Sexual health: bacterial vaginosis: practice question

A OBG question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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OBG · Sexual health: bacterial vaginosis

Sample item

A patient has thin homogeneous gray discharge with fishy odor and clue cells on microscopy. What is the diagnosis?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

A. Bacterial vaginosis

Bacterial vaginosis is a vaginal microbiome imbalance characterized by thin discharge, amine odor, raised pH, and clue cells. It is not a classic inflammatory vaginitis.

Option by option

  • A. Bacterial vaginosis (correct)

    Correct. Clue cells and fishy odor are diagnostic hallmarks.

  • B. Chancroid

    Chancroid causes painful genital ulcers.

  • C. Candida vaginitis

    Candida causes thick white discharge and usually normal vaginal pH.

  • D. Trichomoniasis

    Trichomoniasis produces frothy discharge and motile organisms on microscopy.

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.

More OBG questions

Questions about this OBG question

What is the answer to this OBG question?

The best answer is A, Bacterial vaginosis. Bacterial vaginosis is a vaginal microbiome imbalance characterized by thin discharge, amine odor, raised pH, and clue cells.

Why is "Chancroid" not the answer?

Chancroid causes painful genital ulcers.

Why is "Candida vaginitis" not the answer?

Candida causes thick white discharge and usually normal vaginal pH.

Why is "Trichomoniasis" not the answer?

Trichomoniasis produces frothy discharge and motile organisms on microscopy.

What concept does this question test?

It tests Sexual health: bacterial vaginosis in OBG. It is not a classic inflammatory vaginitis.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Sexual health: bacterial vaginosis?

Learn management algorithms as steps: PPH, eclampsia, ectopic pregnancy. Then use the flashcards and the other OBG questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.