A 30-year-old woman presents with vaginal discharge and lower abdominal pain for 10 days. Examination reveals cervical motion tenderness and adnexal tenderness. Laboratory tests show elevated WBC count. What is the most appropriate initial antibiotic regimen?
ACeftriaxone plus doxycycline
BDoxycycline plus metronidazole
CAzithromycin plus metronidazole
DCiprofloxacin plus clindamycin
Dilatation & curettage (D&C) is contraindicated in-
APelvic inflammatory disease (PID)
BEndometriosis
CEctopic pregnancy
DAbnormal uterine bleeding
A 24-year-old woman presents with vaginal discharge, dysuria, and lower abdominal pain. On examination, there is cervical motion tenderness and mucopurulent cervical discharge. What is the diagnostic test of choice?
ACulture on modified Thayer-Martin medium
BWet mount examination
CGram stain of cervical secretions
DNucleic acid amplification test (NAAT)
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