A 31-year-old man has urethral discharge and dysuria. Gram stain shows intracellular gram-negative diplococci. He has no medication allergies. NAAT

Question

A 31-year-old man has urethral discharge and dysuria. Gram stain shows intracellular gram-negative diplococci. He has no medication allergies. NAAT results are pending. Which of the following is the most appropriate at this time?

Accepted Answer

Treat with intramuscular ceftriaxone

Answer

Use doxycycline as monotherapy

Answer

Prescribe oral metronidazole alone

Answer

Administer benzathine penicillin G

Answer

Delay treatment until culture susceptibility returns

Gonococcal urethritis — USMLE Step 3 MCQ

A 31-year-old man has urethral discharge and dysuria. Gram stain shows intracellular gram-negative diplococci. He has no medication allergies. NAAT results are pending. Which of the following is the most appropriate at this time?