Comprehension Questions

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[58.1 ] A 22-year-old woman is seen for vaginal discharge. The presumptive diagnosis is bacterial vaginosis. Which of the following most likely is present?

B. Heterogenous vaginal discharge

C. Predominance of anaerobes

D. Positive Kleihauer-Betke test

[58.2] A 26-year-old woman taking antibiotics for cystitis complains of itching, burning, and a yellowish vaginal discharge. Which of the following is the best therapy?

A. Metronidazole

B. Erythromycin

C. Fluconazole

D. Hydrocortisone

E. Clindamycin

[58.3] Which of the following organisms may be isolated from a wet surface 6 hr after inoculation?

A. Candida albicans

B. Trichomonas vaginalis

C. Gardnerella species

D. Peptostreptococcus

[58.4] A 27-year-old woman complains of a fishy odor and a vaginal discharge. Speculum examination reveals an erythematous vagina and punctations of the cervix. Which of the following is the most likely diagnosis?

A. Candidal vaginitis

B. Trichomonal vaginitis

C. Bacterial vaginosis

D. Human papilloma virus

E. Herpes simplex virus

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