USMLE-Rx Step 2 Qmax Challenge #21118

Check out today’s Step 2 CK Qmax Question Challenge.

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USMLE-Rx Step 2 Qmax Challenge #21118An 18-year-old G2P2 woman presents to her gynecologist’s office complaining of several days of vaginal itching and discomfort on urination. She denies any recent fever, back pain, hematuria, or vaginal bleeding. She has been sexually active with one partner and uses barrier protection “most of the time.” A urine ?-human chorionic gonadotropin screen is negative. On examination she has a moderate amount of grey-green discharge. Results of phase contrast wet mount microscopy are shown in the image.

Which of the following is the most effective oral pharmacotherapy for this disorder?

A. Azithromycin
B. Fluconazole
C. Metronidazole
D. Penicillin
E. Vancomycin


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6 thoughts on “USMLE-Rx Step 2 Qmax Challenge #21118”

  1. C)
    Azole group drugs are first line drugs for Trichomoniasis.

    NOTE:-Make sure to treat the partner too.

    Other drugs include:-
    QUINIODOCHLOR which can be used transvaginally.

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