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Pelvic Inflammatory Disease — MRCGP AKT MCQ

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HardGynaecologyPelvic Inflammatory DiseaseMRCGP AKTUKMLAPARAMRCP Part 1

A non-pregnant adult has mild-to-moderate pelvic inflammatory disease suitable for outpatient treatment. What empirical regimen provides recommended broad coverage?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: B — Ceftriaxone-doxycycline-metronidazole combination

The best answer is “Ceftriaxone-doxycycline-metronidazole combination”. Empirical outpatient PID treatment covers gonorrhoea, chlamydia and anaerobes, hence ceftriaxone with a doxycycline course and metronidazole. Treatment starts on clinical suspicion to reduce infertility and chronic pain, while pregnancy, severe illness or abscess changes disposition. The narrower regimens leave important pathogens untreated.

Reference: BASHH: UK guideline for pelvic inflammatory disease: https://www.bashh.org/resources/6/guidelines_pid_2019/