A 24-year-old man presents with urethral discharge and dysuria after unprotected intercourse. NAAT for Neisseria gonorrhoeae is positive, and chlamydi...

Question

A 24-year-old man presents with urethral discharge and dysuria after unprotected intercourse. NAAT for Neisseria gonorrhoeae is positive, and chlamydia testing is pending. According to Canadian STI guidelines, what is the most appropriate empiric treatment?

Accepted Answer

Intramuscular ceftriaxone plus oral doxycycline.

Answer

Oral azithromycin 1 g single dose only.

Answer

Oral ciprofloxacin only.

Answer

Observation without treatment until chlamydia results return.

Answer

Topical antibiotic cream.

ca-mccqe1 MCQ (SBA): Gonococcal urethritis

A 24-year-old man presents with urethral discharge and dysuria after unprotected intercourse. NAAT for Neisseria gonorrhoeae is positive, and chlamydia testing is pending. According to Canadian STI guidelines, what is the most appropriate empiric treatment?