Gonorrhoea — DRCOG MCQ
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Correct answer: C — Gonorrhoea
Gonorrhoea is the best answer because the vignette is testing Gonorrhoea and the recommended approach is consistent with BASHH Gonorrhoea guideline. The other diagnoses do not explain the combination of timing, examination findings and investigation results as well as the correct diagnosis. Specifically, Chlamydia infection; Threatened miscarriage; Placental abruption; Endometriosis would be suboptimal in this scenario. The key discriminator is the pattern across symptoms, examination and timing, not a single isolated symptom.
Reference: BASHH Gonorrhoea guideline