Bacterial vaginosis — DRCOG MCQ
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Correct answer: E — Prescribe metronidazole after assessment
Prescribe metronidazole after assessment is the best answer because the vignette is testing Bacterial vaginosis and the recommended approach is consistent with BASHH guideline; NICE CKS. The other options are less suitable because they either delay time-critical assessment, treat a different presentation, or omit the key safety step. Specifically, Prescribe oral metronidazole after self-swab; Start combined hormonal contraception; Book a non-urgent community midwife appointment; Offer reassurance without further assessment would be suboptimal in this scenario. In DRCOG-style primary care questions, the safest answer is usually the step that matches the acuity and gestation rather than symptomatic treatment alone.
Reference: BASHH guideline; NICE CKS