87-year-old woman comes with a 4-month history of vulvar itc

Discussion in 'USMLE Step 2 CK' started by Guest, Jan 6, 2009.

  1. Guest

    Guest Guest

    A previously healthy 87-year-old woman comes to the physician because of a 4-month history of vulvar itching. Examination shows excoriated areas from scratching and a white, thin vulva. The labia minora are absent, and there are small fissures at the introitus. The remainder of the examination shows no abnormalities. Which of the following is the most likely diagnosis?

    A ) Escherichia coli infection

    B ) Lichen sclerosus

    C ) Squamous cell carcinoma

    D ) Trichomoniasis

    E ) Vulvar melanoma

    F ) Vulvar vestibulitis
  2. Guest

    Guest Guest

    B ) Lichen sclerosus

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