A 34-year-old woman presents with lower abdominal pain and cervical motion tenderness. She is sexually active with inconsistent condom use. Pregnancy ...

Question

A 34-year-old woman presents with lower abdominal pain and cervical motion tenderness. She is sexually active with inconsistent condom use. Pregnancy test is negative. According to Canadian STI guidelines, what is the most appropriate management of suspected pelvic inflammatory disease (PID)?

Accepted Answer

Start empiric broad-spectrum antibiotics targeting chlamydia and gonorrhoea

Answer

Delay antibiotics until cervical swab results are available

Answer

Provide analgesia only and observe

Answer

Schedule outpatient ultrasound before treatment

Answer

Reassure and discharge without treatment

ca-mccqe1 MCQ (SBA): Pelvic inflammatory disease

A 34-year-old woman presents with lower abdominal pain and cervical motion tenderness. She is sexually active with inconsistent condom use. Pregnancy test is negative. According to Canadian STI guidelines, what is the most appropriate management of suspected pelvic inflammatory disease (PID)?