A 35-year-old woman is complaining of vaginal discharge and burning with urination. Her husband was recently diagnosed with gonorrhea. Which of the following tests has the highest... A 35-year-old woman is complaining of vaginal discharge and burning with urination. Her husband was recently diagnosed with gonorrhea. Which of the following tests has the highest diagnostic value? A. Urine culture B. Anogenital swab C. Endocervical swab D. High vaginal swab
Understand the Problem
The question describes a 35-year-old woman presenting with symptoms suggestive of a sexually transmitted infection (STI), specifically gonorrhea, given her husband's recent diagnosis. The question asks which diagnostic test has the highest diagnostic value for this patient.
Answer
The final answer is C. Endocervical swab
The endocervical swab has the highest diagnostic value in this scenario. Given the husband's gonorrhea diagnosis and the woman's symptoms, testing the endocervix directly is the most effective way to detect the presence of gonorrhea in the woman.
Answer for screen readers
The endocervical swab has the highest diagnostic value in this scenario. Given the husband's gonorrhea diagnosis and the woman's symptoms, testing the endocervix directly is the most effective way to detect the presence of gonorrhea in the woman.
More Information
An endocervical swab is a sample collected from the inner part of the cervix, the opening between the vagina and the uterus. This area is a common site for gonorrhea infection in women. Testing methods like NAAT (Nucleic Acid Amplification Test) are often used on endocervical swabs for accurate detection.
Tips
A common mistake is to confuse which swab is most appropriate for detecting specific infections. Endocervical swabs are generally superior to high vaginal swabs for detecting cervical infections like gonorrhea.
Sources
- Tests on Vaginal Discharge - Clinical Methods - NCBI Bookshelf - ncbi.nlm.nih.gov
- [PDF] The laboratory diagnosis of female genital tract infections ... - IACLD - en.iacld.com
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