A 26-Year-Old Woman with New-Onset Vaginal Discharge Is Diagnosed with Trichomonas

question 28

Multiple Choice

A 26-year-old woman with new-onset vaginal discharge is diagnosed with Trichomonas infection.  She has had several sexual partners over the last year.  The patient has no genital ulcers, skin rash, back pain, headaches, vision problems, or fever.  She has no other known medical problems or drug allergies.  She does not recall having previous testing for sexually transmitted infections.
Physical examination is unremarkable.
Laboratory results are as follows:
In addition to treating the Trichomonas infection, which of the following is the best next step in management of this patient?

• A)Antinuclear antibody screen
• B)Benzathine penicillin, single dose
• C)Benzathine penicillin, weekly for 3 weeks
• D)Doxycycline
• E)Lumbar puncture

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