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 31. Vaginal discharge and itching  



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Author5 Posts
  #1

31. A 20 y/o sexually active woman complains of vaginal discharge and itching. She denies fever, dysuria, or abdominal pain. She had similar symptoms 3 weeks ago and was given a vaginal cream for a yeast infection. Her examination is normal except for a copious dark yellow dixcharge. On saline prep, motile oval-shaped organisms are noted. Cervical cultures for Neisseria and chlamydia are sent to the lab. Which of the following is the most appropriate therapy?

A. Azithromycin orally, one dose
B. Clindamycin orally, for 7 days
C. Fluconazole orally, one dose; recommended similar therapy for sexual partners
D. Ketoconazole orally for 7 days
E. Metronidazole orally for 7 days; recommended similar therapy for sexual partners






  #2

E


  #3

e is correct only



dx is trichomoniasis





  #4

E is right


  #5

I thought trichomoniasis was frothy green discharge?





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