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Urethritis — RACGP Fellowship MCQ

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HardInfectious diseaseUrethritisRACGP Fellowship

A 30-year-old man presents with urethral discharge and dysuria after condomless sex. He has no testicular pain or fever. Gram stain is unavailable and NAAT is sent for gonorrhoea and chlamydia. What is the most appropriate management?

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Correct answer: B — Treat empirically with appropriate antibiotics covering gonorrhoea and chlamydia and arrange partner notification

This patient has symptomatic urethritis following condomless sexual exposure. Australian syndromic STI management guidelines recommend empirical dual treatment for gonorrhoea and chlamydia at the first visit to reduce complications and transmission, without waiting for NAAT results. Partner notification is essential. ‘Wait for NAAT’ delays effective treatment; amoxicillin alone does not cover the pathogens; antifungal cream is irrelevant; resuming sexual activity immediately risks reinfection and spread.

Reference: Australian STI Management Guidelines for Primary Care (2022); Therapeutic Guidelines: Antibiotic – Urethritis (2026), https://www.tg.org.au/products/therapeutic-guidelines