FRS EXAM 2 PRACTICE PROBLEMS EXAM QUESTIONS AND
ANSWERS
A 16-year-old virginal patient is brought in by her mother because of possible vaginal infections. Which
of the following descriptions is most consistent with normal (physiologic) discharge?
A. Gray-green, frothy
B. Gray-green, thin, and adherent
C. White, curds, cottage cheese-like
D. White, clear, and flocculent - CORRECT ANSWER✅✅✅D
A 24-year-old patient requests treatment for what she believes is a bacterial infection of the vagina.
Which of the following is characteristic of vaginal discharge in cases of bacterial vaginosis?
A. pH<4.5
B. Whitish color
C. Curdy Consistency
D. Fishy odor - CORRECT ANSWER✅✅✅D
A 40-year-old patient has recently been treated for a urinary tract infection with antibiotics. She now
complains of a possible yeast infection. Discharge in cased of vginal candidiasis is characterized by
A. foul odor
B. white cells
C. thin, homogeneous consistency
D. presence of hyphae and buds - CORRECT ANSWER✅✅✅D
A 30-year-old patient is seen for a vaginal discharge that started after she had relation with a new
partner. Which of the following characterizes vaginal trichomoniasis?
,A. Vaginal dryness
B. Motile protozoa on microscopic examination
C. pH of discharge less than 4.5
D. White discharge - CORRECT ANSWER✅✅✅B
A 55-year-old patient has recently developed vaginal irritation. Her last menstrual period was 9 months
ago. Which of the following is characteristic of atrophic vaginitis?
A. Vaginal dryness
B. Thickened vaginal epithelium
C. Increased circulation estrogen levels
D. pH of vagina less than 4.5 - CORRECT ANSWER✅✅✅A
The normal pH of vaginal secretions in a reproductive-age woman is
A. 8.0-9.0
B. 5.0-6.0
C. 3.5-4.5
D. 6.5-7.5 - CORRECT ANSWER✅✅✅C
What is the difference in the normal pH of the vagina before and after menopause?
A. Varies depending on the phase of the premenopausal cycle
B. Same in pre-and postmenopausal patient
C. Higher in postmenopausal patient
D. Higher in premenopausal patient - CORRECT ANSWER✅✅✅C
A 38-year-old patient request treatment of a yeast infection but declines an examination because she is
on her period. The most common symptom associated with vulvovaginal candidiasis is
,A. Pruritus
B. Pain
C. Fever
D. fishy smelling discharge - CORRECT ANSWER✅✅✅A
A 38-year-old patient requests evaluation of a fishy-smelling discharge. Which of the following is a
criterion for the diagnosis of bacterial vaginosis?
A. pH less than 4.5
B. Negative "whiff" test
C. Cottage cheese-like discharge
D. Presence of clue cells - CORRECT ANSWER✅✅✅D
A 25-year-old patient complains of vaginal discharge that is white and curdy in appearance. What is the
appropriate method to establish the diagnosis?
A. Odor of the discharge
B. Microscopic examination of the discharge
C. Constellation of symptoms
D. The amount of discharge - CORRECT ANSWER✅✅✅B
What is the normal ratio of anaerobic to aerobic bacteria in the vagina?
A. 1 to 1
B. 1 to 5
C. 5 to 1
D. 10 to 1 - CORRECT ANSWER✅✅✅C
, A 21-year-old patient complains of a vaginal discharge but is also concerned about pelvic inflammatory
disease (PID.) Which type of vaginitis is associated with PID?
A. Vaginal candidiasis
B. Atrophic vaginitis
C. Desquamative inflammatory vaginitis
D. Trichomonas vulvovaginitis - CORRECT ANSWER✅✅✅D
Which of the following best describes a "clue cell"?
A. Clumped white blood cells
B. Vaginal epithelial cells with adherent bacteria
C. Immature vaginal epithelial cells
D. Keratinized vaginal epithelial cells with adherent white blood cells - CORRECT ANSWER✅✅✅B
Which of the following is treatment of sexual partners recommended?
A. Bacterial vaginosis
B. Trichomonas vaginitis
C. Vulvovaginal candidiasis
D. Atrophic vaginitis - CORRECT ANSWER✅✅✅B
A 29-year-old patient is undergoing evaluation for a symptomatic discharge. Which of the following
characterizes the microscopic appearance of Trichomonas?
A. Pseudohyphae
B. Bacillus
C. Flagellate protozoan
D. Ground-glass cytoplasm - CORRECT ANSWER✅✅✅C
ANSWERS
A 16-year-old virginal patient is brought in by her mother because of possible vaginal infections. Which
of the following descriptions is most consistent with normal (physiologic) discharge?
A. Gray-green, frothy
B. Gray-green, thin, and adherent
C. White, curds, cottage cheese-like
D. White, clear, and flocculent - CORRECT ANSWER✅✅✅D
A 24-year-old patient requests treatment for what she believes is a bacterial infection of the vagina.
Which of the following is characteristic of vaginal discharge in cases of bacterial vaginosis?
A. pH<4.5
B. Whitish color
C. Curdy Consistency
D. Fishy odor - CORRECT ANSWER✅✅✅D
A 40-year-old patient has recently been treated for a urinary tract infection with antibiotics. She now
complains of a possible yeast infection. Discharge in cased of vginal candidiasis is characterized by
A. foul odor
B. white cells
C. thin, homogeneous consistency
D. presence of hyphae and buds - CORRECT ANSWER✅✅✅D
A 30-year-old patient is seen for a vaginal discharge that started after she had relation with a new
partner. Which of the following characterizes vaginal trichomoniasis?
,A. Vaginal dryness
B. Motile protozoa on microscopic examination
C. pH of discharge less than 4.5
D. White discharge - CORRECT ANSWER✅✅✅B
A 55-year-old patient has recently developed vaginal irritation. Her last menstrual period was 9 months
ago. Which of the following is characteristic of atrophic vaginitis?
A. Vaginal dryness
B. Thickened vaginal epithelium
C. Increased circulation estrogen levels
D. pH of vagina less than 4.5 - CORRECT ANSWER✅✅✅A
The normal pH of vaginal secretions in a reproductive-age woman is
A. 8.0-9.0
B. 5.0-6.0
C. 3.5-4.5
D. 6.5-7.5 - CORRECT ANSWER✅✅✅C
What is the difference in the normal pH of the vagina before and after menopause?
A. Varies depending on the phase of the premenopausal cycle
B. Same in pre-and postmenopausal patient
C. Higher in postmenopausal patient
D. Higher in premenopausal patient - CORRECT ANSWER✅✅✅C
A 38-year-old patient request treatment of a yeast infection but declines an examination because she is
on her period. The most common symptom associated with vulvovaginal candidiasis is
,A. Pruritus
B. Pain
C. Fever
D. fishy smelling discharge - CORRECT ANSWER✅✅✅A
A 38-year-old patient requests evaluation of a fishy-smelling discharge. Which of the following is a
criterion for the diagnosis of bacterial vaginosis?
A. pH less than 4.5
B. Negative "whiff" test
C. Cottage cheese-like discharge
D. Presence of clue cells - CORRECT ANSWER✅✅✅D
A 25-year-old patient complains of vaginal discharge that is white and curdy in appearance. What is the
appropriate method to establish the diagnosis?
A. Odor of the discharge
B. Microscopic examination of the discharge
C. Constellation of symptoms
D. The amount of discharge - CORRECT ANSWER✅✅✅B
What is the normal ratio of anaerobic to aerobic bacteria in the vagina?
A. 1 to 1
B. 1 to 5
C. 5 to 1
D. 10 to 1 - CORRECT ANSWER✅✅✅C
, A 21-year-old patient complains of a vaginal discharge but is also concerned about pelvic inflammatory
disease (PID.) Which type of vaginitis is associated with PID?
A. Vaginal candidiasis
B. Atrophic vaginitis
C. Desquamative inflammatory vaginitis
D. Trichomonas vulvovaginitis - CORRECT ANSWER✅✅✅D
Which of the following best describes a "clue cell"?
A. Clumped white blood cells
B. Vaginal epithelial cells with adherent bacteria
C. Immature vaginal epithelial cells
D. Keratinized vaginal epithelial cells with adherent white blood cells - CORRECT ANSWER✅✅✅B
Which of the following is treatment of sexual partners recommended?
A. Bacterial vaginosis
B. Trichomonas vaginitis
C. Vulvovaginal candidiasis
D. Atrophic vaginitis - CORRECT ANSWER✅✅✅B
A 29-year-old patient is undergoing evaluation for a symptomatic discharge. Which of the following
characterizes the microscopic appearance of Trichomonas?
A. Pseudohyphae
B. Bacillus
C. Flagellate protozoan
D. Ground-glass cytoplasm - CORRECT ANSWER✅✅✅C
