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Pelvic inflammatory disease — MCCQE Part 1 MCQ

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ModeratePelvic PainPelvic inflammatory diseaseMCCQE Part 1

A 22-year-old woman presents with lower abdominal pain and dyspareunia. She has mucopurulent cervical discharge, cervical motion tenderness and a new sexual partner. Pregnancy test is negative and she is stable. What is the most appropriate next step in management?

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Correct answer: C — Start empiric outpatient PID antibiotics and test for gonorrhoea and chlamydia

PID is a clinical diagnosis and empiric treatment should begin when pelvic pain and cervical motion or uterine/adnexal tenderness are present with STI risk. Waiting for NAAT results risks infertility and chronic pelvic pain. Partner testing and treatment counselling are part of Canadian STI care.

Reference: Canadian Guidelines on Sexually Transmitted Infections