11. A 21-year old woman at 16 weeks' gestation presents with several vesicular lesions on her labia majora (outer vaginal folds). When asked if the lesions have appeared previously, she mentions she has had them at other times. Results of a Tzanck test revealed multinucleated giant cells. Which of the following organisms is the most common cause of this patient's infection? A. Herpes simplex 1 B. Herpes simplex 2 C. Cytomegalovirus D. Treponema pallidum E. Microsporum gimmesum 12. Knowing that the patient is pregnant (from question 11) and has a recurring infection and to prevent infection of her child, the physician should advise the patient about which of the following? A. Deliver the infant vaginally even if the lesions are present during labor and delivery. B. Deliver the infant by caesarian section if the lesions are present during labor and delivery. C. Deliver the infant vaginally while treating the mother with acyclovir. D. Avoid sexual contact with partners who have lesions similar to these. E. The lesions are a sign that the fetus has been infected in utero and it is highly likely to be adversely affected or that it will die.
Added by Leslie F.
Close
Step 1
The presence of vesicular lesions on the labia majora and multinucleated giant cells from the Tzanck test suggest a herpes simplex virus infection. The most common cause of genital herpes is Herpes simplex virus type 2 (HSV-2). So, the answer to question M1 is: Show more…
Show all steps
Your feedback will help us improve your experience
Asma Venkitta and 66 other Biology educators are ready to help you.
Ask a new question
Labs
Want to see this concept in action?
Explore this concept interactively to see how it behaves as you change inputs.
Key Concepts
Recommended Videos
Herpes simplex-2 (HSV-2) causes genital lesions, intensely sensitive vesicles on or near the genitals, symptoms that include urethritis, cervicitis, and itching, and infection in neonates that have contact with lesions in the birth canal. All of the choices are correct.
Hemal K.
Case Study: A 22 years old pregnant woman had just completed a two-week course of ampicillin for the treatment of E coli pyelonephritis. She then started experiencing perivaginal pruritus, dysuria, and burning in the vulvar region, and noted thick curd like vaginal discharge. On examination the vulvar and labial region was mildly erythematous; tiny papulopustular lesions were seen on the perineum. Shallow linear ulcerations were noted on the posterior part of the introitus. A thick whitish discharge was noted, there was no foul odor. Q2. What diagnostic procedures are helpful in establishing the etiology of vaginitis? What is the likely diagnosis?
Sri K.
c. Tuberculosis may have spread to the body. d. He is experiencing a reaction commonly seen when INH and Streptomycin are given at the same time. 16. An adult client has pulmonary tuberculosis and is receiving INH 300 mg PO and Ethambutol GM PO daily and streptomycin 1 GM I.M three times a week. When he comes in for a check-up, he tells the nurse that he hates getting shots and his ears ring most of the time. What advice does the nurse expect will be given to this client? a. Take pyridoxine daily. b. Expect re-colored urine and feces. c. Stop the medications when the cough is gone. d. Take streptomycin by mouth instead of by injection. 17. An adult client is being treated for genital herpes with acyclovir (Zovirax) tablets. Which statement she makes indicates that she understands her therapy? a. "It is safe now to have sexual relations." b. "I will stay home from work until the blisters are gone." c. "This medicine will cure the herpes infection." d. "If the blisters come back, I will start taking the pills immediately."
Adi S.
Recommended Textbooks
Biology for AP Courses
Objective Biology for NEET
Introduction to General, Organic and Biochemistry
Transcript
18,000,000+
Students on Numerade
Trusted by students at 8,000+ universities
Watch the video solution with this free unlock.
EMAIL
PASSWORD