Study your flashcards anywhere!

Download the official Cram app for free >

  • Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off
Reading...
Front

How to study your flashcards.

Right/Left arrow keys: Navigate between flashcards.right arrow keyleft arrow key

Up/Down arrow keys: Flip the card between the front and back.down keyup key

H key: Show hint (3rd side).h key

A key: Read text to speech.a key

image

Play button

image

Play button

image

Progress

1/50

Click to flip

50 Cards in this Set

  • Front
  • Back
Complaints of vulvar irritation account for approximately what percent of gynecologic office visits?
10%
Which of the following characterizes a physiologic discharge?
Few white blood cells with multiple, flat, polygonal small nuclei on microscopic examination
Which of the following is characteristic of bacterial vaginosis?
Fishy odor
Vaginal candidiasis is characterized by
intense itching
Which of the following characterizes vaginal trichomoniasis?
Motile protozoa on microscopic examination
What types of cells are characteristic of atrophic vaginitis?
Parabasal cells
Vulvar ulceration characterizes which of the following?
Herpes simplex
Most of the liquid portion of physiologic vaginal secretions in a woman of reproductive age comes from
the cervix
The creamy white portion of physiologic vaginal secretions in a woman of reproductive age comes from
vaginal epithelium
The average amount of vaginal secretions of reproductive-aged women is
1.5g
The normal pH of the vagina secretions of reproductive-aged women is
3.5 to 4.5
The normal pH of vagina after the menopause but without estrogen replacement therapy is
6.0 to 8.0
The most common symptom associated with a vaginal infection is
discharge
The most common cause of persistently increased vaginal secretions is
microbiologic infection
The most common cause of increased vaginal discharge is
bacterial vaginosis
A 25-year-old patient complains of vaginal discharge. The diagnosis is established by
microscopic examination
In a 30-year-old patient with bacterial vaginosis, a foul odor after intercourse is most likely caused by
the alkaline pH of semen
Which of the following best describes a "whiff test"?
Mixing of vaginal secretions with 10% potassium hydroxide to liberate amines
Which of the following best describes a "clue cell"?
vaginal epithelial cells with adherent bacteria
Trichomonas vaginalis is a flagellate protozoan that can live in the
vagina
Approximately what percent of sexual partners of women with Trichomonas infections also have the infection?
>60%
Approximately what percent of women with a Trichomonas infection of the vagina are symptomatic?
50%
Which of the following characterizes the microscopic appearance of Trichomonas?
slightly larger than a white blood cell
Characteristic petechia, or strawberry patches, are found in the upper vagina or on the cervix of patients with Trichomonas vaginalis in approximately what percent of cases?
10%
A standard treatment for Trichomonas vaginal infection is
metronidazole 2 g orally in one dose
The standard treatment for T. vaginalis will generally give a cure rate of
90%
What percent of patients with T. vaginalis will also have bacterial vaginosis?
25%
When prescribing metronidazole for the treatment of Trichomonas infections, it is important to advise the patient to avoid alcohol intake because alcohol
may cause severe nausea and vomiting
The most common source of monilial infections of the vagina is from
airborne colonization
Approximately 90% of vaginal "yeast" infections are caused by
Candida albicans
Which of the following is thought to increase the risk of vaginal "yeast" infection?
immunosuppression
Approximately what percent of women with vaginal "yeast" infections are symptomatic?
80%
The normal pH of vaginal secretions found in women with vaginal "yeast" infections is
4.0 to 4.5
The most common presenting complaint in women with vaginal "yeast" infections is
intense itching
A 10% potassium hydroxide solution is used for a wet preparation when "yeast" infection is suspected because the solution
causes lysis of white blood cells
Despite compliant therapy with an appropriate medication, the recurrence rate for vaginal yeast infection is
25%
The primary treatment of candidal vaginitis is
topical synthetic imidazoles
An appropriate treatment of Pthirus pubis (crab louse) is
gama-benzene hexachloride
The presence of "clue" cells is usually diagnostic of
bacterial vaginosis
Which of the following is present in the vagina?
Nonkeratinized squamous epithelium
Which of the following is characteristic of the vagina?
vulnerability to contact with external irritants
Vulvitis in children is associated with
sexual abuse
In a patient with recurrent yeast infections, what concurrent disease should be suspected?
Diabetes mellitus
Which of the following accurately describes contact dermatitis?
Edematous
Which of the following conditions affects up to 3% of women and seems to have a familial pattern?
Psoriasis
Which of the following conditions often presents with deep painful scars, foul discharge, and may require wide surgical excision?
Hidradenitis suppurativa
Which type of bacteria in the lower genital tract of normal women break down glycogen to lactic acid?
Lactobacillus
A wet preparation showing clumps of epithelial cells with adherent bacteria is associated with
Bacterial vaginosis
When does cytolytic vaginitis typically worsen?
Luteal phase
Which of the following suggests dequamative inflammatory vaginitis?
Purulent discharge