A 29-year-old woman presents to the GP with a 2-week history of profuse, frothy, yellow-green vaginal discharge with an unpleasant odour and vulval so...

Question

A 29-year-old woman presents to the GP with a 2-week history of profuse, frothy, yellow-green vaginal discharge with an unpleasant odour and vulval soreness. Vaginal pH is 5.5. Microscopy shows motile flagellated organisms. Which is the single most appropriate treatment?

Accepted Answer

Oral metronidazole 400 mg twice daily for 5-7 days

Answer

Oral fluconazole 150 mg as a single dose

Answer

Oral doxycycline 100 mg twice daily for 7 days

Answer

Intravaginal clindamycin cream for 7 nights

Answer

Oral azithromycin 1 g as a single dose

uk-drcog MCQ (SBA): Trichomonas Vaginalis

A 29-year-old woman presents to the GP with a 2-week history of profuse, frothy, yellow-green vaginal discharge with an unpleasant odour and vulval soreness. Vaginal pH is 5.5. Microscopy shows motile flagellated organisms. Which is the single most appropriate treatment?