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Pelvic inflammatory disease — DRCOG MCQ

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HardGynaecologyPelvic inflammatory diseaseDRCOG

A woman has bilateral pelvic pain, cervical motion tenderness and abnormal discharge after unprotected sex. Pregnancy test is negative. What diagnosis best fits?

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Correct answer: D — Pelvic inflammatory disease

The best answer is “Pelvic inflammatory disease”. Pelvic pain with cervical motion tenderness and a compatible sexual history supports a clinical diagnosis of PID. Because delayed treatment risks reproductive harm, empirical broad-spectrum antibiotics should begin when the clinical threshold is met after assessing pregnancy and urgent alternative diagnoses.

Reference: BASHH: Pelvic inflammatory disease guideline: https://www.bashh.org/resources/6/pid_2019/