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Which one best describes lesions associated with condyloma acuminatum?
a. Verrucifor
b. Plaque-like
c. Vesicular
d. Bullous - ANSWER: a
39yo female has completed course of amox for strep throat. LMP was 2wks ago,
says it was normal. On exam, there's erythema of extern. genitalia w/small amount
of white discharge. Micro wet prep reveals few clue cells, but many budding
hyphae. No WBCs. Which one would be the most appropriate treatment?
a. Metronidazole 500mg BID x7 days
b. OTC hydrocortisone 1% cream TID
c. Fluconazole tabs 150mg x1 dose
d. Erythromycin 500mg TID x10 days - ANSWER: c
Woman c/o vaginal itching, white discharge. She is in good health except for recent
abx for strep throat. Pelvic reveals tender vulvovaginal area w/edema and
nonmalodorous white patches. Which is the most likely cause?
2 | P a g e
a. Bacterial vaginosis
b. Trichomonas
c. Lactobacillus overgrowth
d. Candidiasis - ANSWER: d
18yo female c/o secondary amenorrhea. On exam, there is normal secondary sex
characteristics and normal genitalia. Pregnancy is ruled out. What would
necessitate further eval?
a. Elevated blood cholesterol levels
b. Androgen deficiency
c. Galactorrhea
d. Hirsutism - ANSWER: c
24yo female is dx'd w/primary dysmenorrhea. Which med would be used as firstline to help control symptoms?
a. Antianxiety meds
b. Progesterone-only contraception
c. Oral steroids
d. NSAIDs - ANSWER: d
Primary amenorrhea is best described as:
a. Cessation of menstruation x6mo
3 | P a g e
b. Failure of menstruation to occur by 17ho
c. Failure of menstruation to occur by 13yo
d. Cessation of menstruation x6mo after menarche - ANSWER: c
25yo female c/o vaginal irritation and discharge. On exam, cervix is easily friable
and erythematous. No adnexal tenderness. Wet prep reveals mobile protozoa on NS
slide. This most likely represents:
a. Trichomonas
b. Mucopurulent cervicitis