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Chlamydia and gonorrhoea screening — CCFP MCQ

Instant feedback + full explanation. One question, done properly.

HardWomen's health/OB/GYNChlamydia and gonorrhoea screeningCCFP

A sexually active 19-year-old with dysuria, postcoital bleeding and a new partner prefers self-collection. Pregnancy testing is negative and there is no pelvic pain. Which testing strategy is best?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: E — Use self-collected vaginal NAAT for chlamydia and gonorrhea plus testing matched to other exposure sites

Explanation lettering: D = shown as B · B = shown as C · E = shown as D · C = shown as E

C is correct. NAAT from an accepted self-collected specimen addresses likely infection and exposure-site testing completes the assessment. D misses common sexually transmitted causes. E uses cancer screening diagnostically. A cannot diagnose uncomplicated current infection. B places imaging before appropriate microbiology in a stable patient.

Reference: Canadian Task Force: Chlamydia and gonorrhea screening: https://canadiantaskforce.ca/guidelines/published-guidelines/chlamydia-and-gonorrhea/