North American Registry of Midwives (NARM) Practice Exam

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Which of the following infections is NOT usually transmitted sexually?

  1. Candidiasis

  2. Trichomoniasis

  3. Gonorrhea

  4. Chlamydia

The correct answer is: Candidiasis

Candidiasis is primarily caused by an overgrowth of the yeast Candida, which can naturally exist in the body, particularly in warm and moist areas. It is not typically classified as a sexually transmitted infection (STI) because it does not rely on sexual contact for transmission; rather, it can occur due to various factors such as antibiotic use, hormonal changes, or a weakened immune system. While sexual activity may influence the occurrence of Candida infections, it is not a primary transmission route like it is for Trichomoniasis, Gonorrhea, and Chlamydia, which are all definitively considered sexually transmitted infections.