Gynaecological infections: PID: 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.

Try it

OBG · Gynaecological infections: PID

Sample item

Which regimen is an appropriate outpatient treatment for mild to moderate pelvic inflammatory disease?

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

The answer and the reasoning

B. Ceftriaxone IM plus doxycycline and metronidazole

PID is polymicrobial (Neisseria gonorrhoeae, Chlamydia trachomatis and anaerobes). Ceftriaxone with doxycycline for 14 days and metronidazole is a standard regimen. Complications include tubo-ovarian abscess, infertility and ectopic pregnancy.

Option by option

  • A. Single-dose fluconazole

    Fluconazole is antifungal.

  • B. Ceftriaxone IM plus doxycycline and metronidazole (correct)

    Correct. This covers gonococcus, chlamydia and anaerobes.

  • C. Oral acyclovir

    Acyclovir is antiviral.

  • D. Nitrofurantoin

    Nitrofurantoin is a urinary antibiotic.

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.

More OBG questions

Questions about this OBG question

What is the answer to this OBG question?

The best answer is B, Ceftriaxone IM plus doxycycline and metronidazole. PID is polymicrobial (Neisseria gonorrhoeae, Chlamydia trachomatis and anaerobes).

Why is "Single-dose fluconazole" not the answer?

Fluconazole is antifungal.

Why is "Oral acyclovir" not the answer?

Acyclovir is antiviral.

Why is "Nitrofurantoin" not the answer?

Nitrofurantoin is a urinary antibiotic.

What concept does this question test?

It tests Gynaecological infections: PID in OBG. Ceftriaxone with doxycycline for 14 days and metronidazole is a standard regimen. Complications include tubo-ovarian abscess, infertility and ectopic pregnancy.

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: PID?

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.