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Trichomoniasis — DRCOG MCQ

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ModerateContraceptionTrichomoniasisDRCOG

A 31-year-old woman has frothy yellow-green vaginal discharge, vulval soreness and a strawberry cervix. NAAT confirms Trichomonas vaginalis. She has one regular male partner. What is the most appropriate management?

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

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Correct answer: B — Treat with metronidazole and arrange partner treatment

Trichomoniasis is sexually transmitted and requires metronidazole treatment plus partner treatment or referral to prevent reinfection. Male partners may be asymptomatic, so waiting for symptoms is inadequate. Clotrimazole treats candidiasis, not trichomoniasis. Nitrofurantoin treats lower urinary tract infection.

Reference: BASHH trichomoniasis guideline; BNF