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Internal Medicine
Primary Care Aspects of Pelvic Inflammatory Disease: Review Questions
Kenneth J. Smith, MD, FACP
Dr. Smith is an Assistant Professor of Medicine, Division of General Internal Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA; and a member of the Hospital Physician Editorial Board.
Choose the single best answer for each question.
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1. Performing which of the following procedures is necessary to
make a diagnosis of pelvic inflammatory disease (PID)?
- Physical examination
- Endocervical culture
- Endometrial biopsy
- Transvaginal ultrasonography
- Laparoscopy
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2. PID is NOT caused by which of the following organisms?
- Anaerobic organisms
- Chlamydia
- Gonococcus
- Gram-negative bacteria
- Staphylococcus aureus
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3. Which of the following statements regarding risk factors for PID
is correct?
- Barrier contraceptive methods do not influence the risk for PID
- Douching increases the risk for PID
- Oral contraceptives increase the risk for PID
- Race and ethnicity do not influence the risk for PID
- Smoking does not influence the risk for PID
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4. Which of the following statements regarding the treatment of PID
is correct?
- Antibiotics should be chosen based on results of cultures
- Appropriate antibiotic therapy has been proven to decrease PID complications
- Hospital treatment is superior to outpatient therapy for PID
- Intramuscular doses of cefoxitin and oral administration of doxycycline are part of the outpatient therapy of PID
- Intravenous administration of ciprofloxacin alone is reasonable for inpatient therapy of PID
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5. Which of the following represents a patients risk for infertility after a single episode of PID?
- 5%
- 10%
- 20%
- 30%
- 40%
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Updated 1/04/08 kkj
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