A 22-year-old woman at 16 weeks of gestation presents with fever, lower abdominal pain, and cervical motion tenderness, meeting clinical criteria for PID. Which component of the standard outpatient regimen must be OMITTED?

• A Ceftriaxone
• B Azithromycin
• C Metronidazole
• D Doxycycline ✓

Explanation

Doxycycline is a tetracycline that chelates calcium and causes tooth discoloration and inhibition of fetal bone growth, so it is contraindicated throughout pregnancy. Pregnant women with suspected PID require admission and parenteral therapy, typically a cephalosporin combined with azithromycin. Metronidazole remains acceptable in pregnancy, and ceftriaxone is safe, so those components can continue under supervision.

Reference: Williams Gynecology, 4th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.