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AUBF > M5: Vaginal Secretions (Part 1: Intro-Abnormal Appearance) > Flashcards

M5: Vaginal Secretions (Part 1: Intro-Abnormal Appearance) Flashcards

1
Q

Familiarize or memorize the reasons why vaginal secretions are tested

A
  • To diagnose PROM (Premature Rupture Of the Membrane)
  • Infections (vaginosis, trichomonas)
  • Forensic purpose (rape victims)
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2
Q
  • Abnormal vaginal discharge or odor
  • Pruritus
  • Dysuria, and dyspareunia
  • secondary to bacterial vaginosis (BV), trichomoniasis, or vulvovaginal candidiasis
A

Vaginitis

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3
Q

Clinical manifestation in vaginitis which is characterized by vaginal irritation

A

Pruritis

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4
Q

T or F

Vaginitis is secondary to bacterial vaginosis, trichomoniasis, vulvovaginal cadidiasis

A

T

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5
Q

What are the (3) non-infectious conditions of vagitinis

A
  • vaginal atrophy
  • allergies
  • chemical irritation
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6
Q

Identify the clinical significance based on color or symptoms it presents:

white

A

Normal color

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7
Q

Identify the clinical significance based on color or symptoms it presents:

no odor

A

Normal

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8
Q

Identify the clinical significance based on color or symptoms it presents:

Fishy odor

A

Abnormal

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9
Q

Identify the clinical significance based on color or symptoms it presents:

Itchy vagina

A

Pruritis

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10
Q

Identify the clinical significance based on color or symptoms it presents:

Painful urination

A

Dysuria

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11
Q

Identify the clinical significance based on color or symptoms it presents:

Pain while having sexual intercourse

A

Dyspareunia

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12
Q

Identify the clinical significance based on color or symptoms it presents:

Vaginal lining becomes thin

A

Vaginal atrophy

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13
Q

Identify the clinical significance based on color or symptoms it presents:

  • Caused by feminine was
  • pH imbalance
A

Chemical irritation

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14
Q

VAGINAL FLUID TESTING

T or F

In vaginal fluid testing, old specimens are needed

A

F (fresh specimens are necessary)

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15
Q

VAGINAL FLUID TESTING

What are the (3) microscopic methods in vaginal fluid testing

A
  • Saline wet mount preparation
  • Potassium hydroxide (KOH) examination
  • Gram stain
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16
Q

VAGINAL FLUID TESTING

Gold standard

a. Saline wet mount preparation
b. KOH preparation
c. Gram stain
d. ALL
e. NOTA

A

c. Gram stain

17
Q

VAGINAL FLUID TESTING

Familiarize other methods of testing for vaginal fluid

A

Litmus pH levels, DNA probe testing, culture, and point-of-care test kit

18
Q

VAGINAL FLUID TESTING

These (3) parameters are used to diagnose ruptured fetal membranes

A
  • Placental α1-microglobulin(PAMG-1)
  • Protein
  • Insulin-like growth factor binding protein-1 (IGFBP-1)
19
Q

VAGINAL FLUID TESTING

This enzyme is used to assess the risk of preterm delivery

A

Fetal fibronectin enzyme

20
Q

NORMAL FINDINGS IN VAGINAL SECRETION

Appearance:

A

Whote, flocculent discharge

21
Q

NORMAL FINDINGS IN VAGINAL SECRETION

pH

A

3.8 - 4.2

22
Q

NORMAL FINDINGS IN VAGINAL SECRETION

Amine (whiff) test

A

negative

23
Q

NORMAL FINDINGS IN VAGINAL SECRETION

WBC

A

rare to 2+

24
Q

NORMAL FINDINGS IN VAGINAL SECRETION

Lactobacilli

A

predominant

25
Q

NORMAL FINDINGS IN VAGINAL SECRETION

Clue cells

A

absent

26
Q

NORMAL FINDINGS IN VAGINAL SECRETION

Other cells

A

absent (except rbc during red ride)

27
Q

NORMAL FINDINGS IN VAGINAL SECRETION

What other organisms can be present in vaginal secretions?

(2)

A

other lactobacilli subgroups
occational yeast

28
Q

VAGINAL FLUID

volume of vaginal fluid collected

A

0.5 to 1.0 mL of sterile physiological saline

29
Q

VAGINAL FLUID

Specimen shouild be kept at what temperature

A

room temperature

reserve the motility of Trichomonas vaginalis and the recovery of N. gonorrhoeae

30
Q

VAGINAL FLUID

Reasons why vaginal fluid specimen are kept at RT

a. presernve motility of trichomonas vaginalis
b. recovery of neisseria gonnorhea
c. both
d. NOTA

A

c. both

31
Q

VAGINAL FLUID

Specimens for T. vaginalis should be examined within?

A

Within 2 hours of collection

32
Q

VAGINAL FLUID

C. trachomatis and HSV should be kept at what temperature?

A

Refrigerated

33
Q

VAGINAL FLUID

Which is incorrect

C. trachomatis and HSV

a. room temp
b. ref temp to induce overgrowth of normal flora
c. both
d. NOTA

A

d. NOTA

a. room temp (REF TEMP)

b. ref temp to induce overgrowth of normal flora (PREVENT OVERGROWTH)

34
Q

VAGINAL FLUID

WHat is added as preservatove for vaginal secretion?

A

Glycerin

35
Q

ABNORMAL APPEARANCE

Determine specific infection based on discharge:

Increased Thin, Homogenous White-To-Gray Discharge

A

BACTERIAL VAGINOSIS (BV)

36
Q

ABNORMAL APPEARANCE

Determine specific infection based on discharge:

White, “Cottage Cheese-Like” Discharge

A

CANDIDA INFECTION (CI)

37
Q

ABNORMAL APPEARANCE

Determine specific infection based on discharge:

Increased Yellow-Green, Frothy, Adherent Discharge

A

TRICHOMONAS VAGINALIS

38
Q

ABNORMAL APPEARANCE

Determine specific infection based on discharge:

Yellow, Opaque Cervical Discharge

A

CHLAMYDIA TRACHOMATIS

AUBF (34 decks)

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