Sexually transmitted infections: Test your skills with these 5 patients
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Herbert L. Muncie Jr., MD, is Professor of Family Medicine in the Department of Family Medicine, LSU Health, New Orleans, Louisiana. Dr. Muncie is also a faculty member of the National Family Medicine Board Review course.

Herbert L. Muncie Jr., MD, is Professor of Family Medicine in the Department of Family Medicine, LSU Health, New Orleans, Louisiana. Dr. Muncie is also a faculty member of the National Family Medicine Board Review course.

Question 1 of 5

A 28-year-old man presents to the clinic with a spontaneous urethral discharge and mild dysuria for the past 2 days. He has no other complaints. He says that he had sexual intercourse with a new female partner one week ago and did not use a condom.

Physical examination reveals a purulent, spontaneous urethral discharge with no ulcerations or inguinal adenopathy. You suspect gonorrhea or chlamydia infection and obtain a urethral culture.

What is the treatment recommendation from the Centers for Disease Control and Prevention (CDC) for his presumptive diagnosis?

Penicillin G 500,000 units intramuscularly (IM) daily for 7 days.

Cefixime 400 mg by mouth once.

Ceftriaxone 250 mg IM once.

Ceftriaxone 250 mg IM once and azithromycin 1000 mg by month once.

This quiz is not accredited for CME.

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