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Multiple Choice

The presence of which organism in the urine is most closely associated with vaginitis?

Vaginitis is most often linked to a flagellated protozoan called Trichomonas vaginalis. When this organism is found in urine, it points toward trichomoniasis, a common cause of vaginitis, because the parasite infects the vaginal and lower urinary tract and can be detected as motile trophozoites on urine or vaginal specimens. The other findings point to different urinary issues: bacteria that are nitrite-positive with white blood cells indicate a bacterial urinary tract infection, oval fat bodies with protein suggest nephrotic-range proteinuria, and amorphous urates are nonspecific crystals with no direct link to vaginitis.

Vaginitis is most often linked to a flagellated protozoan called Trichomonas vaginalis. When this organism is found in urine, it points toward trichomoniasis, a common cause of vaginitis, because the parasite infects the vaginal and lower urinary tract and can be detected as motile trophozoites on urine or vaginal specimens. The other findings point to different urinary issues: bacteria that are nitrite-positive with white blood cells indicate a bacterial urinary tract infection, oval fat bodies with protein suggest nephrotic-range proteinuria, and amorphous urates are nonspecific crystals with no direct link to vaginitis.