Deck 15: Vaginal Secretions

Question 1

Vaginal secretion collection kits are specific for which of the following?

A) Temperature in which they must be used
B) Pricing for the medical practice
C) For the organism sought
D) For left- or right-handed medical personnel

Answer 1

C

Question 2

Which of the following secretion combinations are considered to be normal?

A) White, curd-like
B) White, flocculent discharge
C) Yellow-green, frothy
D) Yellow, opaque

Answer 2

B

Question 3

Which of the following conditions is not likely if a vaginal pH value is greater than 4.5?

A) Vulvovaginal candidiasis
B) Trichomoniasis
C) Desquamative inflammatory vaginitis
D) Bacterial vaginosis

Answer 3

A

Question 4

A vaginal secretion collection can be performed to help for all of the following except:

A) Determine causative agent
B) Avoid reinfection
C) Prevent pregnancy
D) Provide a basis for treatment

Question 5

All of the following cellular elements can be seen in patients with candidiasis,except:

A) Clue cells
B) White blood cells
C) Epithelial cells
D) Budding yeast

Question 6

Normal flora is predominantly of which genus?

A) Mobiluncus sp
B) Gardnerella sp
C) Bacteroides sp
D) Lactobacillus sp

Question 7

Of the following organisms,which one requires DNA probe amplified by the polymerase chain reaction (PCR)?

A) G. vaginalis
B) Candida sp.
C) Trichomonas vaginalis
D) Bacteroides sp

Question 8

A vaginal pH value of 6.0 could indicate which of the following conditions?

A) Normal condition
B) Bacterial infection
C) Yeast infection
D) Increased estrogen production

Question 9

All of the following cellular elements are seen in patients with desquamative inflammatory vaginitis,except:

A) Clue cells
B) Basal cells
C) Red blood cells
D) White blood cells

Question 10

A vaginal fluid was collected from a 25-year-old female that showed the following results: appearance is pink with flocculent discharge,pH is 3.9,whiff test is negative,many Gram-positive rods,clue cells are absent.What is your interpretation of these results?

A) Patient has a possible bacterial infection
B) Patient has a possible yeast infection
C) Patient is normal and is menstruating
D) Patient has a possible Trichomonas infection

Question 11

Which diagnostic test uses a 10% solution of potassium hydroxide to detect the volatilization of amines to produce a distinctive odor?

A) Whiff test
B) KOH test
C) DNA test
D) Western Blot test

Question 12

Which of the following bacterial characteristics best describes the "normal flora" found in a vaginal specimen?

A) Gram-positive cocci
B) Gram-variable curved rods
C) Gram-positive large rods
D) Gram-negative rods

Question 13

Based on the following description,identify the cell: a large irregular shaped cell that ranges from 25 to 70 microns in diameter with a prominent central nucleus that is 8-10 microns in size,a cytoplasm that contains no granules,with "shaggy" borders.

A) Squamous epithelial cell
B) Clue cell
C) Transitional epithelial cell
D) Renal tubule epithelial cell

Question 14

You receive a call from a physician's practice asking about "extra swabs" for a vaginal secretions collection for Neisseria possible infection.Which of the following swabs cannot be used and why?

A) Sterile polyester tipped swabs because they are toxic to Neisseria
B) Sterile polyester tipped swabs because they inactivate Neisseria
C) Sterile wood shaft swabs with cotton because they are toxic to Neisseria
D) Sterile wood shaft swabs with cotton because they inactivate Neisseria

Question 15

A female patient presents to her OB/GYN with the following complaints: genital itching,dysuria,and an abnormal looking white "chunky" substance on her undergarments.The immediate next step the physician should take is:

A) Order DNA and PCR testing
B) Perform a saline wet prep
C) Perform a whiff test and KOH test
D) Send the patient home

Question 16

Which of the following is the most likely reason a physician would collect vaginal fluid for analysis?

A) Preeclampsia
B) Vaginitis
C) Pregnancy testing
D) As part of a police rape kit for sexual assault

Question 17

Which of the following vaginitis conditions is of a noninfectious origin?

A) Chemical irritation
B) Bacterial vaginitis
C) Trichomoniasis
D) Candidiasis

Question 18

A vaginal fluid collection kit is dropped off in the laboratory for analysis and the technologist notices condensation inside the biohazard bag.Which of the following tests cannot be performed?

A) Trichomonas motility testing
B) HSV testing
C)C. trachomatis testing
D) Atropic vaginitis

Question 19

Which of the following specimen handling combinations is incorrect?

A) Trichomonas: room temperature
B) N. gonorrhoeae: room temperature
C) Herpes simplex virus (HSV): room temperature
D)C. trachomatis: refrigerated

Question 20

When testing for vaginal pH,the health-care provider collecting the sample should:

A) Place the specimen on the pH paper before placing swab into the saline solution
B) Place the specimen on the pH paper after mixing with potassium hydroxide (KOH)
C) Place the pH paper on the swab before collecting from the patient
D) Place the pH paper into the swab collection tube

Question 21

The fetal fibronectin test is used to determine which of the following conditions?

A) Pregnancy
B) Preterm delivery
C) Postpartum status
D) Gestational age

Question 22

The test for placental alpha-1 microglobulin protein is used to determine:

A) Fetal membrane rupture
B) Pregnancy
C) Bacterial vaginosis
D) Atropic vaginosis