1 Week Of Thin in Obstetrics & Gynecology — 30yo Woman | General Gynecology | SMLE Q#17275

SMLE Question #17275

Obstetrics & Gynecology General Gynecology

Objective: OBJ-ETH-STERIL

Last updated: February 2026
A 30-year-old woman presents to an outpatient gynecology clinic with 1 week of thin, gray vaginal discharge with a fishy odor. She is sexually active with one male partner and uses condoms inconsistently. She denies vulvar itching, dysuria, and dyspareunia. Pelvic examination shows homogeneous gray-white discharge coating the vaginal walls without erythema or vulvar lesions. Saline wet mount microscopy shows vaginal epithelial cells densely coated with bacteria. What is the most likely diagnosis?

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