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MMLU / A 19-year-old college student comes to the physician because of vaginal…

Problem

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question

A 19-year-old college student comes to the physician because of vaginal irritation and pain with urination for 5 days. Two weeks ago, she had streptococcal pharyngitis treated with amoxicillin. She has been sexually active with two partners over the past year; she uses condoms for contraception. Her last menstrual period was 1 week ago. Her temperature is 37.2°C (99°F), and blood pressure is 90/60 mm Hg. Pelvic examination shows erythema of the vulva and vagina and a thick white vaginal discharge. The pH of the discharge is 4. Which of the following is the most likely cause of these findings?

choices

  1. Bacterial vaginosis
  2. Candidiasis
  3. Chlamydia trachomatis infection
  4. Escherichia coli infection

subject

professional_medicine

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