Trichomoniasis: The Daily PANCE Blueprint
Which of the following is the most common non-viral sexually transmitted infection worldwide, and what is the preferred diagnostic test for it?
A. Gonorrhea; Gram stain
B. Trichomoniasis; NAAT
C. Chlamydia; Urine culture
D. Syphilis; RPR test
E. None of the above
Answer and topic summary
The answer is B. Trichomoniasis; NAAT
Trichomoniasis is a genitourinary infection caused by the Trichomonas vaginalis, a flagellated protozoan. It is the most common non-viral STI worldwide and is more commonly impacts females than males. Clinical features in females include a purulent, malodorous thin discharge, vaginal burning and pruritus, urinary frequency, and dyspareunia. On physical exam you may see erythema of the vulva and vaginal mucosa, as well as green-yellow discharge. Small hemorrhages may be visible on the cervix (i.e., “strawberry cervix”). The preferred diagnostic test is NAAT (sensitivity and specificity 100%). If the pH is obtained, it will usually be above 5.0. Treatment is metronidazole 2 grams PO for the patient and all sex partners. Patients should also be educated on the consistent use of condoms.
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Smarty PANCE Content Blueprint Review:
Covered under ⇒ PANCE Blueprint Infectious Disease ⇒ ⇒
