17 VAGINAL SECRETIONS

Question 1

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

Answer 1

D. Pregnancy testing

Question 2

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

Answer 2

C. Trichomonas vaginalis

Question 3

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

Answer 3

C. White, curd-like

Question 4

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

Answer 4

A. 3.8 to 4.5

Question 5

Which of the following tests differentiates budding yeast cells from RBCs?
A. pH
B. Saline wet mount
C. KOH prep
D. Whiff test

Answer 5

C. KOH prep

Question 6

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

Answer 6

A. Lactobacilli

Question 7

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

Answer 7

B. Prepared as soon as possible

Question 8

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

Answer 8

A. Bacterial vaginosis

Question 9

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

Answer 9

C. Clue cell

Question 10

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

Answer 10

A. Vaginal pH of 3.8

Question 11

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

Answer 11

C. Lactobacilli spp.

Question 12

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

Answer 12

B. Presence of clue cells

Question 13

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

Answer 13

C. Positive KOH test

Question 14

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

Answer 14

A. β-Hemolytic streptococci

Question 15

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

Answer 15

D. Fetal fibronectin

Question 16

Which of the following immunochromatographic tests detects both AFP and IGFBP-1 proteins to diagnose PROM?
A. AmniSure ROM test
B. Actim PROM
C. ROM Plus
D. Fetal fibronectin

Answer 16

C. ROM Plus