Gynaecological infections: gonorrhoea: 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: gonorrhoea

Sample item

Which gram-negative organism seen as intracellular diplococci in a vaginal swab causes cervicitis and is treated with ceftriaxone?

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

The answer and the reasoning

C. Neisseria gonorrhoeae

Gonococcal infection causes cervicitis, urethritis and Bartholin abscess, and may lead to PID. Resistance to penicillin and quinolones is common, so ceftriaxone IM is used, with azithromycin or doxycycline for possible chlamydial coinfection.

Option by option

  • A. Treponema pallidum

    T. pallidum causes syphilis and is a spirochaete.

  • B. Haemophilus ducreyi

    H. ducreyi causes chancroid.

  • C. Neisseria gonorrhoeae (correct)

    Correct. Intracellular gram-negative diplococci point to gonococcus.

  • D. Klebsiella granulomatis

    K. granulomatis causes donovanosis.

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 C, Neisseria gonorrhoeae. Gonococcal infection causes cervicitis, urethritis and Bartholin abscess, and may lead to PID.

Why is "Treponema pallidum" not the answer?

T. pallidum causes syphilis and is a spirochaete.

Why is "Haemophilus ducreyi" not the answer?

H. ducreyi causes chancroid.

Why is "Klebsiella granulomatis" not the answer?

K. granulomatis causes donovanosis.

What concept does this question test?

It tests Gynaecological infections: gonorrhoea in OBG. Resistance to penicillin and quinolones is common, so ceftriaxone IM is used, with azithromycin or doxycycline for possible chlamydial coinfection.

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: gonorrhoea?

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.