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