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A 22-year-old pregnant patient presents to the office with report of malodorous vaginal discharge. The patient has not experienced this previously. A pelvic exam is completed, which reveals thin, grayish-white discharge coating the vaginal walls. On saline microscopy, clue cells are observed, and a fishy odor develops when potassium hydroxide is applied. The patient is not pregnant, has no known allergies, and takes no medication. What is the preferred first-line treatment for this patient? Question 39Answer a. metronidazole 0.75% gel vaginally twice per week for 4 to 6 weeks b. clindamycin 300 mg oral twice daily for 7 days c. clindamycin 100 mg ovule intravaginally at bedtime for 3 days d. metronidazole 500 mg PO twice daily for 7 days
SCIENCE
HEALTH SCIENCE
NURSING

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