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OBG · Sexual health: trichomoniasis
Sample itemA patient has frothy yellow-green vaginal discharge, vulvar irritation, and punctate cervical erythema. What infection is most likely?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Trichomoniasis
Trichomoniasis is a sexually transmitted protozoal infection causing frothy discharge, irritation, and sometimes strawberry cervix. Sexual partners require treatment to prevent reinfection.
Option by option
A. Vulvovaginal candidiasis
Candidiasis causes thick white discharge and pruritus.
B. Bacterial vaginosis only
Bacterial vaginosis produces thin gray discharge and fishy odor.
C. Trichomoniasis (correct)
Correct. Frothy discharge and punctate cervical erythema are characteristic.
D. Genital herpes
Herpes causes painful vesicles or ulcers.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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