Women's Health (Exam Practice questions) Answered 100% correctly| Latest 2026

Women's Health (Exam Practice questions) Answered 100% correctly| Latest 2026 VAGINITIS DIAGNOSIS AND TREATMENT Organism Discharge Odor Microscopy pH Treatment Bacterial vaginosis Thin, gray, homogeneous Fishy with positive "whif test" Clue cells 4.5 Metronidazole 500 mg BID × 7 days or clindamycin 300 mg BID × 7 days or topical metronidazole 1 applicatorful intravaginally daily × 5 days (lower success rate) Candida Adherent, white, "cottage cheese" like Neutral Pseudohyphae but only 65-85% sensitive 4.5 Fluconazole oral, topical clotrimazole, miconazole, etc. Trichomonas Copious yellow, gray, green, foamy. Friable "strawberry" cervix Malodorous Trichomonads 4.5 Metronidazole 2 g PO once (recommended), or 500 mg BID × 7 days (alternative) HELPFUL TIP: The most recent evidence points to insulin resistance as the underlying cause of PCOS, and these patients may have acanthosis nigricans. Insulin resistance can be quantified by calculating the ratio of fasting glucose to insulin. A ratio of less than 4.5 indicates insulin resistance. Insulin resistance stimulates ovarian androgen production, which leads to anovulation. HELPFUL TIP: As with other STIs, a patient with Trichomonas should have her partner tested and treated (or just treated depending whether or not this is allowable under your state law). HELPFUL TIP: While it makes sense that single-dose azithromycin would work better in treating Chlamydial cervicitis because of compliance issues, the cure rate is the same whether azithromycin or the doxycycline is used. There is about a 3% failure rate with azithromycin which isn't seen with doxycycline. HELPFUL TIP: For hirsutism associated with PCOS, spironolactone is usually first-line therapy unless the patient has a contraindication; traditional hair removal techniques will still be required for the existing hair growth. Since spironolactone can result in feminization of a male fetus, patients taking spironolactone must be using reliable birth control. HELPFUL TIP: Not all women with PCOS are obese and hirsute. Many patients may be thin with sparse body hair and present with menstrual irregularities and fertility concerns. HELPFUL TIP: Initial treatment for lichen sclerosus involves local steroid ointment application. High-potency steroids are initiated and then tapered to the lowest effective potency and frequency that maintain symptom control. Testosterone creams have fallen out of favor due to lesser efficacy and secondary virilization. Vaginal dilators can be used if there is constriction of the vaginal opening causing dyspareunia. Question 1: A 16-year-old female presents with her mother. They don't look happy. Her mother says, "She needs a Pap smear because she's been having sex with a couple of boys—in my house, I will have you know—for a year!" The patient rolls her eyes. Consistent with published guidelines, you recommend: A Pap smear B Gonorrhea and chlamydia testing C Pap smear and gonorrhea and chlamydia testing D Return for a Pap after sexually active for 3 years (age 18 for this patient) E A chastity belt Explanation: The correct answer is "B." It is now recommended to delay cervical cancer screening until age 21, even if the woman has been sexually active. The reasoning: although adolescent females are frequently infected with HPV, they also easily clear these infections, with 95% of