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Cervicitis STI testing — DFSRH MCQ

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EasySTI diagnosis and managementCervicitis STI testingDFSRH

A 23-year-old woman presents with post-coital bleeding and mucopurulent cervical discharge. She has a new partner, no pelvic tenderness, and a negative pregnancy test. What is the most appropriate investigation?

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Correct answer: E — Endocervical or vulvovaginal NAAT for chlamydia and gonorrhoea

NAAT testing for chlamydia and gonorrhoea is the most appropriate investigation for cervicitis features in a patient with STI risk. Candida culture does not assess the likely cervicitis pathogens, and urinary treatment would not address mucopurulent cervical discharge. Ultrasound, CA125 and biopsy may be relevant for other presentations but are not first-line here. The pearl is that cervicitis may present with bleeding rather than pain.

Reference: BASHH Guidelines; NICE CKS: Chlamydia and Gonorrhoea