Kit 6 used in syndromic management of STI/RTI includes which one of the following drug combinations?
Cefixime, Metronidazole and Doxycycline
The correct answer is Cefixime, Metronidazole and Doxycycline. NACO delivers STI/RTI care through seven colour-coded pre-packed kits so a syndrome can be treated at first contact. Kit 6 (yellow) is for the lower abdominal pain syndrome, i.e. PID, and covers all three culprit groups: cefixime 400 mg for Neisseria gonorrhoeae, doxycycline 100 mg twice daily for 14 days for Chlamydia, and metronidazole 400 mg twice daily for 14 days for anaerobes and Trichomonas — mirroring the CDC outpatient PID regimen.
The other choices belong to different kits. Cefixime with secnidazole and fluconazole mixes Kit 1 (grey: cefixime plus azithromycin, for urethral and cervical discharge) with Kit 2 (green: secnidazole plus fluconazole, for vaginal discharge). Metronidazole, doxycycline and fluconazole is not a NACO kit at all — fluconazole appears only in Kit 2. Acyclovir with doxycycline and metronidazole is wrong since acyclovir is packed alone in Kit 5 (red) for genital herpes.
Key point: Learn the kits by colour and syndrome — grey discharge, green vaginal, white syphilis, blue chancroid, red herpes, yellow PID (Kit 6), black inguinal bubo.
Similar Questions
Which one of the following statements is true regarding genital tuberculosis?
Consider the following diagnostic criteria for acute pelvic inflammatory disease (PID):
1. Lower abdominal tenderness
2. Oral temperature >38 °C
3. Adnexal tenderness
4. Cervical motion tenderness
Which of the above are included in the minimum criteria for diagnosis of PID?
The drug of choice for treatment of chlamydial cervicitis is
Important Questions from Infections in Genital Tract
Which of the following are characteristics of Trichomonas vaginitis?
1. Presence of greenish frothy discharge
2. Vaginal pH > 4.5
3. Presence of clue cells in microscopic examination
4. Strawberry spots on the vaginal mucosa
Select the correct answer using the code given below:- Monilial vaginitis is commonly associated with all EXCEPT:
- A 30 year old lady, P2L2 presents with painful unilateral swelling in vulva for 3 days. Which
of the following statements are true regarding the above case?
1. Bartholin's abscess may be the likely diagnosis
2. It is to be managed by marsupialisation
3. Gonococcus is the most common pathogenic organism
Select the correct answer using the code given below: - Which of the following is NOT a characteristic clinical feature of Bacterial Vaginosis?
A 22 year old woman comes with complaints of pain and discomfort in vaginal region. On examination there is unilateral tender swelling in the posterior half of labium minus, overlying skin is red and edematous. What is the most probable diagnosis?
