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NURP 501 - Ex 1 > 2: Normal Discharge, BV, or VVC? > Flashcards

2: Normal Discharge, BV, or VVC? Flashcards

1
Q

Vulvar pruritis: Yes, swelling, excoriation, redness.

A

Vulvovaginal Candidiasis (VVC)

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2
Q

Genital ulceration: No.

A 
Normal discharge 
Bacterial Vaginosis (BV)
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3
Q

Risk of pelvic inflammatory disease: Yes.

A

Bacterial Vaginosis (BV)

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4
Q

Pelvic pain: No.

A 
Normal discharge 
Bacterial Vaginosis (BV)
Vulvovaginal Candidiasis (VVC)
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5
Q

Risk of pelvic inflammatory disease: No.

A 
Normal discharge 
Vulvovaginal Candidiasis (VVC)
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6
Q

Main patient concern: Vaginal itching, burning, and/or discharge.

A

Vulvovaginal Candidiasis (VVC)

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7
Q

Main patient concern: None or variable.

A

Normal discharge

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8
Q

Dyspareunia: Occasionally.

A 
Bacterial Vaginosis (BV)
Vulvovaginal Candidiasis (VVC)
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9
Q

Vaginal pH 3.5-4.5

A

Normal discharge

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10
Q

Wet prep: Pseudohyphae with yeast buds.

A

Vulvovaginal Candidiasis (VVC)

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11
Q

Wet prep: Normal flora.

A

Normal discharge

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12
Q

Genital ulceration: Skin may crack with severe cases.

A

Vulvovaginal Candidiasis (VVC)

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13
Q

Dyspareunia: No.

A

Normal discharge

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14
Q

Dysuria: Occasionally.

A

Bacterial Vaginosis (BV)

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15
Q

Vulvar pruritis: No.

A

Normal discharge

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16
Q

Wet prep: KOH.

A

Vulvovaginal Candidiasis (VVC)

17
Q

Discharge: Thin, homogenous, grayish-white, adherent.

A

Bacterial Vaginosis (BV)

18
Q

Vaginal pH <4.5 (usually)

A

Vulvovaginal Candidiasis (VVC)

19
Q

Amine odor (KOH “whiff” test): Absent.

A

Normal discharge and Vulvovaginal Candidiasis (VVC)

20
Q

Discharge: White/clear and thin/mucoid.

A

Normal discharge

21
Q

Vaginal pH >4.5

A

Bacterial Vaginosis (BV)

22
Q

Wet prep: Saline solution.

A

Bacterial Vaginosis (BV)

23
Q

Dysuria: Severe cases.

A

Vulvovaginal Candidiasis (VVC)

24
Q

Discharge: Thick or thin, white, curd-like (“cottage cheese”), adherent.

A

Vulvovaginal Candidiasis (VVC)

25
Q

Main patient concern: May be asymptomatic; vaginal discharge; vaginal odor that is often worse after intercourse.

A

Bacterial Vaginosis (BV)

26
Q

Amine odor (KOH “whiff” test): Present (fishy).

A

Bacterial Vaginosis (BV)

27
Q

Wet prep: Positive for clue cells, decreased lactobacilli.

A

Bacterial Vaginosis (BV)

28
Q

Dysuria: No.

A

Normal discharge

29
Q

Vulvar prutitis: Mild, if present at all.

A

Bacterial Vaginosis (BV)

NURP 501 - Ex 1 (63 decks)

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