A 27-year-old woman comes to the emergency room with a severe “viral syndrome” and the clinician considers acute HIV in the differential diagnosis. Which cluster of clinical manifestations best describes a typical presentation for persons with acute HIV?

Which of the following is the most important risk factor associated with the development of cervical dysplasia leading to cervical cancer?                        

This Criteria/Guideline includes the following:    

The drug of choice for an initial genital herpes episode is:  

A 23-year-old cisgender woman presents with a 5-day history of vaginal itching, burning vulvar discomfort after urination, and a new vaginal discharge. A pelvic examination reveals a thick, white vaginal discharge and an examination of the external genitalia reveals significant vulvar edema and erythema. She has no other medical problems, takes no medications, and reports one prior episode of vulvovaginal candidiasis about three years prior. Which one of the following is the preferred initial step in attempting to make a diagnosis of vulvovaginal candidiasis in a woman with suspected uncomplicated vulvovaginal candidiasis?

A 38-year-old female presents with a complaint of tenderness on one side of her labia which increases with ambulation. She also notes a “lump” on her right labia that has increased in size over the past 48 hours and is very painful. On examination a 4cm tender mass is noted lateral to the labia minora/introitus with surrounding erythema.             This is most likely consistent with a:           

A 42-year-old woman with HIV presents to the clinic with a concern about genital warts. She has noticed them over the past several months and would like to have them removed. She prefers self-treatment, in the privacy of her home. On physical examination, you confirm that she has multiple vulvar warts, each less than 0.5 cm. Which one of the following is an appropriate self-application treatment of vulvar warts for this woman?

Diana Bishop received $60,000 compensation from her employer, the value of her stock in Sept Tours company appreciated by $5,000 during the year (but she did not sell any of the stock). She received payments 0f $30,000 from consulting work to the Consortium. In addition, she received a gift from Phillipe de Clermont valued at $20,000. What is the amount of Diana’s gross income from these items?  

A young adult female presents with a history of vaginal itching and heavy white discharge. The client gives a history of no sexual activity. On exam, the nurse practitioner notes an erythematous vulva with white patches on the vaginal walls. There is no odor to the discharge. The nurse practitioner would expect what factors in the client history?

MRI guided biopsy is routinely used for lesions that could not be identified on other imaging modalities.