Discussion
Clue cells in a vaginal smear are
Answer: B
Correct answer: Epithelial cells studded with adherent coccobacilli
A clue cell is a vaginal squamous epithelial cell whose border is obscured by a dense coating of adherent Gram-variable coccobacilli, chiefly Gram-negative organisms, giving it a granular, stippled edge. It is one of Amsel’s criteria for bacterial vaginosis, alongside a thin homogeneous discharge, a pH above 4.5, and a fishy odour on adding potassium hydroxide. Intracellular diplococci in polymorphs indicate gonorrhoea, and yeasts with pseudohyphae indicate candidiasis.
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