MRCPI Part 2 Written – Vaginal Infections

1. A 27 year old G1 P0 has come for surgical Termination of pregnancy at 11 weeks, it is noted during the procedure the vaginal wall has thin, white, homogenous discharge, coating the walls of the vagina and offensive fishy smell, she didn’t mention having any itch or symptoms, most likely she has :

2. You have met Aoife who has been referred to the Gynae clinic with history of vaginal itching and discharge, apart from a history of late 2nd trimester miscarriage she has no other significant history.
HVS showed the presence of Bacterial Vaginosis (BV), what will be the management plan:

3. A woman has been diagnosed with BV, your SHO is asking weather to refer her to the GUM clinic, (genito-urinary) clinic, what will you advise him

4. The GP has called you for advise, he has a 25 years old woman in the clinic, who he treated her with vaginal pessary for the symptoms of vaginal itching, vulval soreness and curdy vaginal discharge but the patient is not keen on taking anything vaginally, the other option would be

5. You have seen a 37 yrs old para 1, who presented with lower abdominal pain and dysuria, she has no nitrates + on urine dipstick. On further history taking she also mentioned having occasional PCB, her smear 2 years ago was normal. She is also c/o mucosy vaginal discharge, you performed an speculum examination which showed: mucopurulent vaginal discharge and induced endocervical bleeding, how will you confirm your suspicious: