A 20-year-old female college student walks into the clinic complaining of vaginal itching, a thin white discharge, and a fishy vaginal odor. She also reports burning on urination. She is sexually active with more than one sexual partner, and is not consistent in using condoms. She also douches regularly. Microscopic examination of her vaginal fluid shows clue cells, a pH of >4.5, and a fishy odor after addition of 10% KOH (i.e., the whiff test). What is the most likely cause of her vaginitis?

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The material on the PANCE and PANRE is organized by the NCCPA into two dimensions, as indicated in the content blueprint for the examination. - Organ systems and the diseases, disorders and medical assessments physician assistants encounter within those systems; and - The knowledge and skills physician assistants should exhibit when confronted with those diseases, disorders and assessments. Medical Content Categories % Allocation: Cardiovascular System 13% Dermatologic System 5% Endocrine System 7% Eyes, Ears, Nose, and Throat 7% Gastrointestinal System/Nutrition 9% Genitourinary... Show more

A 20-year-old female college student walks into the clinic complaining of vaginal itching, a thin white discharge, and a fishy vaginal odor. She also reports burning on urination. She is sexually active with more than one sexual partner, and is not consistent in using condoms. She also douches regularly. Microscopic examination of her vaginal fluid shows clue cells, a pH of >4.5, and a fishy odor after addition of 10% KOH (i.e., the whiff test). What is the most likely cause of her vaginitis?