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Pelvic inflammatory disease — ABFM Board MCQ

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ModerateWomen's health/OB/GYNPelvic inflammatory diseaseABFM Board

A 22-year-old woman has lower abdominal pain, mucopurulent cervical discharge, and cervical motion tenderness. Pregnancy test is negative. She is stable for outpatient treatment. Which of the following is the most appropriate initial treatment?

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

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Correct answer: D — Start empiric ceftriaxone plus doxycycline plus metronidazole

PID is a clinical diagnosis; empiric broad therapy should start promptly when pelvic tenderness and cervicitis features are present.

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