This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Infections of the genital tract, Subject name: Gynaecology & Obstetrics
Gonococcal vaginitis occur in : 
Select and explain. 
A. Adults women, B. prepubeal girls, C. Infants, D. post menopausal women
B: prepubeal girls
Answer: B: prepubeal girls 
Explanation: Premenarchal girls are vulnerable to vaginal infection due to : Very low circulatory estrogen leading to Lack of stratification of vaginal epithelium Lack of glycogen and doderlein&;s bacillus Alkaline vaginal PH Ref: D.C.DUTTA&;S TEXTBOOKOF GYNECOLOGY; 6th edition; Pg no:544