A 23-year-old with pelvic pain, fever 102.2 °F, purulent cervical discharge, and a 6-cm tubo-ovarian abscess on ultrasound appears ill. Which manageme...

Question

A 23-year-old with pelvic pain, fever 102.2 °F, purulent cervical discharge, and a 6-cm tubo-ovarian abscess on ultrasound appears ill. Which management is most appropriate?

Accepted Answer

Admit for IV ceftriaxone plus doxycycline plus metronidazole

Answer

Outpatient cefixime plus doxycycline without metronidazole

Answer

Outpatient ceftriaxone plus azithromycin single doses

Answer

Admit for IV doxycycline only

Answer

Outpatient levofloxacin monotherapy

us-usmle-step-2 MCQ (SBA): Pelvic Inflammatory Disease

A 23-year-old with pelvic pain, fever 102.2 °F, purulent cervical discharge, and a 6-cm tubo-ovarian abscess on ultrasound appears ill. Which management is most appropriate?