skip to main content

Bacterial vaginosis — DRCOG MCQ

Instant feedback + full explanation. One question, done properly.

EasyGynaecologyBacterial vaginosisDRCOG

A 19-year-old woman has malodorous discharge, clue cells and vaginal pH above 4.5. What is the most likely diagnosis?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: E — Bacterial vaginosis

Bacterial vaginosis is the best answer because the vignette is testing Bacterial vaginosis and the recommended approach is consistent with BASHH guideline. The other diagnoses do not explain the combination of timing, examination findings and investigation results as well as the correct diagnosis. Specifically, Adenomyosis; Ovarian cancer; Pelvic inflammatory disease; Postpartum endometritis would be suboptimal in this scenario. The key discriminator is the pattern across symptoms, examination and timing, not a single isolated symptom.

Reference: BASHH guideline