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Gynaecology & Obstetrics Miscellaneous (Obs) 88689d33

A 21-year-old girl is having vaginal discharge one week after unprotected sexual intercourse. The smear of vaginal discharge is shown below. All are diagnostic criteria for the condition shown except:

A
Vaginal pH<4.5
B
Positive whiff test
C
Clue cells >20% of cells
D
Presence of more Gardnerella with few lactobacillus
High-Yield Explanation
Ans. A. Vaginal pH<4.5The image shows vaginal epithelial cells covered with coccobacilli, leading to stippled appearance of the cell. This appearance is called Clue cell and is diagnostic of bacterial vaginosis.

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