Question
A middle aged female complained about milky discharge with fishy odor. Microscopic examination of vaginal discharge shows the presance of cells as marked in the photomicrograph below. What is she suffering from?
A. Bacterial vaginosis.
B. Herpes virus.
C. Syphilis.
D. Toxoplasmosis.
Show Answer
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Correct Answer » A
Explanation
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Clue cells are seen in bacterial vaginosis.
Criteria for bacterial vaginosis:
- Elevated vaginal pH (>4.5)
- Positive amine odor when vaginal fluid is mixed with 10% potassium hydroxide (KOH)—the so-called“whiff” test
- Presence of clue cells (squamous epithelial cells covered with adherent bacteria) in a saline (wet mount) preparation of the vaginal fluid
- Homogenous milky or creamy vaginal discharge
According to this criteria, bacterial vaginosis is present if three of the following findings are present.
