#may2020usmle2ck
A 24-year-old man presents to the clinic with a complaint of grey-colored penile discharge and burning micturition for 2 days. His medical, surgical and family histories are unremarkable. Examination reveals a purulent discharge that can be seen by squeezing his penis. Penile swab shows Gram-negative diplococci within neutrophils.
What is the most appropriate treatment?
A – Oral doxycycline
B – IV ceftriaxone
C – IV ceftriaxone and oral doxycycline
D – IV penicillin
E – IM ampicillin
A 24-year-old man presents to the clinic with a complaint of grey-colored penile discharge and burning micturition for 2 days. His medical, surgical and family histories are unremarkable. Examination reveals a purulent discharge that can be seen by squeezing his penis. Penile swab shows Gram-negative diplococci within neutrophils.
What is the most appropriate treatment?
A – Oral doxycycline
B – IV ceftriaxone
C – IV ceftriaxone and oral doxycycline
D – IV penicillin
E – IM ampicillin
