccine;

4. Tetracycline;

5. Pyrogenal.

32. A such therapy is recommended to prescribe in case of acute and subacute not complicated gonorrhoea: