Trichomoniasis

TRICHOMONIASIS

Q. 1

Frothy discharge with red ulceration in the vagina is seen with infection of :

 A

Trichomoniasis

 B

Moniliasis

 C

Chlamydia

 D

Bacterial vaginosis

Q. 1

Frothy discharge with red ulceration in the vagina is seen with infection of :

 A

Trichomoniasis

 B

Moniliasis

 C

Chlamydia

 D

Bacterial vaginosis

Ans. A

Explanation:

Trichomoniasis


Q. 2

Greenish vaginal discharge with severe Itching points to a diagnosis of :

 A

Senile vaginitis

 B

Candidiasis

 C

Trichomoniasis

 D

Pyogenic vaginitis

Q. 2

Greenish vaginal discharge with severe Itching points to a diagnosis of :

 A

Senile vaginitis

 B

Candidiasis

 C

Trichomoniasis

 D

Pyogenic vaginitis

Ans. C

Explanation:

Trichomoniasis


Q. 3

Commonest genital infection in females is :

 A

Candidiasis

 B

Trichomoniasis

 C

Syphilis

 D

Gonorrhea

Q. 3

Commonest genital infection in females is :

 A

Candidiasis

 B

Trichomoniasis

 C

Syphilis

 D

Gonorrhea

Ans. B

Explanation:

Trichomoniasis


Q. 4

An 18 year old presented with profuse vaginal discharge with itching.

 
Assertion: Vaginal trichomoniasis is the important cause of vaginitis in the childbearing period when the local immunological defence is impaired.
 
Reason: During and after menstruation, after sexual stimulation and following illness, the pH of the vagina dropped into 2-2.5 which causes the infection.
 A

Both Assertion and Reason are true, and Reason is the correct explanation for Assertion

 B

Both Assertion and Reason are true, and Reason is not the correct explanation for Assertion

 C

Assertion is true, but Reason is false

 D

Assertion is false, but Reason is true

Q. 4

An 18 year old presented with profuse vaginal discharge with itching.

 
Assertion: Vaginal trichomoniasis is the important cause of vaginitis in the childbearing period when the local immunological defence is impaired.
 
Reason: During and after menstruation, after sexual stimulation and following illness, the pH of the vagina dropped into 2-2.5 which causes the infection.
 A

Both Assertion and Reason are true, and Reason is the correct explanation for Assertion

 B

Both Assertion and Reason are true, and Reason is not the correct explanation for Assertion

 C

Assertion is true, but Reason is false

 D

Assertion is false, but Reason is true

Ans. C

Explanation:

When vaginal pH raised into 5.5-6.5, trichomonas thrive.

Ref: Textbook of Gynecology by D.C.Dutta, 4th Edition, Page 153.

Q. 5

A woman diagnosed with Trichomoniasis  should also be evaluated for which of the following?

 A

Functional bowel dysfunction

 B

Hypertension

 C

Other venereal disease

 D

Ovarian malfunction

Q. 5

A woman diagnosed with Trichomoniasis  should also be evaluated for which of the following?

 A

Functional bowel dysfunction

 B

Hypertension

 C

Other venereal disease

 D

Ovarian malfunction

Ans. C

Explanation:

The same sexual encounters that spread trichomoniasis can also spread a wide variety of other sexually transmitted disease, including herpes, human papilloma virus, syphilis, gonorrhea, chlamydia, and AIDS.
Additionally, the lesions produced by the trichomoniasis particularly facilitate the spread of the AIDS virus, since the normal mucosal barrier is breached.
The woman’s chance of transmitting AIDS to her partner is also increased by the presence of the trichomoniasis open sores. The other choices list distractors unrelated to trichomoniasis.
 
Ref: Mackay G. (2013). Chapter 43. Sexually Transmitted Diseases & Pelvic Infections. In A.H. DeCherney, L. Nathan, N. Laufer, A.S. Roman (Eds),CURRENT Diagnosis & Treatment: Obstetrics & Gynecology, 11e.

Q. 6

The following are true of Trichomoniasis, except:

 A

Is a sexually transmitted disease

 B

Is associated with immunosuppression

 C

Is most often asymptomatic

 D

Produces copious thin frothy discharge

Q. 6

The following are true of Trichomoniasis, except:

 A

Is a sexually transmitted disease

 B

Is associated with immunosuppression

 C

Is most often asymptomatic

 D

Produces copious thin frothy discharge

Ans. B

Explanation:

Trichomoniasis has no association with immunosuppression.


Q. 7

Greenish vaginal discharge with severe itching points to a diagnosis of:

 A

Candidiasis

 B

Senile vaginitis

 C

Trichomoniasis

 D

Pyogenic vaginitis

Q. 7

Greenish vaginal discharge with severe itching points to a diagnosis of:

 A

Candidiasis

 B

Senile vaginitis

 C

Trichomoniasis

 D

Pyogenic vaginitis

Ans. C

Explanation:

Patients infected with Trichomonas vaginalis presents with  pruritus, dysuria, dyspareunia, or abdominal pain. Vaginal examination in these patients copious frothy, yellow or greenish discharge. There is also inflammation of vaginal wall and cervix with punctate hemorrhages.
  • Wet mount examination of the discharge shows motile organisms. Rapid antigen and nucleic acid amplification tests are highly specific and much more sensitive than wet mounts.
  • Metronidazole or tinidazole is the treatment of choice.
Ref: Rosenthal P.J. (2013). Chapter 35. Protozoal & Helminthic Infections. In M.A. Papadakis, S.J. McPhee, M.W. Rabow, T.G. Berger (Eds), CURRENT Medical Diagnosis & Treatment 2014.


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