This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Gynaecology & Obstetrics
[{'content': 'A 34 weeks pregnant female presented with intense itching over vulvar area and a white, cheesy vaginal discharge. On examination, vulvar erythema is noted. Which among the following is the causative organism in this patient? \nSelect and explain. \nA. Epidermophyton, B. Aspergillus, C. Candida albicans, D. Tinea', 'role': 'user'}, {'content': 'Answer: C \nExplanation: Candida albicans, the most common Candida species, causes symptomatic vulvovaginitis in approximately 90% of the cases. Clinical infection is associated with a systemic disorder (diabetes mellitus, HIV, obesity), pregnancy, medication (antibiotics, coicosteroids, oral contraceptives), and chronic debilitation. Vulvovaginal candidiasis presents with intense vulvar pruritus; a white, cheesy vaginal discharge; and vulvar erythema. A burning sensation may follow urination, paicularly if there is excoriation of the skin from scratching. The current medical treatment of candidal infection is by imidazoles. Ref: Bornstein J. (2013). Chapter 39. Benign Disorders of the Vulva & Vagina. In A.H. DeCherney, L. Nathan, N. Laufer, A.S. Roman (Eds), CURRENT Diagnosis & Treatment: Obstetrics & Gynecology, 11e.', 'role': 'assistant'}]