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Gonorrhea — ABFM Board MCQ

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ModerateInfectious diseaseGonorrheaABFM Board

A 24-year-old man has urethral discharge and dysuria. NAAT is positive for Neisseria gonorrhoeae and chlamydia testing is pending. He weighs 82 kg. Which of the following is the most appropriate initial treatment?

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Correct answer: E — Ceftriaxone intramuscularly plus doxycycline if chlamydia has not been excluded

Uncomplicated gonorrhea is treated with ceftriaxone; chlamydia coverage is added when chlamydia has not been excluded.

Reference: CDC STI Treatment Guidelines: https://www.cdc.gov/std/treatment-guidelines/default.htm