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Gonorrhoea — DRCOG MCQ

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ModerateContraception and Sexual HealthGonorrhoeaDRCOG

A 23-year-old woman has purulent vaginal discharge and dysuria after a new partner. NAAT is positive for Neisseria gonorrhoeae. She has no pelvic pain and is not pregnant. When should this patient be referred?

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

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Correct answer: A — Refer to sexual health services for treatment and partner management

Gonorrhoea requires appropriate antimicrobial treatment, resistance-aware management, test-of-cure arrangements and partner notification, best delivered through sexual health services. Fluconazole treats candidiasis, not gonorrhoea. Waiting to treat risks complications and transmission. The pearl is that antimicrobial resistance makes gonorrhoea management more structured than many other STIs.

Reference: BASHH gonorrhoea guideline; NICE CKS gonorrhoea