A 27-year-old woman has thin gray vaginal discharge and fishy odor after intercourse. She has no pelvic pain or fever. Vaginal pH is 5.5, whiff test

Question

A 27-year-old woman has thin gray vaginal discharge and fishy odor after intercourse. She has no pelvic pain or fever. Vaginal pH is 5.5, whiff test is positive, and microscopy shows clue cells. Which of the following is the most likely diagnosis?

Accepted Answer

Bacterial vaginosis

Answer

Vulvovaginal candidiasis

Answer

Physiologic discharge

Answer

Trichomoniasis

Answer

Gonorrhea cervicitis

Bacterial vaginosis — USMLE Step 3 MCQ

A 27-year-old woman has thin gray vaginal discharge and fishy odor after intercourse. She has no pelvic pain or fever. Vaginal pH is 5.5, whiff test is positive, and microscopy shows clue cells. Which of the following is the most likely diagnosis?