1.  A 30-year-old woman has symptoms of dysuria, vaginal itching, and a white, curd-like discharge. During her visit at the Women’s Clinic, the patient revealed that she had recently completed a regimen of broad-spectrum antibiotics as treatment for a urinary tract infection. Her health-care provider takes a swab of the vaginal secretions for analysis.

a. What tests will be performed on the vaginal specimen?

b. Based on the patient history and observation of the vaginal secretion, which test will be diagnostic for the probable diagnosis?

c. What confirmatory test can be performed?

d. What is the probable diagnosis?

e. What is the first choice of treatment?

Q 68

1. A sexually active teenager visited the Women’s Clinic complaining of vaginal itching and soreness. She indicated that she was experiencing increased vaginal secretions that were frothy and yellow to green. Upon examination, the healthcare provider noted a strawberry-like cervix and performed a pH test on the secretions. The pH was 5.5 and the wet prep demonstrated “swimming” organisms.

a. What is the probable diagnosis?

b. What other tests can be performed to confirm this diagnosis?

c. What is the best course of treatment?

d. Should her sexual partner be treated?

e. List three complications that can occur with this disorder.