#july2020mccqe1
A 34-year-old woman is evaluated for vaginal discharge and intermenstrual bleeding. She is gravida 4, para 2, with one spontaneous pregnancy loss and one termination. She had been living intermittently with the father of her children, though recently the two have been apart, and she is in the process of moving out of town. Her last menstrual period was 3 weeks ago. She takes no medications and has no allergies.
Vital signs are normal. On pelvic examination, a yellow-tinged cervical discharge is noted, and bleeding is easily induced when obtaining a culture from the os. Bimanual examination is unremarkable, with no adnexal or cervical motion tenderness.
Examination of the discharge under microscopy reveals no pseudohyphae or clue cells, and Gram stain is unremarkable. Pregnancy test is negative.
Which of the following conditions should receive empiric antibiotic treatment at this time?
(A) Bacterial vaginosis
(B) Chlamydia
(C) Gonorrhea and chlamydia
(D) Pelvic inflammatory disease (PID)
A 34-year-old woman is evaluated for vaginal discharge and intermenstrual bleeding. She is gravida 4, para 2, with one spontaneous pregnancy loss and one termination. She had been living intermittently with the father of her children, though recently the two have been apart, and she is in the process of moving out of town. Her last menstrual period was 3 weeks ago. She takes no medications and has no allergies.
Vital signs are normal. On pelvic examination, a yellow-tinged cervical discharge is noted, and bleeding is easily induced when obtaining a culture from the os. Bimanual examination is unremarkable, with no adnexal or cervical motion tenderness.
Examination of the discharge under microscopy reveals no pseudohyphae or clue cells, and Gram stain is unremarkable. Pregnancy test is negative.
Which of the following conditions should receive empiric antibiotic treatment at this time?
(A) Bacterial vaginosis
(B) Chlamydia
(C) Gonorrhea and chlamydia
(D) Pelvic inflammatory disease (PID)
