Saturday, June 27, 2020

The Daily PANCE PANRE Question 37

A female presents complaining of a grayish, watery vaginal discharge. The KOH prep does not reveal any hyphae. Clue cells are identified on the wet mount. A paucity of WBCs is noted. What diagnosis is most likely? Gonorrhea Chlamydia Candidiasis Bacterial Vaginosis Trichomoniasis Answer:D Bacterial Vaginosis Clue cells mean BV Know Your NCCPA Content Blueprint Bacterial Vaginosis is covered in theNCCPA ContentBlueprint Reproductive System (8%) SMARTY PANCE and PANRE PEARLS FISHY, grey, scant, THIN, STICKY PH 4.5 (BACTERIA = BASIC) Wet-prep shows epithelial cells with bacteria coating on surface = clue cells KOH testing causes the release of amine odor (+ whiff test) First Line Treatment: Metronidazole: 500 mg PO b.i.d. 7 days Metronidazole gel 0.75%: 5 g intravaginally daily 5 days Clindamycin 2% cream: 5 g intravaginally qhs 7 days Learn more about Bacterial Vaginosisand take the interactive lesson quizat Smarty PANCEVaginitis Note: * This is part of the Daily PANCE and PANRE in your inbox email series: 60 days of PANCE and PANRE Questions and Answers delivered directly to your inbox. It is a great and fun way to learn! If you haven't already, you can sign up for FREE by clicking Here. Help support The PA Life for FREE! This is provided as an opportunity for anyone who appreciates this email series to help support it painlessly. If you are going to be purchasing anything from Amazon.com (books, school supplies, etc.) simply start your next Amazon.com purchase by clicking here... it's a free way for you to help support the cause! Just click over to Amazon.com then, when you make your purchase, Amazon will send a portion of the proceeds to The Physician Assistant Life. The money goes toward paying for one-time and ongoing costs (like equipment, hosting, backup services, etc.). Thank you for supporting the site and keeping this content free! If you are studying for the PANCE or the PANRE I recommend thesereview books The Daily PANCE PANRE Question 37 A female presents complaining of a grayish, watery vaginal discharge. The KOH prep does not reveal any hyphae. Clue cells are identified on the wet mount. A paucity of WBCs are noted. What diagnosis is most likely? A. Gonorrhea B. Chlamydia C. Candidiasis D. bacterial vaginosis E. Trichomoniasis Answer:D, bacterial vaginosis Clue cells means BV Help Support The Physician Assistant Life for FREE! This is provided as an opportunity for anyone who appreciates this email series to help support it painlessly. If you are going to be purchasing anything from Amazon.com (books, school supplies, etc.) simply start your next Amazon.com purchase byclicking here... it's a free way for you to help support the cause! Justclick over to Amazon. Then, when you make your purchase, Amazon will send a portion of the proceeds to The Physician Assistant Life. The money goes toward paying for one-time and ongoing costs (like equipment, hosting, backup services, etc.). Thank you for supporting the site and keeping this content free! If you are studying for the PANCE or the PANRE I recommend theseReview Books.

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