2024 VAGINAL DISCHARGE EXAM
WITH CORRECT ANSWERS
What are the three MCC Vulvovaginal causes of D/C - CORRECT-ANSWERSBV
Trichmoniasis
Candidiasis
What are three main Upper Genital Causes of D/C - CORRECT-
ANSWERSCervicitis
PID
Tubo-ovarian abscess
What is the main workup for vaginal discharge - CORRECT-ANSWERSPelvic
Exam
Cervical Swabs
KOH/Wetmount prep
hCG if repro age with pelvic pain
Whiff Test
Vaginal pH
What features in the history distinguish vulvovaginal causes of discharge? -
CORRECT-ANSWERSThe Discharge itself
BV - thin grey white
Candida - thick/white curdlike + very red and itching vagina
Trichomonas - STD Hx! Reinfection possible! Yellowish green and frothy
discharge
When to start thinking of Upper Genital Causes? - CORRECT-
ANSWERSAbdomminal Tenderness/Mass
Pelvic Pain
Fever
Bloody Discharge
What are signs to think of Tuboovarian Abscess or TOA? - CORRECT-
ANSWERSPID Hx not responsive to Tx
Adnexal mass
Pain, Fever, Discharge
NEED US and Exam and CBC/ESR
What are key HPC points to consider? - CORRECT-ANSWERSAge of the Px
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