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

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A 29-year-old woman presents with a frothy yellow-green vaginal discharge, vulval pruritus, and a 'strawberry cervix' (punctate cervical haemorrhages) on speculum examination. Wet mount microscopy reveals flagellated motile protozoa. What is the first-line pharmacological treatment?

Metronidazole 400 mg orally twice daily for 7 days (or 2 g single dose) Fluconazole 150 mg orally as a single dose Clindamycin 2% vaginal cream for 7 days Doxycycline 100 mg twice daily for 7 days

Correct Answer:

Metronidazole 400 mg orally twice daily for 7 days (or 2 g single dose)

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