1 Week Of Intense in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#353
SMLE Question #353
Obstetrics & Gynecology
General Gynecology
Last updated: February 2026
A 26-year-old primigravida at 28 weeks’ gestation presents with 1 week of intense vulvar itching and soreness. She reports thick white, clumpy vaginal discharge without malodor. She is otherwise healthy and takes only prenatal vitamins. Pelvic examination shows mild vulvar erythema and adherent clumpy white discharge on the vaginal walls; the cervix is closed and unremarkable. Wet mount microscopy shows budding yeast and pseudohyphae. What is the most appropriate treatment?
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