Gyrus Daily Questions; Obstetrics & Gynecology #2 - 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 11-04-2012
USMLE Forums Master
 
Steps History: 1+CK+CS
Posts: 720
Threads: 217
Thanked 552 Times in 309 Posts
Reputation: 562
Arrow Gyrus Daily Questions; Obstetrics & Gynecology #2

An 11-year-old girl presents with a 1.5-month history of a persistent white colored vaginal discharge that is watery and odorless. There is no associated pain or pruritis. Examination reveals Tanner stage III breasts and stage II pubic hair. Wet mount is negative for clue cells and yeast. Please select the mostappropriate management:

A Remove the foreign body
B Treat with a course of cefi xime
C Recommend application of Clotrimazole cream
D Observation
E Treat with a course of Mebendazole
Reply With Quote Quick reply to this message
The above post was thanked by:
aknz (11-20-2012)



  #2  
Old 11-04-2012
USMLE Forums Addict
 
Steps History: 1+CK+CS+3
Posts: 170
Threads: 6
Thanked 138 Times in 90 Posts
Reputation: 148
Default

sounds like physiologic leukorrhea
D. Observation
Reply With Quote Quick reply to this message
The above post was thanked by:
cingulate.gyrus (11-04-2012)
  #3  
Old 11-04-2012
USMLE Forums Master
 
Steps History: 1+CK+CS
Posts: 1,867
Threads: 149
Thanked 2,107 Times in 1,049 Posts
Reputation: 2127
Default

D Observation
__________________
A man doesn't know what he knows until he knows what he doesn't know.
“What is man? He's just a collection of chemicals with delusions of grandeur.”
Reply With Quote Quick reply to this message
The above post was thanked by:
cingulate.gyrus (11-04-2012)
 
  #4  
Old 11-04-2012
USMLE Forums Master
 
Steps History: 1+CK+CS
Posts: 720
Threads: 217
Thanked 552 Times in 309 Posts
Reputation: 562
Default

Answer is D Observation.

The discharge described is consistent with normal physiologic discharge secondary to estrogen stimulation. There are no signs or symptoms of a foreign body.
There is no need to treat with Cefixime which is indicated to treat vulvovaginitis associated with organisms susceptible to cephalosporins such as Shigella. Shigella is associated with a persistent and odorless vaginal discharge but it is bloody and often associated with recent bout of diarrhea and ingestion of contaminated food or water.

Clotrimazole is an antifungal that can be applied topically for candidal infections. This patient does not exhibit symptoms or evidence of such an infection.

A single dose of mebendazole is used for pinworms ( Enterobius vermicularis ) which present with symptoms of vulvar and perianal pruritis. This patient does not exhibit these symptoms
Reply With Quote Quick reply to this message
  #5  
Old 11-20-2012
USMLE Forums Guru
 
Steps History: 1+CK+CS
Posts: 387
Threads: 82
Thanked 618 Times in 234 Posts
Reputation: 628
Default

best treatment of Normal physiologic discharge is steroid contraceptive with progesterone to convert the thin watery discharge to thick cervical mucus
Reply With Quote Quick reply to this message
  #6  
Old 11-20-2012
USMLE Forums Guru
 
Steps History: 1+CK+CS
Posts: 387
Threads: 82
Thanked 618 Times in 234 Posts
Reputation: 628
Default

best treatment of Normal physiologic discharge is steroid contraceptive with progesterone to convert the thin watery discharge to thick cervical mucus
Reply With Quote Quick reply to this message
The above post was thanked by:
cingulate.gyrus (11-20-2012), slamdunk (11-20-2012)
  #7  
Old 11-20-2012
USMLE Forums Scout
 
Steps History: ---
Posts: 84
Threads: 2
Thanked 38 Times in 36 Posts
Default

D observation. it is physiological leukorrhea. occurs before the onset of menses secondary to estrogen stimulation. in most cases observation is thebest treatment. also the tanner staging says that she is at the age appropriate for onset of menstruation.
Reply With Quote Quick reply to this message
  #8  
Old 11-20-2012
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 623
Threads: 111
Thanked 424 Times in 264 Posts
Reputation: 434
Default

D Observation
Reply With Quote Quick reply to this message



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
Gyrus Daily Questions; Obstetrics & Gynecology #4 cingulate.gyrus USMLE Step 2 CK Forum 7 11-20-2012 06:01 AM
Gyrus Daily Questions; Obstetrics & Gynecology #8 cingulate.gyrus USMLE Step 2 CK Forum 3 11-05-2012 07:35 AM
Gyrus Daily Questions; Obstetrics & Gynecology #1 cingulate.gyrus USMLE Step 2 CK Forum 4 10-27-2012 10:12 PM
Gynecology without obstetrics? alanine40 IMG Residency Match Forum 1 12-18-2011 08:07 PM
Should I forget about Obstetrics and Gynecology Residency? americandoc IMG Residency Match Forum 0 04-26-2011 07:12 AM

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)