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Exam questionKROK 1Medicine ยท 2008

A gynecologist was examining a patient and revealed symptoms of genital tract inflammation. A smear from vagina contains pyriform protozoa with a spine, flagella at their front; there is also an undulating membrane. What disease can be suspected?

Answer options

  1. Balantidiasis
  2. Urogenital trichomoniasis
  3. Intestinal trichomoniasis
  4. Lambliasis
  5. Toxoplasmosis
Correct answer

Urogenital trichomoniasis

Explanation

Trichomonas vaginalis is a sexually transmitted infection of the urogenital tract, a common cause of vaginitis in women, while men with this infection can display symptoms of urethritis. 'Frothy', greenish vaginal discharge with a 'musty' malodorous smell is characteristic. A smear from the vagina contains pyriform protozoa with a spine, flagella at their front; there is also an undulating membrane. It is also a pear-shaped organism with a central nucleus and four anterior flagella.

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