FAU Advanced Health Assessment Practice Test

What is the most visible characteristic of bacterial vaginosis on speculum examination?

1. Thin gray-white discharge

2. Thick cottage cheese-like discharge

3. Pink or red lesions

4. Dense yellow-green discharge

The correct answer is: Thin gray-white discharge

The distinguishing characteristic of bacterial vaginosis observed during a speculum examination is the presence of a thin, gray-white discharge. This type of discharge is typically homogenous and often has a fishy odor, particularly after sexual intercourse or during menstruation. The consistency and color of the discharge are key diagnostic indicators for bacterial vaginosis, differentiating it from other conditions. In contrast, thick, cottage cheese-like discharge is generally associated with a yeast infection, not bacterial vaginosis. Pink or red lesions may indicate other issues such as vaginitis or vulvitis, but they are not characteristic of bacterial vaginosis. Similarly, a dense yellow-green discharge is most commonly associated with trichomoniasis rather than bacterial vaginosis. Therefore, the thin gray-white discharge is the most characteristic feature that clinicians look for during an examination to help confirm the diagnosis of bacterial vaginosis.