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03:52A patient you are assessing reports an increase in vaginal discharge that has a foul odor, but she does not report other symptoms. The patient has been in a monogamous relationship for 3 years. Which of the following would be the most useful for this patient? Select all that apply.
a. Evaluate her urine for increased white blood cells
b. Perform a Gram stain on the vaginal discharge
c. Run a pregnancy test
d. Test for an STI
e. Perform a whiff test
A patient you are assessing reports an increase in vaginal discharge that has a foul odor, but she does not report other symptoms. The patient has been in a monogamous relationship for 3 years. Which of the following would be the most useful for this patient? Select all that apply.
a. Evaluate her urine for increased white blood cells
b. Perform a Gram stain on the vaginal discharge
c. Run a pregnancy test
d. Test for an STI
e. Perform a whiff test
How do lactobacilli limit infections in the vagina? Select all that apply.
a. They competitively exclude potential pathogens
b. They make hydrogen peroxide
c. They ferment fructose to make lactic acid
d. They lower the vaginal pH, which limits pathogen growth
e. They increase the rate of vaginal mucus secretion
Patients can contract chlamydia more than once because:
a. It is so commonly antibiotic resistant
b. Long-term immunity is not established after infection
c. It hides in neurons and reactivates, lysing cells
d. It is sexually transmitted
e. All of the above apply
Indicate if the statement is true or false and then correct each false statement so that it is true:
a. Sexually transmitted infections always affect the reproductive tract
b. CAUTIs are usually classified as uncomplicated UTIs
c. Candida species are the leading cause of uncomplicated UTIs
d. Syphilis can be vertically transmitted from a mother to her fetus
e. Herpes simplex virus 2 can be transmitted to a partner without intercourse
You see a corkscrew-like bacterial cell under dark field microscopy. If the sample came from __________, it is likely __________.
a. Genital lesions, leptospirosis
b. Urine, gonorrhea
c. Urine, syphilis
d. Genital lesions, syphilis
e. Vaginal discharge, chlamydia
