This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Miscellaneous (Gynae), Subject name: Gynaecology & Obstetrics
Nugent score includes all except - 
Select and explain. 
A. Lactobacillus, B. Gardnerella, C. Mobiluncus, D. Gonococcus
D: Gonococcus
Answer: D: Gonococcus 
Explanation: Ans. is 'd' i.e., Gonococcus Nugent's criteria for diagnosis of bacterial vaginosis* Many use Nugent's criteria to quantify or grade bacteria via Gram stain of vaginal samples.* In brief, Nugent's criteria evaluated 3 types of bacteria via Gram stain : Lactobacillus, Bacteroides/ Gardnerella, and Mobiluncus. They are each graded on a scale of 1-4 (1+ is < 1 cell per field, 2+ is 1-5 cells per field, 3+ is 6-30 cells per field, and 4+ is > 30 cells per field).* In this system, Lactobacillus and Bacteroides / Gardnerella are given scores between 0-4 but Mobiluncus is only graded from 0-2.* Total scores are then calculated and used as follows: 0-3 (Normal), 4-6 (intermediate bacterial count), and 7-10 (bacterial vaginosis).