NR602 WEEK 7 i-HUMAN CASE FINAL DIAGNOSIS – INFECTIOUS
VULVOVAGINITIS – CHAMBERLAIN UNIVERSITY ACTUAL EXAM
Complete Case Study Analysis – Correct Diagnosis & Rationales –
Pass Guaranteed - A+ Graded
Gathering the History: Focused Assessment & Symptom Analysis
Q1: You are the FNP student working through your i-Human case. Maya Johnson, a
28-year-old G2P1, presents with a 5-day history of vaginal itching and irritation. She
describes a thin, gray discharge with a noticeable odor that worsens after intercourse.
Which component of the OLDCARTS history is most critical to clarify first?
A. Detailed family history of gynecologic cancers
B. Characterization of the odor and any recent changes in sexual partners
C. Complete review of systems including cardiovascular symptoms
D. History of childhood illnesses and vaccination records
Correct Answer: B
Rationale: The best answer is B. Characterizing the discharge and understanding recent
sexual history directly guides your differential toward BV versus other causes, which is
exactly what the i-Human case expects you to prioritize.
Q2: Which medication class is most commonly associated with precipitating
vulvovaginal candidiasis by altering normal vaginal flora?
A. Nonsteroidal anti-inflammatory drugs
B. Broad-spectrum antibiotics
C. Antihistamines
D. Proton pump inhibitors
Correct Answer: B
Rationale: The best answer is B. Antibiotics suppress protective lactobacilli, allowing
Candida to overgrow—this is a classic clinical scenario you'll see repeatedly in primary
care.
, Q3: When obtaining a sexual history from a patient presenting with vulvovaginitis
symptoms, which information is most essential for guiding STI testing and partner
notification?
A. Number of partners in the past 3 months and consistency of condom use
B. Age at menarche and cycle regularity
C. History of infertility evaluation
D. Patient's stated sexual orientation without further discussion
Correct Answer: A
Rationale: The best answer is A. Recent partner history and barrier use directly
determine your STI testing panel and whether partner treatment is needed.
Q4: Which symptom is most characteristic of trichomoniasis on presentation?
A. Frothy yellow-green vaginal discharge
B. Thin gray discharge with fishy odor
C. Thick white curdy discharge
D. Scant clear mucoid discharge without irritation
Correct Answer: A
Rationale: The best answer is A. Frothy yellow-green discharge is the classic
presentation for trichomoniasis, distinguishing it from BV and yeast.
Q5: During your history, a patient mentions she has had four yeast infections in the past
10 months, each confirmed by her previous provider. Which next historical question is
most important?
A. "Have you ever been checked for diabetes or problems with blood sugar?"
B. "Do you prefer cotton or synthetic underwear?"
C. "Have you tried any over-the-counter antihistamines?"
D. "What brand of soap do you use for laundry?"
Correct Answer: A
Rationale: The best answer is A. Recurrent candidiasis is often the first clue to
undiagnosed diabetes or immunosuppression, so checking glucose history is essential.
Q6: Which of the following hygiene practices is most strongly associated with an
increased risk of bacterial vaginosis?
A. Routine vaginal douching with commercial cleansers
B. Wiping front to back after bowel movements
C. Using unscented soap for external vulvar cleansing only
D. Changing pads every 4 hours during menses
VULVOVAGINITIS – CHAMBERLAIN UNIVERSITY ACTUAL EXAM
Complete Case Study Analysis – Correct Diagnosis & Rationales –
Pass Guaranteed - A+ Graded
Gathering the History: Focused Assessment & Symptom Analysis
Q1: You are the FNP student working through your i-Human case. Maya Johnson, a
28-year-old G2P1, presents with a 5-day history of vaginal itching and irritation. She
describes a thin, gray discharge with a noticeable odor that worsens after intercourse.
Which component of the OLDCARTS history is most critical to clarify first?
A. Detailed family history of gynecologic cancers
B. Characterization of the odor and any recent changes in sexual partners
C. Complete review of systems including cardiovascular symptoms
D. History of childhood illnesses and vaccination records
Correct Answer: B
Rationale: The best answer is B. Characterizing the discharge and understanding recent
sexual history directly guides your differential toward BV versus other causes, which is
exactly what the i-Human case expects you to prioritize.
Q2: Which medication class is most commonly associated with precipitating
vulvovaginal candidiasis by altering normal vaginal flora?
A. Nonsteroidal anti-inflammatory drugs
B. Broad-spectrum antibiotics
C. Antihistamines
D. Proton pump inhibitors
Correct Answer: B
Rationale: The best answer is B. Antibiotics suppress protective lactobacilli, allowing
Candida to overgrow—this is a classic clinical scenario you'll see repeatedly in primary
care.
, Q3: When obtaining a sexual history from a patient presenting with vulvovaginitis
symptoms, which information is most essential for guiding STI testing and partner
notification?
A. Number of partners in the past 3 months and consistency of condom use
B. Age at menarche and cycle regularity
C. History of infertility evaluation
D. Patient's stated sexual orientation without further discussion
Correct Answer: A
Rationale: The best answer is A. Recent partner history and barrier use directly
determine your STI testing panel and whether partner treatment is needed.
Q4: Which symptom is most characteristic of trichomoniasis on presentation?
A. Frothy yellow-green vaginal discharge
B. Thin gray discharge with fishy odor
C. Thick white curdy discharge
D. Scant clear mucoid discharge without irritation
Correct Answer: A
Rationale: The best answer is A. Frothy yellow-green discharge is the classic
presentation for trichomoniasis, distinguishing it from BV and yeast.
Q5: During your history, a patient mentions she has had four yeast infections in the past
10 months, each confirmed by her previous provider. Which next historical question is
most important?
A. "Have you ever been checked for diabetes or problems with blood sugar?"
B. "Do you prefer cotton or synthetic underwear?"
C. "Have you tried any over-the-counter antihistamines?"
D. "What brand of soap do you use for laundry?"
Correct Answer: A
Rationale: The best answer is A. Recurrent candidiasis is often the first clue to
undiagnosed diabetes or immunosuppression, so checking glucose history is essential.
Q6: Which of the following hygiene practices is most strongly associated with an
increased risk of bacterial vaginosis?
A. Routine vaginal douching with commercial cleansers
B. Wiping front to back after bowel movements
C. Using unscented soap for external vulvar cleansing only
D. Changing pads every 4 hours during menses
