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Gonorrhea with possible chlamydia — MRCGP AKT MCQ

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HardGonorrhea with Possible ChlamydiaGonorrhea with possible chlamydiaMRCGP AKT

A man has purulent urethral discharge after a new sexual contact. Gonorrhoea is suspected and antimicrobial susceptibility is not yet known. What should primary care arrange?

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Correct answer: D — Sexual-health testing, treatment and partner care

The best answer is “Sexual-health testing, treatment and partner care”. Suspected gonorrhoea needs prompt specialist assessment, NAAT plus culture for susceptibility where possible, recommended treatment and partner notification. Resistance makes unguided oral fluoroquinolone treatment unsafe; doxycycline alone is inadequate, and delaying testing risks transmission and complications.

Reference: BASHH: Gonorrhoea guideline: https://www.bashh.org/resources/14/gonorrhoea_2018/