2025/2026Graded A+
a 17 year old female patient complains of amenorrhea for the last 8 months, weight gain, excessive hair growth on
the arms and chest, and development of acne. Pelvic examination is normal. The clinician should recognize these
are signs of - ✔✔✔hormonal imbalances
A 22-year-old architecture major comes to your office, complaining of severe burning with urination, a fever of 101
degrees, and aching all over. She denies any upper respiratory, gastrointestinal, cardiac, or pulmonary symptoms.
Her past medical history consists of severe
acne. She is currently on an oral contraceptive. She has had no pregnancies or surgeries. She reports one new
partner within the last month. She does not smoke but does drink occasionally.
Her parents are both in good health. On examination you see a young woman appearing slightly ill. Her
temperature is 100.3 and her pulse and blood pressure are unremarkable. Her head, ears,
eyes, nose, throat, cardiac, pulmonary, and abdominal examinations are unremarkable. Palpation of the inguinal
nodes shows lymphadenopathy bilaterally. On visualization of the perineum there
are more than 10 shallow ulcers along each side of the vulva. Speculum and bimanual ex - ✔✔✔genital herpes
A 24-year-old travel agent comes to your clinic, complaining of pain and swelling in her vulvar area. She states that
2 days earlier she could feel a small tender spot on the left side of her vagina but now it is larger and extremely
tender. Her last period was 1 year ago and she is sexually active. She uses the Depo-Provera shot for
contraception. She denies any nausea, vomiting, constipation, diarrhea, pain with urination, or fever. Her past
medical history is
significant for ankle surgery. Her mother is healthy and her father has type 2 diabetes. On examination she appears
her stated age and is standing up. She states she cannot sit down without excruciating pain. Her blood pressure,
temperature, and pulse are unremarkable. On visualization of her perineum, a large, red, tense swelling is seen to
the left of her introitus. Palpation of the mass causes a great deal of pain. What disorder of the vulva is most likely
- ✔✔✔Bartholin's gland infection
A 30-year-old paralegal analyst comes to your clinic, complaining of a bad-smelling vaginal discharge with some
mild itching, present for about 3 weeks. She tried douching but it did not help. She has had no pain with urination
or with sexual intercourse. She has noticed the smell increased after intercourse and during her period last week.
She denies any upper respiratory, gastrointestinal, cardiac, or pulmonary symptoms. Her past medical history
consists of one
spontaneous vaginal delivery. She is married and has one child. She denies tobacco, alcohol, or drug use. Her
mother has high blood pressure and her father died from a heart disease. On examination she appears healthy and
has unremarkable vital signs. On examination of the perineum there are no lesions noted. On palpation of the
inguinal nodes there is no lymphadenopathy. On speculum examination a thin gray-white discharge is seen in the
vault. The pH of the - ✔✔✔bacterial vaginosis