NBME Step 2 CK Form 8 Ceftriaxone and azithromycin therapy (NBME Answers)

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Retired NBME Answer Explanations

Retired NBME Step 2 CK Form 8 Answers

step2ck_form8/Block 2/Question#26 (reveal difficulty score)
A 20-year-old man comes to the student health ...
Ceftriaxone and azithromycin therapy 🔍 / 📺 / 🌳 / 📖
tags: infectious_disease

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submitted by ∗step_prep(148)

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Young man engaging in unprotected sex who presents with dysuria and scant urethral discharge
Key idea: If testing finds only chlamydia, then treat with only azithromycin
Key idea: If testing finds gonorrhea or you are treating empirically, then patient needs azithromycin + ceftriaxone

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weenathon New recommendation is to give ceftriaxone and doxy for nonpregnant patients being treated for gonorrhea. the CDC specifically recommends doxycycline if chlamydial infection has not been excluded, based on increasing azithromycin resistance in gonorrhea (uptodate). Not sure how long it will take NBME to catch up though +

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