Vulvovaginal candidiasis — DRCOG MCQ

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

HardGynaecologyVulvovaginal candidiasisDRCOG

A 63-year-old woman has vulval itch, thick white discharge and normal vaginal pH. What is the most appropriate management?

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

Reveal the answer and explanation

Correct answer: D — Treat with an intravaginal or oral azole if suitable

Treat with an intravaginal or oral azole if suitable is the best answer because the vignette is testing Vulvovaginal candidiasis and the recommended approach is consistent with NICE CKS Candida. The other options are less suitable because they either delay time-critical assessment, treat a different presentation, or omit the key safety step. Specifically, Repeat the pregnancy test in one week; Arrange routine GP review after the next period; Arrange routine review in six weeks; Book a non-urgent community midwife appointment would be suboptimal in this scenario. In DRCOG-style primary care questions, the safest answer is usually the step that matches the acuity and gestation rather than symptomatic treatment alone.

Reference: NICE CKS Candida