A positive whiff test - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 2 CK Forum

USMLE Step 2 CK Forum USMLE Step 2 CK Discussion Forum: Let's talk about anything related to USMLE Step 2 CK exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 05-19-2010
USMLE Forums Scout
 
Steps History: Step 1 Only
Posts: 62
Threads: 26
Thanked 69 Times in 31 Posts
Reputation: 79
ObGyn A positive whiff test

A 24-year-old woman presents to her primary care physician with a complaint of 1 week of increased vaginal discharge with an unpleasant odor. She is sexually active with one partner and uses oral contraception for birth control. A pregnancy test is negative. Gynecologic examination reveals a pink cervix and a thin white discharge. The discharge has a positive amine “whiff” test and a pH of 6.
Which of the following is the most likely diagnosis?

(A) Bacterial vaginosis
(B) Neisseria gonorrhoeae cervicitis
(C) Trichomonas vaginalis
(D) Vaginal candidiasis
(E) Vulvar candidiasis
Reply With Quote Quick reply to this message
The above post was thanked by:
anoop_1198 (05-21-2010)



  #2  
Old 05-19-2010
USMLE Forums Scout
 
Steps History: Not yet
Posts: 77
Threads: 25
Thanked 108 Times in 29 Posts
Reputation: 118
Default (A) Bacterial vaginosis

it's (A) Bacterial vaginosis
Reply With Quote Quick reply to this message
  #3  
Old 05-20-2010
USMLE Forums Addict
 
Steps History: 1+CK+CS
Posts: 177
Threads: 42
Thanked 126 Times in 63 Posts
Reputation: 146
Default

Yeah bacterial vaginosis. Fishy odor (positive whiff test and alkaline Ph) CLASSIC
Reply With Quote Quick reply to this message
The above post was thanked by:
anoop_1198 (05-21-2010)
 
  #4  
Old 05-20-2010
USMLE Forums Addict
 
Steps History: 1+CK+CS
Posts: 177
Threads: 42
Thanked 126 Times in 63 Posts
Reputation: 146
Default

Amsel criteria for the Dx of bacterial vaginosis:
Thin, white, yellow, homogeneous discharge
Clue cells on microscopy
pH of vaginal fluid >4.5
Release of a fishy odor on adding alkalió10% potassium hydroxide (KOH) solution
Reply With Quote Quick reply to this message
The above post was thanked by:
anoop_1198 (05-21-2010)



Reply

Tags
ObGyn-, Step-2-Questions

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
The difference between Anterior Drawer Test and Lachman Test rasheed USMLE Step 2 CK Bits & Pieces 1 04-09-2011 07:21 AM
Initial Test is the Final Test? Hohepa USMLE Step 2 CK Forum 4 03-23-2010 11:49 AM
An HIV positive woman on HAART Hohepa USMLE Step 2 CK Forum 4 03-09-2010 10:04 PM
False Positive VDRL lateus USMLE Step 1 Mnemonics 1 03-09-2010 10:02 AM
Benedict's Positive Sugars Aditya USMLE Step 1 Forum 2 02-27-2010 12:31 PM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)