An overview of sexually transmitted diseases. Part III ... - Dermatology

Directions for questions 1-16: Give single best response.
1. A patient with AIDS comes to your clinic with her first
case of genital herpes. A good estimate of the likelihood
that her infection will be resistant to acyclovir is
a. less than 1%
b. 3%
c. 6%
d. 12%
e. 24%
2. A patient comes to your clinic with AIDS and a history
of anal warts. Each of the following is true except
a. patients with AIDS generally have more human
papillomavirus (HPV) subtypes present in their
infections.
b. as his CD4 cell counts drop, this patient will shed
more HPV virions.
c. concurrent HIV and anal HPV infections increase
this patient’s risk for anorectal carcinoma.
d. optimizing his antiretroviral medications may
make management of any anal wart recurrences
more feasible.
d. acetic acid is not a useful diagnostic tool for recognizing
anal squamous intraepithelial lesions in this
patient.
3. Kaposi’s sarcoma (KS)
a. is not associated with human herpesvirus type 8 in
HIV-infected patients
b. is associated with an increased risk for non-
Hodgkin’s lymphoma in HIV-infected patients
c. occurs most commonly among people who
acquired HIV through intravenous drug abuse
d. occurs at similar rates for HIV-infected patients in
all US cities
e. does not follow the epidemiologic patterns of an
infectious disease
4. The best approximation for the number of scabies
mites on an HIV-infected patient with crusted scabies
is
a. fewer than 5
b. 5-10
c. 10-20
d. 20-50
e. more than 50
5. In the treatment of AIDS patients with crusted scabies,
which of the following medications has been
CME examination
Identification No. 800-109
Instructions for Category I CME credit appear in the front advertising section. See last page of Contents for page number.
Questions 1-31, Czelusta A, Yen-Moore A, Tyring SK. J Am Acad Dermatol 2000;43:409-32.
documented as a potential cause of severe neurologic
side effects in case reports?
a. Lindane
b. Permethrin
c. Mebendazole
d. Metronidazole
e. Ivermectin
6. The most likely mechanisms by which herpes simplex
virus (HSV) mediates resistance to thymidine kinase
inhibitors includes each of the following except
a. production of viral thymidine kinase with decreased
substrate affinity
b. production of viral DNA polymerase with decreased
substrate affinity
c. decreased production of viral thymidine kinase
d. absence of viral thymidine kinase production
e. altered transport of thymidine kinase inhibitors
into infected cells
7. An HIV-infected patient who is allergic to penicillin
comes to your clinic with early latent syphilis. Which
of the following antibiotics is the most appropriate
therapy?
a. Intramuscular benzathine penicillin G
b. Oral ciprofloxacin
c. Oral erythromycin
d. Intravenous vancomycin
e. Intramuscular ceftriaxone
8. Chancroid in HIV-positive patients
a. is commonly atypical in its clinical presentation
b. presents with larger ulcers than those seen in HIVnegative
patients
c. has distinct histologic differences from HIV-negative
patients on microscopic examination
d. increases the risk of HIV transmission to sexual
partners
e. cannot be cured by the same antibiotic regimens
that are recommended for immunocompetent
patients
9. A patient with advanced AIDS presents with a facial
molluscum contagiosum. Which of the following
should he be told about the lesion?
a. Shaving his face will help improve skin cleanliness
and decrease the likelihood of new lesions developing.
b. Optimization of his antiretroviral medications will
not help in the care of this lesion.
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