Page 172 - Demo

Question 3%u2022 A 25-year-old woman presents with lower abdominal pain, fever, and purulent vaginal discharge. On examination, she has cervical motion tenderness. What is the most appropriate outpatient treatment?%u2022 Oral amoxicillin and metronidazole%u2022 IM ceftriaxone and oral doxycycline%u2022 Oral ciprofloxacin and azithromycin%u2022 IM ceftriaxone, oral doxycycline, and oral metronidazole%u2022 IV gentamicin and oral clindamycin%u2022 Answer: IM ceftriaxone, oral doxycycline, and oral metronidazole%u2022 Explanation: The patient's symptoms suggest Pelvic Inflammatory Disease (PID). The recommended outpatient treatment for PID includes IM ceftriaxone 1g single dose, plus oral doxycycline 100 mg BD for 14 days, and oral metronidazole 400 mg BD for 14 days. This combination covers the most common causative organisms including Neisseria gonorrhoeae, Chlamydia trachomatis, and anaerobes.