Severe pelvic inflammatory disease — DRCOG MCQ

Correct answer: B — Refer for urgent hospital assessment

Refer for urgent hospital assessment is the best answer because the vignette is testing Severe pelvic inflammatory disease and the recommended approach is consistent with BASHH PID guideline. The other referral timings are either too slow for the risk described or use a pathway intended for a different presentation. Specifically, Refer routinely to gynaecology; Refer within two weeks on a suspected cancer pathway; Refer urgently to the early pregnancy unit; Refer immediately to emergency obstetric care would be suboptimal in this scenario. Referral timing is determined by red flags, pregnancy stage and suspected cancer or emergency pathways.

Reference: BASHH PID guideline