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Kaplan Qbank USMLE



Author5 Posts
  #1

I had a question classic case of gardnerella, but the answer that the question was looking for was what organism of normal flora was gardnerella replacing?

does anyone know?


  #2

Probably Lactobacillus sp. If you look at gram smears of women with BV (bacterial vaginosis) there is almost always a total lack of the long gram positive rods of Lacto, which are replaced by the short gpr's of G. vag and the wispy gram variables of Mobiluncus sp. Clue cells (epithelials with these bacteria adhered in such a way as to block the outline of the cell) are almost always seen.

We read these smears many times a night from our ER. I hate to speculate on how many hundreds of these I've seen. That's my best guess.




___________________
Clinical Microbiology since 1974

  #3

Thanx bactitech smiling face I had no idea where to find the answer to that one!

  #4

Trust me, it's NOT E. coli shaking head

___________________
Clinical Microbiology since 1974

  #5

thanx, it was a question on my step 1 exam from september and has been bugging me ever since. the problem is i don't remember the answer choices except for e. coli.







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