CHAPTER 15: VAGINAL SECRETIONS

D. Pregnancy testing

Which of the following would not be a reason to collect a vaginal fluid for analysis? A. Vaginitis B. Complications of pregnancy resulting in preterm delivery C. Forensic testing in a sexual assault D. Pregnancy testing

B. Lactobacillus acidophilus

Which of the following organisms might not be detected if the specimen for vaginal secretion analysis had been refrigerated? A. Prevotella bivia B. Lactobacillus acidophilus C. Trichomonas vaginalis D. Candida albicans

C. White, curd-like

The appearance of the vaginal discharge in vulvovaginal candidiasis is described as: A. Clear and colorless B. Thin, homogeneous white-to-gray discharge C. White, curd-like D. Yellow-green and frothy

A. 3.8 to 4.5

A normal range for a vaginal pH is: A. 3.8 to 4.5 B. 5.0 to 6.0 C. 6.0 to 7.0 D. 7.0 to 7.4

С. КОН prep

Which of the following tests differentiates budding yeast cells from RBCS? А. рH B. Saline wet mount С. КОН prep D. Whiff test

A. Lactobacilli

Which of the following constituents is normal in healthy vaginal fluid secretions? A. Lactobacilli B. Basal cells C. Trichomonas vaginalis D. Pseudohyphae

B. Prepared as soon as possible

Vaginal specimens collected for a saline wet prep should be: A. Refrigerated to preserve motility B. Prepared as soon as possible C. Mailed to a reference laboratory D. Preserved with potassium hydroxide

A. Bacterial vaginosis

A positive amine (Whiff) test is observed in which of the following syndromes? A. Bacterial vaginosis B. Vulvovaginal candidiasis C. Atrophic vaginitis D. Desquamative inflammatory vaginitis

C. Clue cell

A squamous epithelial cell covered with coccobacilli that extends beyond the cytoplasm margin is a: A. Basal cell B. Parabasal cell C. Clue cell d. Blastospore

A. Vaginal pH of 3.8

All of the following are diagnostic of bacterial vaginosis except: A. Vaginal pH of 3.8 B. Presence of clue cells C. Positive amine (Whiff) test D. Thin, homogeneous white-to-gray vaginal discharge

C. Lactobacilli spp.

Which of the following organisms produces lactic acid and hydrogen peroxide to maintain an acid vaginal environment? A. Gardnerella vaginalis B. Mobiluncus spp. C. Lactobacilli spp. D. B-Hemolytic streptococci

B. Presence of clue cells

All of the following are diagnostic of vulvovaginal candidiasis except: A. Large numbers of WBCS B. Presence of clue cells C. Positive KOH test D. Vaginal pH of 4.0

C. Positive KOH test

All of the following are diagnostic of trichomoniasis except: A. Vaginal pH of 6.0 B. Positive amine test C. Positive KOH test D. Motile trichomonads present

A. B-Hemolytic streptococci

The bacteria associated with desquamative inflammatory vaginitis is: A. B-Hemolytic streptococci B. Trichomonas vaginalis C. Gardnerella vaginalis D. Mycoplasma hominis

D. Fetal fibronectin

The protein present in vaginal secretions that can identify patients who are at risk for preterm delivery is: A. Human chorionic gonadotropin B. Estrogen C. PAMG-1 D. Fetal fibronectin