QUIZ
Year : 2017  |  Volume : 38  |  Issue : 2  |  Page : 197-199

PG quiz: STD and pregnancy!

Reema Rajesh Baxi, Yogesh S Marfatia
Department of Skin-VD, Medical College, Baroda, Gujarat, India

Correspondence Address:
Reema Rajesh Baxi
Department of Skin-VD, Medical College, Baroda, Gujarat
India

Source of Support: None, Conflict of Interest: None

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DOI: 10.4103/ijstd.IJSTD_82_17

1. Bony lesions of early congenital syphilis consist of all except:



1. Pseudoparalysis
2. Pseudoarthrosis
3. Periostitis
4. Osteochondritis



2. False about mulberry molars is:



1. These are lower first molars
2. These are peg-shaped
3. They are more prone to caries
4. Cusps are ill-developed



3. One of the following is not a sign of congenital syphilis:



1. Wimberger's sign
2. Hutchison's sign
3. Higoumenaki's sign
4. None of the above



4. In a case of an asymptomatic infant having titer of 1:4 and normal CSF findings, born to a mother, having a VDRL titer of 1:64, who has no documentation of being treated during pregnancy, The preferred regimen would be:



1. Benzathine penicillin 50,000 U/kg/dose IM single dose
2. Procaine penicillin G 50,000 U/kg/dose IM single dose
3. Aqueous crystalline penicillin G 1 lac-1.5 lac U/kg/day single dose
4. None of the above



5. All of the following can cause postpartum endometritis except:



1.  Neisseria ^{More Details} gonorrhoeae
2. Group-B Streptococci
3. Gardnerella vaginalis
4. Treponema pallidum



6. Chorioamnionitis is not caused by:



1. HSV
2.  Neisseria gonorrhoeae ^{More Details}
3. Mycoplasma hominis
4. Gardnerella vaginalis



7. TORCH syndrome does not include:



1. HSV
2. CMV
3. HBV
4. HIV



8. Most common complication of gonorrhea infection in pregnancy is:



1. Perinatal mortality
2. Premature rupture of membranes
3. Spontaneous abortions
4. Postpartum endometritis



9. The recommended treatment for Ophthalmia neonatorum caused by gonococcal infection is:



1. Cefotaxime 25 mg/kg IV single dose
2. Ceftriaxone 25-50 mg/kg IV single dose
3. Spectinomycin 2 g IM single dose
4. Benzathine penicillin G 50,000 U/kg single dose IM



10. The recommended current CDC guidelines for the treatment of Chlamydial infection during pregnancy is:



1. Azithromycin 1 g oral single dose
2. Amoxicillin 500 mg TDS for 5 days
3. Erythromycin 500 mg TDS for 7 days
4. None of the above



11. The FDA category of Acyclovir is:



1. A
2. B
3. C
4. D



12. Neonate having jaundice, petechiae microcephaly, hepatosplenomegaly, and hemolytic jaundice is most likely to suffer from:



1. Neonatal herpes infection
2. Neonatal CMV infection
3. Chlamydial infection
4. Gonococcal infection



13. For a neonate born to a mother with genital herpes presenting with irritability, seizures, respiratory distress, jaundice, and vesicular rash, the treatment will be:



1. Acyclovir 10 mg/kg IV 8 h for 21 days
2. Acyclovir 20 mg/kg IV 8 h for 21 days
3. Acyclovir 20 mg/kg IV 8 h for 14 days
4. Acyclovir 15 mg/kg IV 8 h for 14 days



14. One of the following is not a treatment modality for HPV infection during pregnancy:



1. Excision
2. Cryotherapy
3. Topical imiquimod
4. Trichloroacetic acid application



15. The FDA category of Fluconazole is:



1. A
2. B
3. C
4. D



16. The treatment of a pregnant woman with malodorous nonviscous thin homogenous vaginal discharge is:



1. Metronidazole 500 mg BD for 7 days
2. Metronidazole 250 mg BD for 7 days
3. Clindamycin 300 mg BD for 7 days
4. None of the above



17. The risk of transmission of HIV during intrapartum period is estimated to be approximately:



1. 20%–30%
2. 30%–40%
3. 40%–50%
4. 60%–80%



18. False about Clutton's joints is:



1. Occurs in late congenital syphilis
2. Painless swelling of knee joints
3. Responds well to antisyphilitic therapy
4. Mobility of the joints is preserved



19. Frei's test is used in:



1. Bacterial vaginosis
2. LGV
3. Nongonococcal urethritis
4. Trichomoniasis



20. A pregnant lady with malodorous discharge, dyspareunia, and yellow-green frothy discharge on per speculum examination with inflammation of vaginal walls should be treated with:



1. Tinidazole 2 g single dose
2. Metronidazole 2 g single dose
3. Clindamycin orally 300 mg
4. Azithromycin 1 g single dose



21. Local application of TCA is:



1. Contraindicated in pregnancy
2. Safe in pregnancy
3. Can be used if benefits outweigh the risk
4. None of the above



22. Neonatal conjunctivitis is not seen with:



1. Gardnerella vaginalis
2. Chlamydia trachomatis
3. Ureaplasma urealyticum
4. Treponema pallidum



23. A neonate suffering from multiple abscesses over scalp, rectum, vagina, and conjunctivitis is most likely to suffer from:



1. Chlamydial infections
2. Gonorrhea
3. CMV infection
4. Congenital syphilis



24. The law stating that severity of disease is more in more recent infections and less is long-standing disease is:



1. Colles' law
2. Kassowitz's law
3. Profeta's law
4. None of the above



25. The side-effects of aminoglycosides in pregnancy are:



1. Bony abnormalities
2. Ototoxicity
3. Malformations in fetus
4. Phocomelia



26. One of the viruses will not cross placenta:



1. HSV
2. CMV
3. HBV
4. Varicella-zoster virus