A 32-year-old woman - malak

[ArchivalUser]

A 32-year-old woman comes to the office because of vulvar "itchiness" and a white vaginal discharge. She says that she is recently divorced and has had 3 different sexual partners in the past 4 months. She "usually" uses condoms as contraception. She is usually very healthy and has never had a sexually transmitted disease. She has been taking minocycline for 4 months because of acne. Physical examination is unremarkable. Pelvic examination shows erythematous vulvar and vaginal tissues and a thick, odorless, white vaginal discharge that is adherent to the vaginal walls. The pH of the discharge is 4.5. A wet-mount preparation of the vaginal secretions made with 10% KOH solution will most likely show
A. epithelial cells with smudged borders
B. Gram-negative intracellular diplococci
C. hyphae and buds
D. motile flagellated organisms
E. no organisms; a culture would be required for diagnosis

[ArchivalUser]

C....