Question

how can gonorrhea be transmitted?
by skin - to - skin contact such as holding hands
by using an unsanitary bathroom
by ingesting another persons saliva when kissing
by engaging in oral sex

Explanation:

Gonorrhea is a sexually - transmitted infection. Skin - to - skin contact like holding hands (A) is not a mode of transmission as the bacteria Neisseria gonorrhoeae is not spread in this way. Using an unsanitary bathroom (B) is not a typical route as the bacteria does not survive well on inanimate surfaces for long enough to cause infection. Ingesting saliva during kissing (C) is not a common way of transmission. However, oral sex (D) can transmit gonorrhea as the bacteria can infect the mucous membranes in the mouth or throat.

Answer:

D. by engaging in oral sex