Diploma In Genitourinary Medicine Practice Questions - Diploma In Genitourinary Medicine (DipGUM Apothecaries) Exam

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A 28-year-old man has persistent non-gonococcal urethritis (NGU) despite completing a 7-day course of doxycycline. NAAT testing is positive for Mycoplasma genitalium, and macrolide resistance testing demonstrates a 23S rRNA mutation (macrolide-resistant). What is the recommended second-line treatment according to BASHH guidelines?

Moxifloxacin 400 mg orally once daily for 7 days Azithromycin 1 g followed by 500 mg daily for 2 days Metronidazole 400 mg twice daily for 5 days Ceftriaxone 1 g IM single dose

Correct Answer:

Moxifloxacin 400 mg orally once daily for 7 days

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