This page is dedicated to organizing various examples of standardized exam questions whose answer is acute cervicitis. While this may seem a odd practice, it is useful to see multiple examples of how DISEASE will be characterized on standardized exams (namely the boards and the shelf exams). This page is not meant to be used as a tradition question bank (as all of the answers will be the same), however seeing the classic “test” characterization for a disease is quite valuable.
Question # 1
A 19 year old female comes tot he clinic because she has been experiencing vaginal pruritus and discharge for the past 4 days. She denies any fever, chills, or abodminla pain. She is monogamous with her male partner, and is using oral contraceptive medications to prevent pregnancy. Her last menstrual period was a week ago. She does not take any medications, and has an unremarkable past medical history. She denies tobacco usage or the usage of alcohol. Her temperature is 98°F, blood pressure is 120/75 mm Hg, and pulse is 70/min. Her pelvic exam shows unremarkable external genitalia. When looking internally with the speculum, the physician notes thick yellow cervical discharge, and the cervix bleeds easily on contact with a cotton swab. The patient denies pain when eh bimanual examination is performed. The remainder of the exam is unremarkable. A urine pregnancy test is negative. Cervical swabs are sent for further testing. In the absence of having these test results, what is the most likely diagnosis in this patient?
Question # 2
A 25 year old woman comes to the clinic with spotting after intercourse. She has also noticed some yellow vaginal discharge. She has been taking oral contraceptive pills of the past 3 years, but does not take any other medications. Her maternal grandmother was diagnosed with cervical cancer at the age of 69. Her BMI is 34 kg/m². A physical exam reveals a soft and contender abdomen. A speculum exam reveals purulent discharge form the cervical os. The cervi is friable. There is no cervical motion tenderness, and the adnexa re contender. Microscopy of the discharge demonstrates abundant neutrophils. What is the likely diagnosis?
Explanation: gonococcal cervicitis
Page Updated: 10.15.2016