Posted on June 14, 2011 by Archer USMLE Reviews
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 | 4 Comments »
Posted on June 14, 2011 by Archer USMLE Reviews
Q182) A 65 year old woman presents with a white plaque on her vulva. She has no other hypo-pigmented lesions on her body. She reports history of repeated itching in the area for past several years. She has seen by her gynecologist in the past. Repeated evaluation did not reveal any infection or candidiasis. She says the lesion has not changed in appearance but the itching bothers her. She denies any vaginal bleeding. Physical examination reveals a raised white colored plaque on the vulva. There are excoriations adjacent to and overlying the lesion. Most likely diagnosis:
A) Lichen Sclerosus
B) Lichen Simplex Chronicus
C) Lichen planus
D) Vulvar Cancer
E) Vitiligo
Filed under: Uncategorized, USMLE Test Prep | Tagged: Archer Gynecology, USMLE STEP 3 DERMATOLOGY, usmle step 3 dermatology images, USMLE Step 3 question bank, usmle step 3 questions, Vulvar Lesions, vulvar white plaque | 3 Comments »
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