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Bacterial vaginosis — DFSRH MCQ

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HardSTIsBacterial vaginosisDFSRH

A non-pregnant adult has symptomatic bacterial vaginosis confirmed by Amsel criteria. She has no signs of PID or another STI. Which oral regimen is a recommended UK treatment option?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: D — Metronidazole 400 mg orally twice daily for 7 days

For symptomatic bacterial vaginosis, BASHH lists oral metronidazole 400 mg twice daily for 5–7 days among recommended regimens. Fluconazole treats candidiasis, doxycycline is not a bacterial-vaginosis regimen, aciclovir treats herpes and ceftriaxone is not indicated for uncomplicated BV.

Reference: BASHH, UK national guideline for bacterial vaginosis: https://www.bashh.org/resources/21/guidelines_bacterial_vaginosis_2012