Screening and sampling

Question 1

What does a vulvovaginal swab test for?

Answer 1

Chlamydia and gonorrhea

***additional test for trichomonas vaginais if indicated

Question 2

High Vaginal swabs test for?

Answer 2

Candida (thrush)

*additional request for bacterial vaginosis can be requested if appropriate

Question 3

Endocervical swabs are to test for?

Answer 3

Gonorrhea if clinical signs indicate

Question 4

What can be ascertained by a bimanual exam?

Answer 4

cervical/vaginal masses
Uterine size/shape
tenderness/pain (could be PID or extopic preg)

Question 5

What pregnant women should be swabbed at their booking visit? Why

Answer 5

ALL. Swabbing women (especially young women for chlamydia is vital)

Chlamydia can cause eye infections and pneumonia at birth.