Question 2 - Cervicitis Question Bank - National STD Curriculum

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CervicitisQuestion 2/5

A 25-year-old woman is seen in a sexual health clinic for evaluation of a white vaginal discharge and recent pain when having vaginal intercourse. She has a male sex partner. She has been taking oral contraceptive pills and does not use condoms.

Which one of the following is considered a major diagnostic indicator of cervicitis?

Gram stain of vaginal fluid demonstrating at least 10 white blood cells per high-power field

Abnormal vaginal discharge with pH greater than 4.5

Sustained endocervical bleeding induced by gentle passage of a cotton swab through the cervical os

Intermenstrual bleeding

Figure 1. Mucopurulent Endocervical Exudate with Cervicitis

This illustration shows the cervix as observed during a speculum examination. Note the purulent discharge from the cervical os; this finding is diagnostic for cervicitis.

Illustration: Cognition Studio, Inc. and David H. Spach, MD

Figure 2. Friable Cervicitis with Induced Bleeding in Woman with Cervicitis

This illustration shows the cervix as observed during a speculum examination. Note the friable cervix on left, with endocervical bleeding induced by gentle passage of a cotton swab through the cervical os.

Illustration: Cognition Studio, Inc. and David H. Spach, MD

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Question Last Updated
March 10th, 2025

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