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. It is mainly transmitted through sexual contact, including oral sex. Skin - to - skin contact like holding hands (A) is not a mode of transmission for gonorrhea. Using an unsanitary bathroom (B) does not typically transmit gonorrhea as the bacteria do not survive well on inanimate objects in the environment in a way that would cause infection. Ingesting saliva during kissing (C) is not a common route of gonorrhea transmission as the bacteria Neisseria gonorrhoeae is not usually present in saliva in sufficient quantities to cause infection through this route. However, during oral sex, the bacteria can be transmitted from an infected partner to the other.

Answer:

D. by engaging in oral sex