QuestionSBA
QuestionChoice
Based on the clinical presentation and microscopy findings, the most likely diagnosis is trichomoniasis. Metronidazole is the treatment for trichomoniasis. It is a sexually transmitted infection caused by the protozoan parasite *Trichomonas vaginalis*.
10028076
a
Metronidazole
QuestionChoice
Topical steroids are used to treat various inflammatory conditions but are inappropriate for treating trichomoniasis.
10028080
e
Topical steroids
QuestionChoice
Fluconazole is an antifungal medication used to treat candidiasis.
10028077
b
Fluconazole
QuestionChoice
Ceftriaxone is an antibiotic commonly used to treat gonorrhoea.
10028079
d
Ceftriaxone
QuestionChoice
Clindamycin is an antibiotic used to treat infections, including bacterial vaginosis.
10028078
c
Clindamycin
Concept
Chapter
2693
6034
Trichomoniasis infection
Topic
163
Genitourinary medicine
18013
A 28-year-old woman presents to the gynaecology clinic with vaginal itching, foul-smelling vaginal discharge and occasional discomfort when urinating.

On examination, a frothy, greenish-yellow discharge and vulvar erythema and oedema are visible.

Wet mount microscopy of the discharge reveals motile, flagellated protozoa.

Considering the most likely diagnosis, which of the following is the most appropriate management?
a