American Board of Internal Medicine (ABIM) Certification Practice Exam

For successfully managing patients with recurrent vulvovaginal candidiasis, what is typically considered?

1. Short-term antifungal treatment

2. Dietary changes

3. No treatment required

4. Extended antifungal course

The correct answer is: Extended antifungal course

In managing patients with recurrent vulvovaginal candidiasis, an extended antifungal course is often the most effective strategy. Recurring infections can be distressing and may not respond adequately to short-term therapies. An extended course of antifungal medication helps to ensure complete eradication of the infection and reduces the likelihood of further episodes. This approach caters to the need for a consistent and sustained treatment regimen that targets the overgrowth of Candida species in the vaginal environment. The goal is not only to treat the existing infection but also to prevent future recurrences, which can greatly enhance the quality of life for those affected. Other options, such as short-term antifungal treatment, may provide temporary relief but are often insufficient in preventing future episodes. Dietary changes alone lack evidence as a standalone treatment, and ignoring the problem with no treatment is generally not advisable given the chronic nature often seen in recurrent cases. Implementing an extended antifungal course aligns with clinical guidelines aimed at addressing the multifaceted nature of recurrent vulvovaginal candidiasis effectively.