A sexually active 22-year-old has lower abdominal pain, cervical motion tenderness, and mucopurulent discharge. Pregnancy test negative. Best outpatie...

Question

A sexually active 22-year-old has lower abdominal pain, cervical motion tenderness, and mucopurulent discharge. Pregnancy test negative. Best outpatient regimen?

Accepted Answer

Ceftriaxone 500 mg IM once + doxycycline 100 mg BID 14 d + metronidazole 500 mg BID 14 d

Answer

Ceftriaxone 250 mg IM once + azithromycin 1 g once

Answer

Levofloxacin 500 mg daily 7 d

Answer

Doxycycline 100 mg BID 7 d alone

Answer

Amoxicillin-clavulanate 875 mg BID 7 d

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

A sexually active 22-year-old has lower abdominal pain, cervical motion tenderness, and mucopurulent discharge. Pregnancy test negative. Best outpatient regimen?