NR 509 Final Exam 2023 (Real Exam)
6. Candidal Vaginitis: -Cause: Candida albicans, a yeast (normal
overgrowth of vaginal flora); many factors predispose, including antibiotic
therapy
-Discharge: white and curdy, may be thin but usually thick, not as profuse as
trichomonal infection, not malodorous
- vaginal soreness, pruritus, pain on urination, dyspareunia (painful
intercourse)
-The vulva and surrounding skin are inflamed and sometimes swollen to a
variable extent; the vaginal mucosa is reddened, with white tenacious
patches of discharge; the mucosa may bleed when these patches are
scraped off; in mild cases, the mucosa looks normal
-Scan potassium hydroxide (KOH) preparation for the branching hyphae of
Candi- da
7. Trichomonal Vaginitis: -Trichomonas vaginalis, a protozoan; often but
not al- ways acquired sexually
- Discharge:Yellowish green or gray, possibly frothy; often profuse and
pooled in the vaginal fornix; may be malodorous
-Pruritus (though not usually as severe as with Candida
infection); pain on urination (from skin inflammation or possibly urethritis);
dyspare- unia
-Vestibule and labia minora may be erythematous; the vaginal mucosa may
be diffusely reddened, with small red granular spots or petechiae in the
posterior fornix; in mild cases, the mucosa looks normal
- Scan saline wet mount for trichomonads