Vaginal discharge — DRCOG MCQ

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HardGynaecologyVaginal dischargeDRCOG

A 52-year-old woman has recurrent discharge after recent new partner and pelvic discomfort. What is the most appropriate investigation?

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Correct answer: D — Vulvovaginal and chlamydia/gonorrhoea swabs

Vulvovaginal and chlamydia/gonorrhoea swabs is the best answer because the vignette is testing Vaginal discharge and the recommended approach is consistent with BASHH guideline. The other tests may be useful in different pathways, but they would not be the most direct first investigation for this presentation. Specifically, Urine pregnancy test; High vaginal swab; Serum hCG repeated after 48 hours; Cardiotocography would be suboptimal in this scenario. The first investigation should answer the immediate clinical question and follow the relevant UK pathway.

Reference: BASHH guideline