A 21-year-old woman has lower abdominal pain, mucopurulent cervical discharge, cervical motion tenderness, and adnexal tenderness. Pregnancy test is

Question

A 21-year-old woman has lower abdominal pain, mucopurulent cervical discharge, cervical motion tenderness, and adnexal tenderness. Pregnancy test is negative. She is afebrile and tolerating oral intake. Which of the following is the most appropriate next step in management?

Accepted Answer

Treat as outpatient with ceftriaxone, doxycycline, and metronidazole

Answer

Use acyclovir monotherapy

Answer

Perform hysterectomy

Answer

Delay treatment until culture results return

Answer

Prescribe fluconazole monotherapy

Pelvic inflammatory disease — USMLE Step 3 MCQ

A 21-year-old woman has lower abdominal pain, mucopurulent cervical discharge, cervical motion tenderness, and adnexal tenderness. Pregnancy test is negative. She is afebrile and tolerating oral intake. Which of the following is the most appropriate next step in management?