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ANSWERS TO CPD TEST QUESTIONS Based on: Richardson D, Goldmeier D. Lymphogranuloma venereum: an emerging cause of proctitis in men who have sex with men. Int J STD AIDS 2007; 18: 11-15 Correct responses to the CPD Test Questions published in the January 2007 issue (1) Lymphogranuloma venereum is believed to be endemic in Africa, Asia, South America and parts of the Caribbean.
FALSE
(2) Most cases of lymphogranuloma venereum are reported in urban areas among peoples of low socioeconomic status.
FALSE
(3) Lymphogranuloma venereum along with D-K serovars of Chlamydia trachomatis, Neisseria gonorrhoeae and herpes simplex virus are causes of proctitis in men who have sex with men.
TRUE
(4) Lymphogranuloma venereum has only been described in three sporadic outbreaks in developed countries prior to 2003: 27 cases in Paris, France in 1989; seven cases in Seattle, USA in 1995, and 15 in the Bahamas in 2002.
TRUE
(5) Early laboratory work and clinical experience suggest that Chlamydia trachomatis (LGV serovars) does not penetrate intact skin, but may enter through micro-abrasions.
FALSE
(6) The basic pathological process in lymphogranuloma venereum is thrombophlebitis and peri-lymphangitis.
TRUE
(7) Contraction of fibrous tissue caused by lymphogranuloma venereum inflammation causes rectal strictures.
TRUE
(8) Lymphogranuloma venereum proctitis causes symptoms of constipation, rectal discharge and tenesmus along with passing blood and rectal pain.
TRUE
(9) Obstruction of the lymphatic and venous drainage of the lower rectum in lymphogranuloma venereum can produce peri-anal outgrowths, which resemble haemorrhoids, but are called peri-anal condylomas or lymphorrhoids.
FALSE
(10) Other common causes of rectal inflammatory disease in men who have sex with men are Neisseria gonorrhoeae, herpes simplex virus, Chlamydia trachomatis (D-K serovars), human papillomavirus (warts), primary syphilis (Treponema pallidum), salmonella, shigella, campylobacter and possibly Entamoeba histolytica.
FALSE
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