Vulvovaginal candidiasis Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 28-year-old woman comes to the emergency department reporting six days of severe vaginal burning and itching and a thick white vaginal discharge. She is sexually active with one partner and her menstrual periods are irregular, with the last one occurring eight weeks ago. She does not have abdominal or pelvic pain, fever, or chills. Past medical history is unremarkable. Temperature is 37.0°C (98.6°F), pulse is 86/min, respirations are 18/min, and blood pressure is 128/80 mmHg. Vaginal exam reveals significant edema and erythema of the vulva. A thick white discharge is noted. Laboratory examination reveals a positive urine hCG, and pseudohyphae with budding yeast are seen on KOH testing. Which of the following is the most appropriate treatment?

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Administration of oral fluconazole for three doses

Administration of one dose of oral fluconazole

Administration of one dose of an intravaginal azole

Administration of an intravaginal azole once daily for 7 days

Recommendation to wear cotton underwear