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Gynecologic Infection

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Vaginal flora of a normal, asymptomatic reproductive-aged woman includes multiple anaerobic, aerobic, and facultative bacterial species. Anaerobes predominate over aerobic species by approximately what factor?

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a. 5

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b. 10

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c. 50

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d. 100

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Normal colonization of the vaginal mucosa by bacteria serves what main physiologic function?

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a. Unknown

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b. Produces lubrication

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c. Stimulates epithelial differentiation

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d. Facilitates production of beneficial antibodies

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In normal, healthy women, bacterial species can be recovered from what locations?

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a. Endocervix

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b. Endometrial cavity

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c. Peritoneal fluid of cul-de-sac

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d. All of the above

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What is the typical range of normal vaginal pH?

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a. 3.0 to 3.5

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b. 4.0 to 4.5

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c. 5.0 to 5.5

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d. 6.0 to 6.5

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The rise in vaginal pH observed after menopause is correlated with which of the following?

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a. Low serum estradiol levels

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b. Decrease in vaginal cellular glycogen content

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c. High serum follicle-stimulating hormone levels

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d. All of the above

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Which of the following is NOT one of the three clinical diagnostic criteria for bacterial vaginosis described by Amsel and associates (1983)?

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Photograph contributed by Dr. Lauri Campagna and Mercedes Pineda, WHNP.

Graphic Jump Location
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Amsel R, Totten PA, Spiegel CA, et al: Nonspecific vaginitis. Diagnostic criteria and microbial and epidemiologic associations. Am J Med 74:14, 1983

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a. Abnormally high vaginal pH

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b. Presence of an abnormal discharge and erythema of the vagina

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