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Bacterial Vaginosis (BV) (PG)
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1. What is the most common symptom of bacterial vaginosis (BV)?
*
Fishy-smelling vaginal discharge
Thick white discharge
Itching
Painful urination
2. Which organism is predominantly associated with BV?
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Gardnerella vaginalis
Candida albicans
Trichomonas vaginalis
Chlamydia trachomatis
3. What is the first-line treatment for BV in non-pregnant women?
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Metronidazole
Fluconazole
Clotrimazole
Doxycycline
4. What is the recommended test to confirm BV diagnosis in primary care?
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High vaginal swab (HVS)
Mid-stream urine (MSU)
Blood (CRP)
Vaginal pH and microscopy
5. Which of the following is NOT a diagnostic feature of BV?
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Clue cells on microscopy
Fishy odour
Low vaginal pH
Absence of lactobacilli
6. What is the typical appearance of vaginal discharge in BV?
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Curdy white
Yellow and frothy
Thin, grey-white, homogeneous
Green with bubbles
7. BV increases the risk of which complication in pregnancy?
*
Postpartum haemorrhage
Preterm labour
Gestational diabetes
Pre-eclampsia
8. What is the preferred treatment for BV in pregnancy?
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Oral doxycycline
Oral metronidazole
Topical clindamycin
Fluconazol
9. Which of the following is a risk factor for BV?
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Monogamy
Menopause
New sexual partner
Prolonged antibiotic use
10. Which of the following distinguishes BV from candidiasis?
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Associated itching
Normal vaginal flora
pH <4.5
pH >4.5 and fishy smell
11. How is recurrent BV typically managed?
*
No treatment needed
Regular probiotics and prolonged metronidazole
Daily fluconazole
Amoxicillin
12. What advice should be given about alcohol during metronidazole use?
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Safe to drink
Moderation advised
Avoid
Avoid spirits only
13. What is a common side effect of metronidazole?
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Drowsiness
Metallic taste
Photophobia
Cough
14. Is BV considered a sexually transmitted infection?
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Yes
No
Only in men
Only during pregnancy
15. When should treatment for asymptomatic BV be considered?
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Always
Never
In pregnancy or before gynaecological procedures
Only in menopause
16. Which of the following can disrupt normal vaginal flora and lead to BV?
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Wearing tight clothing
Using tampons
Vaginal douching
Shaving
17. Which vaginal pH is typically seen in BV?
*
<4.0
<4.5
>4.5
Neutral (pH 7)
18. What is the role of lactobacilli in vaginal flora?
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Increases pH
Maintains acidic environment
Causes BV
Stimulates menstruation
19. Which diagnostic criteria are used in research for BV?
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Ramsel's criteria
Damsel's criteria
Amstel's criteria
Amsel’s criteria
20. When should sexual partners be treated in BV?
*
Always treat partners
Only treat male partners
Treat if symptoms occur
Partner treatment not routinely required