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Chlamydia infection — DRCOG MCQ

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HardContraceptionChlamydia infectionDRCOG

A 31-year-old woman has dysuria, postcoital bleeding and a positive NAAT for Chlamydia trachomatis. What is the most likely diagnosis?

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Correct answer: C — Chlamydia infection

Chlamydia infection is the best answer because the vignette is testing Chlamydia infection and the recommended approach is consistent with BASHH Chlamydia guideline. The other diagnoses do not explain the combination of timing, examination findings and investigation results as well as the correct diagnosis. Specifically, Physiological neonatal jaundice; Threatened miscarriage; Postpartum endometritis; Pre-eclampsia would be suboptimal in this scenario. The key discriminator is the pattern across symptoms, examination and timing, not a single isolated symptom.

Reference: BASHH Chlamydia guideline