1. From the descriptions below, identify the most likely pathogen/diagnosis. Each option may be used once, more than once or not at all.

Possible Answers

For each of the questions below, select the answer which is most appropriate. Each option can be used once, more than once or not at all.

a.) ‘Cottage cheese’ discharge with vulval irritation and itching.

Choose from one of the following answersA Bacterial vaginosisB CandidiasisC ChlamydiaD EndometritisE Genital herpesF Genital wartsG GonorrhoeaH Group B streptococcusI LactobacilliJ Physiological dischargeK TrichomoniasisL Treponema pallidum

b.) Malodorous vaginal discharge. Microscopy of a HVS identifies the presence of ‘clue cells’.

Choose from one of the following answersA Bacterial vaginosisB CandidiasisC ChlamydiaD EndometritisE Genital herpesF Genital wartsG GonorrhoeaH Group B streptococcusI LactobacilliJ Physiological dischargeK TrichomoniasisL Treponema pallidum

c.) Urethritis, conjunctivitis and arthritis.

Choose from one of the following answersA Bacterial vaginosisB CandidiasisC ChlamydiaD EndometritisE Genital herpesF Genital wartsG GonorrhoeaH Group B streptococcusI LactobacilliJ Physiological dischargeK TrichomoniasisL Treponema pallidum

d.) Increased vaginal discharge and deep dyspareunia. HVS reveals Gram-negative diplococci.

Choose from one of the following answersA Bacterial vaginosisB CandidiasisC ChlamydiaD EndometritisE Genital herpesF Genital wartsG GonorrhoeaH Group B streptococcusI LactobacilliJ Physiological dischargeK TrichomoniasisL Treponema pallidum

e.) Multiple tiny flat patches on the skin of the vulva. There is a previous history of abnormal smears and colposcopic treatment.

Choose from one of the following answersA Bacterial vaginosisB CandidiasisC ChlamydiaD EndometritisE Genital herpesF Genital wartsG GonorrhoeaH Group B streptococcusI LactobacilliJ Physiological dischargeK TrichomoniasisL Treponema pallidum

f.) A woman presents with acute retention of urine. On closer examination, there are multiple small painful vescicles and ulcers around the introitus.

Choose from one of the following answersA Bacterial vaginosisB CandidiasisC ChlamydiaD EndometritisE Genital herpesF Genital wartsG GonorrhoeaH Group B streptococcusI LactobacilliJ Physiological dischargeK TrichomoniasisL Treponema pallidum

g.) Solitary painless vulval ulcer followed weeks later by rash, influenza-like symptoms and warty genital growth.

Choose from one of the following answersA Bacterial vaginosisB CandidiasisC ChlamydiaD EndometritisE Genital herpesF Genital wartsG GonorrhoeaH Group B streptococcusI LactobacilliJ Physiological dischargeK TrichomoniasisL Treponema pallidum

h.) Offensive grey-green discharge, vulval irritation and superficial dyspareunia. On examination, the cervix has a ‘strawberry’ appearance.

Choose from one of the following answersA Bacterial vaginosisB CandidiasisC ChlamydiaD EndometritisE Genital herpesF Genital wartsG GonorrhoeaH Group B streptococcusI LactobacilliJ Physiological dischargeK TrichomoniasisL Treponema pallidum