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Gonorrhoea — DRCOG MCQ

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ModerateContraception and Sexual HealthGonorrhoeaDRCOG

A 26-year-old woman presents with dysuria and purulent vaginal discharge 10 days after a new sexual partner. NAAT is positive for gonorrhoea. She is not pregnant and has no pelvic tenderness. What is the most appropriate management?

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Correct answer: C — Treat with intramuscular ceftriaxone and arrange partner notification

Confirmed uncomplicated gonorrhoea is treated with ceftriaxone and requires partner notification, plus advice about abstaining until treatment is complete. Cystitis treatment would not address a positive gonorrhoea NAAT. The pearl is that antimicrobial resistance makes guideline-based gonorrhoea treatment important.

Reference: BASHH Gonorrhoea guideline