Multiple Choice Questions (MCQ)

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Category: Prometric--->OBGYN
Page: 5

Question 21# Print Question

A 25-year-old healthy female presents with a 1 week history of a thin, mildly odorous vaginal discharge accompanied by mild vaginal itching. Physical examination is normal except for a thin, homogeneous discharge, with no significant cervical or vaginal inflammation. A wet-mount preparation of the discharge reveals numerous epithelial cells coated with small non-motile organisms. A KOH preparation is negative but has a “fishy” odor.

Which one of the following is correct regarding this patient’s condition? 

A. Failure to treat the male partner may result in urethritis or prostatitis
B. Symptomatic relief of the infection frequently requires several courses of treatment in patients taking oral contraceptives
C. The infection should be reported to local health authorities for contact tracking
D. This infection can be treated with oral or vaginal clindamycin (Cleocin)

Question 22# Print Question

A 28-year-old female presents for evaluation of a persistent thin discharge, with a “fishy” odor particularly noticeable after intercourse. She has no dyspareunia or dysuria, is in a monogamous relationship, and has used oral contraceptives for many years. Physical examination reveals no vulvar, vaginal, or cervical erythema. There is a homogeneous white discharge that coats the vaginal walls. The vaginal pH is 7.0 and on microscopy you note stippled epithelial cells but no hyphae or trichomonads. She insists on treating this infection.

Which one of the following is true regarding this patient?

A. The treatment of choice may interact with alcohol
B. The patient’s partner needs to be treated simultaneously
C. The diagnosis should be confirmed with a culture
D. Oral contraceptives contribute to the risk for this condition
E. Gram's stain of vaginal discharge should be ordered before starting the treatment

Question 23# Print Question

A 30-year-old black female presents with a vaginal discharge. On examination the discharge is homogeneous with a pH of 5.5, a positive whiff test, and many clue cells.

Which one of the following findings in this patient is most specific for the diagnosis of bacterial vaginosis?

A. The pH of the discharge
B. The presence of clue cells
C. The character of the discharge
D. The Whiff test
E. Age of patient

Question 24# Print Question

A G3P2 at 23 weeks gestation develops pain in her flank, fever and chills. A positive urinalysis (presence of nitrites and white blood cells) confirms the diagnosis of which one of the following?

A. Pyelonephritis
C. Cystitis
D. Back pain
E. Cervicitis

Question 25# Print Question

A 39-year-old black multigravida at 36 weeks gestation presents with a temperature of 40.0°C (104.0°F), chills, backache and vomiting. On physical examination, the uterus is noted to be nontender. There is slight bilateral costovertebral angle tenderness. A urinalysis reveals many leukocytes, some in clumps, as well as numerous bacteria.

Of the following, the most appropriate therapy at this time would be:

A. Oral trimethoprim/sulfamethoxazole
B. Oral nitrofurantoin
C. Oral levofloxacin
D. Intravenous doxycycline
E. Intravenous ceftriaxone

Category: Prometric--->OBGYN
Page: 5 of 5