Vaginal Secretions

Question 1

1. Which of the following materials is known to be toxic to specific microorganisms? (choose all that apply)
   a. Calcium alginate
   b. Cotton
   c. Dacron
   d. Wood

Answer 1

a. Calcium alginate
b. Cotton
d. Wood

Question 2

2. The decidual cells of placenta produce this substance found primarily in amniotic fluid. (choose all that apply)
   a. Placental alpha microglobulin -1
   b. Insulin -like growth factor binding protein -1
   c. Fetal fibronectin
   d. Murine monoclonal anti-fFN antibody

Answer 2

a. Placental alpha microglobulin -1
b. Insulin -like growth factor binding protein -1

Question 3

3. Which substance functions as an adhesive between the chorion and decidua? (choose all that apply)
   a. Placental alpha microglobulin -1
   b. Insulin -like growth factor binding protein -1
   c. Fetal fibronectin
   d. Murine monoclonal anti-fFN antibody

Answer 3

c. Fetal fibronectin

Question 4

4. The fern test is performed by:
   a. Fluorescence
   b. Immunochromatography
   c. Latex agglutination
   d. Microscopic examination

Answer 4

d. Microscopic examination

Question 5

5. This cell is an abnormal finding indicating bacterial vaginosis:
   a. “Clue cells”
   b. Parabasal cells
   c. Red blood cells
   d. White blood cells

Answer 5

a. “Clue cells”

Question 6

6. In bacterial vaginosis, in trichomoniasis, and in postmenopausal women, the vaginal pH is:
   a. Above 4.5
   b. Between 3.8 and 4.5
   c. Below 3.8
   d. It is above 4.5 in some of these and below 3.8 in others

Answer 6

a. Above 4.5

Question 7

7. Organisms associated with premature birth include:
   (select all that apply)
   a. Gardnerella
   b. Lactobacillus
   c. Mobiluncus sp
   d. Prevotella

Answer 7

a. Gardnerella
c. Mobiluncus sp
d. Prevotella

Question 8

8. A predominance of these cells in vaginal secretion is
   indicative of a postmenopausal vaginitis:
   a. “Clue cells”
   b. Parabasal cells
   c. Red blood cells
   d. Squamous epithelial cells

Answer 8

b. Parabasal cells

Question 9

9. “Clue cells” are indicative of all of these EXCEPT:
   a. Gardnerella vagina/is
   b. Lactobacillus species
   c. Mobiluncus species
   d. Prevotella species

Answer 9

b. Lactobacillus species

Question 10

1 0. All of the following tests are used to detect bacterial
vaginosis EXCEPT:
a. Fern test
b. Vaginal secretions pH
c. Wet prep for “Clue cells”
d. “Whiff test”

Answer 10

a. Fern test