Chpt 21 Flashcards
Flushing action of urine is a type of __
Defense
Urine flow encourages __
DESQUAMATION OF EPITHELIAL CELLS LINING IN THE URINARY TRACT
____ are the most common microbial threat to the urinary tract
Normal biota
Defenses in the urine are all EXECEPT FOR: A.acidic pH B.Lysozyme C.Lactoferrin D.Secretory IgA E.IgE
except for IgE
Is a majr nonspecific defense during childhood and menopause
Mucus
What would be a cause of having differently biota in the vagine during adolescence?
Change in pH beginning of adolescence
How are kidneys, ureters, bladder, and upper urethra kept serile?
By urine flow and regular bladder emptying
After the onset of puberty, estrogen leads to glycogen release in the vagina resulting in ___
Acidic pH
Predominance of Lactobacillus, combined with acidic enviromen, discourages the growth of many microorgansims (t/f)
True
Candida albicans is not present in the female genital tract (t/f)
False, is present at LOW LEVELS
Overgrowth of candida albicans may result in ___
Symptomatic yeast infection
Which organisms is the primary biota of the vagina
a. Staphylococcus
b. Lactobacillus
c. Pseudomonas
d. Streptococcus
e. Candida
Lactobacillus
Infection of the urinary bladder
Cystisis
Infection of the kidneys
Pyelonephritis
Infection limited to the urethra
Urethritis
Burning pain accompanying urination
Dysuria
Presence of blood in the urine
Hematuria
UTI’s seen in health care facilities are usually due to:
Catheters!!
95% OF UTIs are caused by ___ of the gastrointestinal tract
Normal biota
Escheria coli is responsible for 80% of ___
UTI’s infection
Back pain and high fever are symptoms of
Pyelonephritis
Cranberry products products TREAT ACTIVE UTI’s (t/f)
False, there’s no evidence that cranberry products treat ACTIVE UTI’s
___ not transmitted from one person to other but from the GI tract to the urinary system.
- more common in women than men because of the nearnes of the urethral opening to the anus
Community-acquired UTIs
A CDC report in 2015 showed that
Chlamydia, gonorrhea, and syphilis were at their highest rates ever, after decades of progress
Urethritis
Painful urination
Yellowish discharge
Male signs and symtpoms of GONORRHEA NEISSERIA GONORRHOA
___ causes major complications on women when the infection accends from vagina and cervix to higher reproductive structures such as uterus and fallopian tubes
Gonorrhea
Inflammation of the fallopian tubes
Salpingitis!!!
Salpingitis that includes inflammation of other parts of the upper reproductive tract
Pelvic inflammatory disease
___ is the most common reportable infectious disease in the US
Chlamydia
Causative agent of chlamydia
C. trachomatis
C. trachomatis is a causative agent of
Chlamydia
__ is a frequent secuela of female chamydial infection
PID
Inflammation of the vagina
Vaginitis
Similar to vaginitis, but does not include significant inflammation
Vaginosis
Candida albicans is a
Fungus infection !! (yeast infection)
Candida infections of the bloodstream do occurs and have higlhy mortaility rates (t/f)
True
Vaginal infections are ___
Nearly always opportunistic
Protozoa, does not survive long out of the host
Trichomonas vaginalis
Which one of the following is not an genital ulcer disease:
a. Syphylis
b. Chacroid
c. Genital Herpes
d. HIV
HIV
Syphilis causative agent
Treponema pallidum
CHANCRE (ulcers) is the ___ syphilis
Primary
3-6 month later fever is a sign of ___ syphilis
Secondary syphilis
Chancroid is a ___ disease
Ulcerative
___ has recurrent episodes of lesions
Genital herpes
Can spread even when no lesions are present ___
Genital herpes!!!
There’s a vaccine for genital herpes (t/f)
False, no vaccine available
Human papillomavirus infection is a causative agent of
Genital warts
Nearly all sexually active adults will get ___ at some time in their lives
HPV
The vast majority of cervical cancers are caused by
HPV
Males don’t get cancer from infectious from these viruses (t/f)
False, males CAN also get cancer from infection from these viruses
Infection with human papillomavirus is
Incurable
- Which of the following i on the CDCs “Urgent threat” list because of its potential resistance to antibitotics?
a. staph saprophyticus
b. trichonomas vaginalis
c. herpes virus
d. enterobacteriacea
Enterobacteriacea
- Which of the following bacteria is known to produce substances that rais the local pH
a. gardnerella
b. E coli
c. lactobacillus
c. leptospira
Gardenella
- Which part of the urinary tract has te most abundant and diverse microbiome
a. lower urethra
b. upper urethra
c. bladder
d. kidneys
Lower urethra
- Bacterial vaginosis is commonly associated with
a. Candida albicans
b. Gardnerella
c. Trichomonas
d. anu of these
Gardnerella
- Which of the following STIs is curable with antimicrobials
a. HPV
b. Herpes
c. Chlamydia
d. Two of these
Chlamydia