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A 42-Year-Old Woman Visits Her Physician Complaining of Recurrent Vaginal pH\mathrm{pH}

Question 10

Multiple Choice

A 42-year-old woman visits her physician complaining of recurrent vaginal yeast infections. The doctor explains the likelihood that the woman's vaginal lining is temporarily out of proper acid-base balance, leading to the increased susceptibility to yeast infections. The normally low pH\mathrm{pH} in the vagina is maintained by which of the following?


A) A proton pump in the epithelial cells similar to that in osteoclasts and parietal cells
B) Secretions derived from intracellular carbonic acid
C) Secretion of lactic acid by cells of the stratified squamous epithelium
D) Bacterial metabolism of glycogen to produce an organic acid
E) Synthesis and accumulation of acid hydrolases in the epithelium

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