Trichomoniasis

Question 1

What protozoan causes Trichomoniasis?

Answer 1

tichomonas vaginalis

Question 2

What is the most common nonviral sexually transmitted disease worldwide?

Answer 2

Trichomoniasis

Question 3

What are common signs and symptoms of women suffering from a Trichomoniasis acute infection?

Answer 3

purulent, malodorous, thin discharge
burning, pruritius, dysuria
lower abdominal pain dyspareunia

Question 4

What term describes persistent or recurrent genital pain that occurs just before, during, or after intercourse?

Answer 4

dyspareunia

Question 5

What exam findings might suggest Trichomoniasis?

Answer 5

green-yellow, frothy malodorous discharge
erythema of vulva and vaginal mucosa
Punctate hemorrhages on the cervix (strawberry cervix)

Question 6

What are some consequences of untreated trichomonal vaginitis in nonpregnant women?

Answer 6

urethritis/cystitis 
Cervical neoplasia
PID
Infertility 
Increase susceptibility to aquire HIV

Question 7

What are the preferred tests for Trichomoniasis?

Answer 7

Microscopy and pH
Nucleic acid amplification test (NAAT)
Rapid antigen and DNA hypridization probes

Question 8

What are some less accurate tests for Trichomoniasis?

Answer 8

culutre

cervical cytology

Question 9

After collecting a wet prep, how long will the T. vaginalis protozoa remain motile?

Answer 9

10-20 minutes

Question 10

although not diagnostic, what pH values suggest trichomoniasis?

Answer 10

> 4.5

Question 11

What has become the gold standard for diagnosis of T. vaginalis?

Answer 11

Nucleic acid amplification test (NAAT)

Question 12

What are the three most common infections responsible for vaginal discharge, odor, pruritius and/or vaginal discomfort?

Answer 12

bacterial vaginosis
candidia vulvovaginitis
trichomoniasis