A 43-year-old woman with PID returns with persistent pain after 5 days of outpatient therapy and fever 38.6°C. What is the next step?...

Question

A 43-year-old woman with PID returns with persistent pain after 5 days of outpatient therapy and fever 38.6°C. What is the next step?

Accepted Answer

Hospitalize for IV broad-spectrum therapy and evaluation for tubo-ovarian abscess

Answer

Extend oral doxycycline alone

Answer

Stop metronidazole

Answer

No change; complete 14 days

Answer

Surgical exploration immediately in all

obstetrics & gynecology MCQ (SBA): CDC STI Treatment Guidelines (2021): Pelvic Inflammatory Disease