Archer USMLE Step 3 Blog

183) A 65 year old woman  presents  with a white plaque on her vulva. It is associated with occasional itching. She has no other hypo-pigmented lesions on her body.  She denies any post-coital bleeding. Physical examination reveals a white colored plaque on the vulva. The lesion is atrophic, thin with a crinkled surface and is well-demarcated. There is atrophy of the labia minora. Most appropriate next step in managing this patient?

A) Topical Corticosteroids

B) Fluconazole

C) Vulvar Biopsy

D) HPV testing

E) Topical Testosterone

Filed under: USMLE Test Prep | Tagged: Archer Gynecology, archer usmle step 3, dermatology usmle, dermatology usmle step 3 questions, USMLE STEP 3 DERMATOLOGY, usmle step 3 gynecology, usmle step 3 questions, Vulvar Lesions, vulvar white plaque |