A 25 year old woman who was being treated for breast cancer wentto her doctor complaining of a sore mouth and difficultyswallowing. The doctor examines her mouth and found white patcheson the inside as well as on her tongue. The white patches lookedlike cottage cheese or milk curds.

The doctor was able to make his diagnosis based on the physicalexamination, but decided to take a culture and send it to theclinical laboratory for definitive identification.

The Laboratory made a wet mount of the sample and observedclusters of budding yeast cells, and pseudohyphae. Pseudohypahe area series of buds remaining attached to the print cell and appearingas filamentous hypha. The laboratory was able to make a presumptiveidentification of the type of yeast so the doctor could starttreatment. The doctor prescribed a topical imidazole treatment. ThePatient noticed improvement after two weeks.

ANSWER 1-6

1. What was the diagnosis that the doctor could make based on hisobservation?
2. What was the name of the yeast that was identified? (GENUSSPECIES)
3. Where is this yeast normally found?
4. What is the most likely reason this cancer patient got thedisease?
5. What is the drug of choice if the topical treatment did notwork?
6. List the references used to answer these questions.