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Pelvic inflammatory disease — MCCQE Part 1 MCQ

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ModeratePelvic PainPelvic inflammatory diseaseMCCQE Part 1

A 23-year-old woman has lower abdominal pain, cervical motion tenderness and mucopurulent cervical discharge. Pregnancy test is negative. Which of the following is the most appropriate next step?

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Correct answer: C — Empiric broad-spectrum antibiotics covering gonorrhoea, chlamydia and anaerobes with STI testing and partner management

PID is a clinical diagnosis and empiric treatment should begin promptly to reduce infertility and chronic pelvic pain. NAAT testing is important but should not delay therapy. Partner notification and treatment are part of Canadian STI control practice.

Reference: Canadian Guidelines on Sexually Transmitted Infections; SOGC PID guidance