Gynaecological infections: syndromic management: practice question

A OBG question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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OBG · Gynaecological infections: syndromic management

Sample item

Under the national syndromic approach, empirical treatment of a non-herpetic genital ulcer in a clinic without laboratory facilities is directed against which infections?

ASyphilis and chancroidBGonorrhoea and chlamydiaCCandida and trichomonasDHepatitis B and HIV

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

A. Syphilis and chancroid

Syndromic management treats the common causes of a clinical syndrome at the first visit without waiting for laboratory tests. For non-herpetic genital ulcer disease, treatment covers syphilis (benzathine penicillin) and chancroid (azithromycin), and herpes is treated for vesicular ulcers. Partners are treated and counselling and HIV testing are offered.

Option by option

A. Syphilis and chancroid (correct)
Correct. Syphilis and chancroid are the targets of therapy for non-herpetic ulcers.
B. Gonorrhoea and chlamydia
Gonorrhoea and chlamydia are covered in the discharge syndromes.
C. Candida and trichomonas
Candida and trichomonas are vaginal infections that do not cause ulcers.
D. Hepatitis B and HIV
Viral hepatitis and HIV are not treated under this syndrome.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

Questions about this OBG question

What is the answer to this OBG question?

The best answer is A, Syphilis and chancroid. Syndromic management treats the common causes of a clinical syndrome at the first visit without waiting for laboratory tests.

Why is "Gonorrhoea and chlamydia" not the answer?

Gonorrhoea and chlamydia are covered in the discharge syndromes.

Why is "Candida and trichomonas" not the answer?

Candida and trichomonas are vaginal infections that do not cause ulcers.

Why is "Hepatitis B and HIV" not the answer?

Viral hepatitis and HIV are not treated under this syndrome.

What concept does this question test?

It tests Gynaecological infections: syndromic management in OBG. For non-herpetic genital ulcer disease, treatment covers syphilis (benzathine penicillin) and chancroid (azithromycin), and herpes is treated for vesicular ulcers. Partners are treated and counselling and HIV testing are offered.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Gynaecological infections: syndromic management?

Learn management algorithms as steps: PPH, eclampsia, ectopic pregnancy. Then use the flashcards and the other OBG questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.