Vaginitis and other genital tract infections

Question 1

pH of vagina in childbearing women

Answer 1

3.8 - 4.2

Question 2

Predominant organism in normal flora of vagina

Answer 2

Lactobacilli

Question 3

Characteristic discharge in T. vaginalis infection

Answer 3

The discharge is profuse, frothy, greenish and at times offensive.

Question 4

Which lesions are found on the cervix in T. vaginalis

Answer 4

Multiple small petechiae (strawberry spots) on the cervix and vaginal walls

Question 5

Treatment for T. vaginalis

Answer 5

oral metronidazole

Question 6

Treatment of Candidiasis

Answer 6

miconazole, econazole and clotrimazole.
During pregnancy VVC may be recurrent and more difficult to treat. Local treatment with vaginal ovules
and creams is recommended to avoid possible teratogenic effects of systemic drugs.

Question 7

Organism implicated in bacterial vaginosis

Answer 7

Gardnerella vaginalis

Question 8

Characteristic discharge in bacterial vaginosis

Answer 8

A fishy gray vaginal discharge,

Question 9

Amsel’s criteria for bacterial vaginosis

Answer 9

• homogeneous white-grey adherent discharge
• vaginal fluid pH of > 4.5
• release of a fishy amine odour from the vaginal fluid when mixed with 10% potassium hydroxide solution
• “clue cells” visible on microscopic examination

Question 10

is culture of any value in diagnosis of bacterial vaginosis

Answer 10

No

Question 11

Treatment of choice in b. vaginosis

Answer 11

Metronidazole or clindamycin

Question 12

Amongst the three, which isn’t itchy?

Answer 12

B. vaginosis

Question 13

Gonorrhea usually affects which cells

Answer 13

columnar, cuboidal and transitional cells

Question 14

what is peculiar about urethral infection in gonorrhea

Answer 14

urethral infection may cause dysuria (12%) but not frequency

Question 15

`Drug of choice in gonorrhea

Answer 15

Drug of choice is ciprofloxacin.

Question 16

Most common sexually transmitted infection (STI) in humans

Answer 16

Chlamydia

Question 17

Drug of choice in chlamydia

Answer 17

azithromycin (1.0g orally as a single dose) and doxycycline (100mg 2X daily for 7 days)

Question 18

Which clinical serotypes of C. trachomatis cause LGV

Answer 18

L1, L2, and L3

Question 19

Is doxycycline is contraindicated in pregnant and lactating mother?

Answer 19

Yes.

so use erythromycin instead