A sexually active 23-year-old with pelvic pain, cervical motion tenderness, and mucopurulent discharge meets PID criteria. Best outpatient regimen?...

Question

A sexually active 23-year-old with pelvic pain, cervical motion tenderness, and mucopurulent discharge meets PID criteria. Best outpatient regimen?

Accepted Answer

Ceftriaxone 500 mg IM once plus doxycycline 100 mg BID for 14 days plus metronidazole 500 mg BID for 14 days

Answer

Ceftriaxone 250 mg IM once plus azithromycin 1 g once

Answer

Ciprofloxacin plus metronidazole for 7 days

Answer

Doxycycline monotherapy for 14 days

Answer

Ceftriaxone 1 g IM daily for 7 days without oral therapy

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