WorksheetsGynecological infections
Total questions: 20
Worksheet time: 11mins
An 18-year-old G0P0 adolescent woman is being seen in the office for vaginal discharge. A presumptive diagnosis of bacterial vaginosis (BV) is made. Which of the following is a finding consistent with BV?
pH less than 4.5
Frothy vaginal discharge
Predominance of anaerobes
Flagellated organisms
A 26-year-old woman completed a course of oral antibiotics for cystitis 1 week ago. She complains of a 1-day history of itching, burning, and a yellowish vaginal discharge. Which of the following is the best therapy?
Metronidazole
Fluconazole
Erythromycin
Clindamycin
A 32-year-old woman is being seen for a bothersome vaginal discharge of 2 weeks’ duration. After evaluation, the clinician informs the patient that her discharge is caused by a sexually transmitted infection (STI) and that she and her partner require treatment. Which of the following is the most likely etiology?
Candida albicans
Trichomonas vaginalis
Gardnerella species
Herpes simplex virus
A 27-year-old woman complains of a fishy odor and a vaginal discharge. The speculum examination reveals an erythematous vagina and punctuations of the cervix. Which of the following is the most likely treatment for this patient?
Oral fluconazole
Metronidazole gel applied vaginally
Metronidazole taken orally
Intramuscular ceftriaxone and oral doxycycline
A 28-year-old parous woman at 16 weeks’ gestation is noted to have a positive Chlamydia assay of the endocervix. She is asymptomatic. Which of the following is an acceptable treatment?
Oral amoxicillin
Intramuscular ceftriaxone
Oral doxycycline
Intramuscular azithromycin
Risk factors for the vaginal pathogen seen here on potassium hydroxide (KOH) preparation include which of the following?
Obesity
Orogenital sex
Immunosuppression
All of the above
Disulfiram-like effects can be seen with which of the following medications?
Metronidazole
Tinidazole
Both
Neither
Ms Jones presents to the clinic complaining of a diffuse, malodorous, yellow-green vaginal discharge. You perform a wet mount slide that reveals numerous white blood cells, and oval-shaped cells that are moving in a spinning and jerky fashion. What is it?
Clue cells: bacterial vaginosis
Hyphae: candidal vaginitis
Trichomonads: trichomoniasis vaginalis
Chlamydia infected endocervical cells: chlamydia trachomatis cervicitis
Ms Barnes is a 22-year-old sexually active female who presents to clinic for an annual examination, cervical cytology, and questions in regard to STIs. Which of the following statements in regard to chlamydial infections is least accurate?
Annual screening for chlamydia is not necessary in sexually active women ≤25 years of age.
Asymptomatic chlamydial infection is common among women.
Chlamydial genital infection is the most frequently reported infectious disease in the United States.
Sequelae of chlamydial infection in women include PID, ectopic pregnancy, and infertility.
Screening for chlamydia in women can be performed with a urine sample or a swab of the endocervix.
A 24-year-old nulliparous woman is noted to have a bothersome vaginal discharge. On examination, she is found to have a homogenous discharge with a fishy odor. Which of the following characteristics is most likely to be noted on examination?
Vulvar erythema
Budding hyphae on KOH examination
Many white blood cells on a saline “wet prep”
A vaginal pH > 4.5
A 24-year-old woman is noted to have lower abdominal tenderness, cervical motion tenderness, and a vaginal discharge. She has a low-grade fever of 100.5 °F (38 °C). Which of the following is the best therapy for her condition?
Ceftriaxone intramuscularly and doxycycline orally
Ampicillin orally and azithromycin orally
Metronidazole orally as a single dose
Ciprofloxacin orally as a single dose
BV during pregnancy can increase the risk of which of the following:
Decreased birth weight
Preterm delivery
Acquisition of STI
All of the above
Which of the following require treatment of both the patient and their sexual partners?
Bacterial vaginosis
Gonorrhea
Trichomoniasis
Both Gonorrhea
& Trichomoniasis
Which of the following is the most common cause for vulvovaginitis in pediatric patients?
Poor hygiene
Foreign body
Sexual abuse
Underlying disease
Which of the following pathogens are associated with Fitz-Hugh-Curtis Syndrome?
Chlamydia
Bacterial vaginosis
Candidiasis
HSV
Which of the following are associated with an erythematous cervix on speculum exam?
Bacterial vaginosis
Trichomoniasis
Candidiasis
All of the Above
Name that cell: _ cell (lowercase)
(a)
Speculum examination of symptomatic patients with chlamydia typically shows _ cervical discharge.
(a)
Which of the following statements is true regarding the normal presence of bacteria in the female reproductive tract?
The upper reproductive tract is sterile.
Bacterial colonization is restricted to the lower genital tract.
Presence of bacteria in the upper reproductive tract indicates active infection.
The upper reproductive tract is not sterile, and the presence of certain bacterial species does not indicate active infection.
Which of the following can cause false positive leukocyte esterase testing of a urine specimen?
Trichomonas vaginitis
Contamination with rectal or vaginal bacteria
Delayed testing or a poorly preserved specimen
All of the above
