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Pelvic inflammatory disease — MCCQE Part 1 MCQ

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EasyPelvic PainPelvic inflammatory diseaseMCCQE Part 1

A 22-year-old woman has purulent vaginal discharge, dysuria, lower abdominal pain. Cervical motion tenderness, bilateral adnexal tenderness. Temp 38.2. Beta-hCG negative. Most likely diagnosis?

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Correct answer: B — Pelvic inflammatory disease

CMT + bilateral adnexal tenderness + discharge + fever in sexually active woman = PID. Treat empirically: ceftriaxone 500mg IM + doxycycline 100mg BID x 14d +/- metronidazole. Do not delay for swab results.

Reference: PHAC/SOGC STI Guidelines