Obgyn Chapter 27 Vulvitis And Vaginitis

Front 1

Complaints of vulvar irritation account for approximately what percent of gynecologic office visits?

Back 1

10%

Front 2

Which of the following characterizes a physiologic discharge?

Back 2

Few white blood cells with multiple, flat, polygonal small nuclei on microscopic examination

Front 3

Which of the following is characteristic of bacterial vaginosis?

Back 3

Fishy odor

Front 4

Vaginal candidiasis is characterized by

Back 4

intense itching

Front 5

Which of the following characterizes vaginal trichomoniasis?

Back 5

Motile protozoa on microscopic examination

Front 6

What types of cells are characteristic of atrophic vaginitis?

Back 6

Parabasal cells

Front 7

Vulvar ulceration characterizes which of the following?

Back 7

Herpes simplex

Front 8

Most of the liquid portion of physiologic vaginal secretions in a woman of reproductive age comes from

Back 8

the cervix

Front 9

The creamy white portion of physiologic vaginal secretions in a woman of reproductive age comes from

Back 9

vaginal epithelium

Front 10

The average amount of vaginal secretions of reproductive-aged women is

Back 10

1.5g

Front 11

The normal pH of the vagina secretions of reproductive-aged women is

Back 11

3.5 to 4.5

Front 12

The normal pH of vagina after the menopause but without estrogen replacement therapy is

Back 12

6.0 to 8.0

Front 13

The most common symptom associated with a vaginal infection is

Back 13

discharge

Front 14

The most common cause of persistently increased vaginal secretions is

Back 14

microbiologic infection

Front 15

The most common cause of increased vaginal discharge is

Back 15

bacterial vaginosis

Front 16

A 25-year-old patient complains of vaginal discharge. The diagnosis is established by

Back 16

microscopic examination

Front 17

In a 30-year-old patient with bacterial vaginosis, a foul odor after intercourse is most likely caused by

Back 17

the alkaline pH of semen

Front 18

Which of the following best describes a "whiff test"?

Back 18

Mixing of vaginal secretions with 10% potassium hydroxide to liberate amines

Front 19

Which of the following best describes a "clue cell"?

Back 19

vaginal epithelial cells with adherent bacteria

Front 20

Trichomonas vaginalis is a flagellate protozoan that can live in the

Back 20

vagina

Front 21

Approximately what percent of sexual partners of women with Trichomonas infections also have the infection?

Back 21

>60%

Front 22

Approximately what percent of women with a Trichomonas infection of the vagina are symptomatic?

Back 22

50%

Front 23

Which of the following characterizes the microscopic appearance of Trichomonas?

Back 23

slightly larger than a white blood cell

Front 24

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?

Back 24

10%

Front 25

A standard treatment for Trichomonas vaginal infection is

Back 25

metronidazole 2 g orally in one dose

Front 26

The standard treatment for T. vaginalis will generally give a cure rate of

Back 26

90%

Front 27

What percent of patients with T. vaginalis will also have bacterial vaginosis?

Back 27

25%

Front 28

When prescribing metronidazole for the treatment of Trichomonas infections, it is important to advise the patient to avoid alcohol intake because alcohol

Back 28

may cause severe nausea and vomiting

Front 29

The most common source of monilial infections of the vagina is from

Back 29

airborne colonization

Front 30

Approximately 90% of vaginal "yeast" infections are caused by

Back 30

Candida albicans

Front 31

Which of the following is thought to increase the risk of vaginal "yeast" infection?

Back 31

immunosuppression

Front 32

Approximately what percent of women with vaginal "yeast" infections are symptomatic?

Back 32

80%

Front 33

The normal pH of vaginal secretions found in women with vaginal "yeast" infections is

Back 33

4.0 to 4.5

Front 34

The most common presenting complaint in women with vaginal "yeast" infections is

Back 34

intense itching

Front 35

A 10% potassium hydroxide solution is used for a wet preparation when "yeast" infection is suspected because the solution

Back 35

causes lysis of white blood cells

Front 36

Despite compliant therapy with an appropriate medication, the recurrence rate for vaginal yeast infection is

Back 36

25%

Front 37

The primary treatment of candidal vaginitis is

Back 37

topical synthetic imidazoles

Front 38

An appropriate treatment of Pthirus pubis (crab louse) is

Back 38

gama-benzene hexachloride

Front 39

The presence of "clue" cells is usually diagnostic of

Back 39

bacterial vaginosis

Front 40

Which of the following is present in the vagina?

Back 40

Nonkeratinized squamous epithelium

Front 41

Which of the following is characteristic of the vagina?

Back 41

vulnerability to contact with external irritants

Front 42

Vulvitis in children is associated with

Back 42

sexual abuse

Front 43

In a patient with recurrent yeast infections, what concurrent disease should be suspected?

Back 43

Diabetes mellitus

Front 44

Which of the following accurately describes contact dermatitis?

Back 44

Edematous

Front 45

Which of the following conditions affects up to 3% of women and seems to have a familial pattern?

Back 45

Psoriasis

Front 46

Which of the following conditions often presents with deep painful scars, foul discharge, and may require wide surgical excision?

Back 46

Hidradenitis suppurativa

Front 47

Which type of bacteria in the lower genital tract of normal women break down glycogen to lactic acid?

Back 47

Lactobacillus

Front 48

A wet preparation showing clumps of epithelial cells with adherent bacteria is associated with

Back 48

Bacterial vaginosis

Front 49

When does cytolytic vaginitis typically worsen?

Back 49

Luteal phase

Front 50

Which of the following suggests dequamative inflammatory vaginitis?

Back 50

Purulent discharge