1. What is the most common identifiable cause of nongonococcal urethritis (NGU) in males?
2. A Gram stain of urethral discharge from a patient with gonococcal urethritis (GU) will typically show which microscopic finding?
3. A 24-year-old male presents with a copious, purulent, yellow-green urethral discharge and severe dysuria that began 3 days after unprotected sexual intercourse. This clinical presentation is most suggestive of:
4. According to current CDC guidelines, what is the recommended first-line treatment for uncomplicated urogenital gonorrhea?
5. What is the recommended first-line treatment for NGU when Chlamydia trachomatis is the confirmed or suspected pathogen?
6. The most sensitive and specific diagnostic test for both N. gonorrhoeae and C. trachomatis from a first-void urine sample is:
7. Disseminated Gonococcal Infection (DGI) classically presents as a triad of:
8. A common and significant complication of untreated chlamydial urethritis in men is:
9. Which of the following features is more characteristic of gonococcal urethritis compared to nongonococcal urethritis?
10. Chlamydia trachomatis, a common cause of NGU, is best described as:
11. A patient with NGU is treated with doxycycline but returns with persistent symptoms. Re-infection is ruled out. Which organism is a major cause of persistent/recurrent NGU and should be tested for?
12. A male patient is diagnosed and treated for uncomplicated gonococcal urethritis. What is the most appropriate advice regarding his sexual partner(s) from the last 60 days?
13. In a resource-limited setting using a syndromic management approach, a male patient presenting with urethral discharge should receive empiric treatment that covers:
14. Thayer-Martin medium is a selective agar specifically designed for the culture of:
15. The typical incubation period for symptomatic gonococcal urethritis is:
16. Compared to gonococcal urethritis, the incubation period for chlamydial urethritis is typically:
17. Which of the following statements is true regarding asymptomatic urethritis?
18. On a urethral smear Gram stain, the presence of >5 polymorphonuclear leukocytes (PMNs) per oil immersion field without visible intracellular diplococci is a presumptive diagnosis for:
19. A patient treated for NGU with doxycycline has persistent symptoms. A test for Mycoplasma genitalium is positive and shows macrolide resistance. What is the recommended treatment?
20. A patient develops urethritis, conjunctivitis, and arthritis following a genital infection. This triad is characteristic of:
21. Untreated chlamydial or gonococcal infection in a female partner of a man with urethritis is a leading cause of what serious condition?
22. The urethral inflammation and discharge in these infections are primarily mediated by:
23. Besides treatment and partner notification, what is a key public health measure for controlling the spread of both GU and NGU?
24. A male patient presents with mild dysuria and a scanty, clear urethral discharge for the past two weeks. Which diagnosis is most likely?
25. What is meant by “expedited partner therapy” (EPT)?
