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Kaplan Qbank USMLE



Author8 Posts
  #1

Which is the predominant flora in a 1month old infant?

a)Diptheroids
b)S.epidermidis
c)Lactobacillus spp.
d)E.coli

Do female newborns have vaginal flora?


  #2

D. E.Coli

  #3

sorry, i shd hv been more spcific wth the frst Q....in the vaginal flora.

  #4

my semieducated guess-lactobacillus

___________________
Smell the coffee! "Is That an Osler move??"

  #5

agee with you mjl717 i think that it is Lactobacillus...

  #6

http://gsbs.utmb.edu/microbook/ch006.htm (quote below)
Urogenital Flora [left]The type of bacterial flora found in the vagina depends on the age, pH, and hormonal levels of the host. Lactobacillus spp predominate in female infants (vaginal pH, approximately 5) during the first month of life. Glycogen secretion seems to cease from about I month of age to puberty. During this time, diphtheroids, S epidermidis, streptococci, and E coli predominate at a higher pH (approximately pH 7). At puberty, glycogen secretion resumes, the pH drops, and women acquire an adult flora in which L acidophilus, corynebacteria, peptostreptococci, staphylococci, streptococci, and Bacteroides predominate. After menopause, pH again rises, less glycogen is secreted, and the flora returns to that found in prepubescent females. Yeasts (Torulopsis and Candida) are occasionally found in the vagina (10 to 30 percent of women); these sometimes increase and cause vaginitis.[/left] [left]In the anterior urethra of humans, S epidermidis, enterococci, and diphtheroids are found frequently; E coli, Proteus, and Neisseria (nonpathogenic species) are reported occasionally (10 to 30 percent). Because of the normal flora residing in the urethra, care must be taken in clinically interpreting urine cultures; urine samples may contain these organisms at a level of 104/ml if a midstream (clean-catch) specimen is not obtained[/left]

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Clinical Microbiology since 1974

  #7

excellent bactitech

  #8

i had been wondering if that web reference was reliably accurate, now i am sure of it! thanks smiling face

Edited by drk1980 on 12/30/05 - 07:03 AM







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