A 40-year-old woman presented to the gyencologist with complaint of profuse vaginal discharge. There was no discharge from the cervical os on the speculum examination. The diagnosis of bacterial vaginosis was made based upon all of the following findings on microscopy except:
Correct Answer: Abundance of polymorphs
Description: Ans. (c) Abundance of polymorphs Ref Shaw's 13/e p 129: COCDT 10, p 670 Bacterial Vaginosis Defined as alteration in normal vaginal flora rather than true infection Causative organism: - G. vaginalis H. vaginalis - Mobiluncus Microscopy of vaginal secretions in bacterial vaginosis shows: - Characteristic clue cells - Decreased or absent lactobacillus - Decreased leucocytes. Clinical criteria for diagnosis: - Homogenous white non inflammatory discharge with fishy odour. - Microscopic presence of >20% clue cells. Vaginal discharge with pH > 4.5 - Fishy odor with or without addition of 10% KOH. Treatment: Metronidazole for both pregnant and non-pregnant women. Remember: Clue cells represent epithelial cells adherant to G. vaginalis. Bacterial vaginosis is most prevalent vaginal infection.
Category:
Microbiology
Get More
Subject Mock Tests
Practice with over 200,000 questions from various medical subjects and improve your knowledge.
Attempt a mock test nowMock Exam
Take an exam with 100 random questions selected from all subjects to test your knowledge.
Coming SoonGet More
Subject Mock Tests
Try practicing mock tests with over 200,000 questions from various medical subjects.
Attempt a mock test now