Practice Questions

The correct option is Screening for HIV and Syphilis in any patient diagnosed with Gonorrhea or Herpes. Because the risk behaviors overlap and conditions like genital ulcers (herpes/syphilis) drastically increase the acquisition risk of other infections like HIV, simultaneous screening is a critical medical protocol.

The correct option is IgA. IgA is the principal antibody class protecting mucosal surfaces. N. gonorrhoeae secretes IgA1 protease, which cleaves the antibody, neutralizing the host's localized mucosal immune defense and allowing colonization.

The correct option is Initial attachment and colonization of mucosal epithelia. The experiment directly links the presence of fimbriae with pathogenicity. Fimbriae are virulence factors required to firmly adhere to the host mucosal cells, preventing the bacteria from being washed away.

The correct option is Syphilis and HIV. Both Treponema pallidum (bacterial) and HIV (viral) can cross the placenta to infect the fetus. Gonorrhea generally infects during birth, and Herpes is predominantly acquired during birth rather than transplacentally.

The correct option is The vasa vasorum supplying the thoracic aorta. Cardiovascular syphilis specifically targets the vasa vasorum (the small blood vessels supplying the aortic wall). This causes ischemia and weakening of the aortic wall, leading to dilation and life-threatening aneurysms.

The correct option is Highly susceptible to drying, requiring direct moist contact for transmission. Enveloped viruses derive their lipid bilayer from host cell membranes. This envelope is fragile, making the virus susceptible to drying and detergents, thus requiring direct intimate contact for successful transmission.

The correct option is Contain high numbers of spirochetes and are highly infectious. Secondary syphilis is marked by systemic mucocutaneous lesions (rash, mucous patches) that are laden with Treponema pallidum, making this stage extremely contagious through contact.

The correct option is Microtubule-associated motor proteins within the axon. The virus enters the sensory nerve endings and exploits the neuron's microtubule transport system (dynein motors) to travel retrograde up the long axon to the cell body in the ganglion for latency.

The correct option is Gonorrhea. Untreated gonorrhea (along with Chlamydia) is a leading cause of pelvic inflammatory disease (PID), which scars the fallopian tubes and heavily predisposes women to ectopic pregnancies.

The correct option is Utilize RNA-dependent DNA polymerase to synthesize DNA from an RNA template. Retroviruses possess an RNA genome and the enzyme reverse transcriptase, which reverse-transcribes their RNA into DNA, a process essential for integrating into the host's genome.