Sexually Transmitted Infections: The Daily PANCE Blueprint
Which of the following is the preferred treatment of a patient who has an uncomplicated gonorrhea infection?
A. Ceftriaxone IM
B. Doxycycline PO
C. Cefixime PO
D. Metronidazole PO
E. Cefepime IV
Answer and topic summary
The answer is A. Ceftriaxone IM
Gonorrhea is a sexually transmitted infection caused by Neisseria Gonorrhoeae. It can lead to urethritis, epididymitis, cervicitis, and even pelvic inflammatory disease. Clinical symptoms differ but may include purulent discharge, dysuria, scrotal or pelvic pain, etc. However, some patients may be asymptomatic. The preferred treatment for uncomplicated infection is ceftriaxone IM x 1 dose. If a chlamydia co-infection has not been ruled out, then doxycycline PO must be given as well. All patient’s sexual partners should be evaluated and treated as well.
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