A 24-year-old with dysuria and cervical discharge; pregnancy test negative; gonorrhea not excluded. Best empiric regimen?...

Question

A 24-year-old with dysuria and cervical discharge; pregnancy test negative; gonorrhea not excluded. Best empiric regimen?

Accepted Answer

Ceftriaxone 500 mg IM once; add doxycycline 100 mg PO BID ×7 days if chlamydia not excluded

Answer

Ceftriaxone 250 mg IM once plus azithromycin 1 g PO once

Answer

Cefixime 400 mg PO once only

Answer

Levofloxacin 750 mg PO daily ×7 days

Answer

Penicillin G benzathine 2.4 million units IM once

us-usmle-step-2 MCQ (SBA): Uncomplicated gonorrhoea