Which STD should the nurse suspect when an adolescent girl comes to the clinic because she has a vaginal discharge that is white with a fishy smell?
a. Human papillomavirus
b. Bacterial vaginosis
c. Trichomonas
d. Chlamydia
B
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A Manifestations of the human papillomavirus are anogenital warts that begin as
small papules and grow into clustered lesions.
B Bacterial vaginosis is characterized by a profuse, white, malodorous (fishy
smelling) vaginal discharge that sticks to the vaginal walls.
C Infections with Trichomonas are frequently asymptomatic. Symptoms in females
may include dysuria, vaginal itching, burning, and a frothy, yellowish-green,
foul-smelling discharge.
D Many people with chlamydial infection have few or no symptoms. Urethritis
with dysuria, urinary frequency, or mucopurulent discharge may indicate
chlamydial infection.
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