Antimicrobial Recall Practice Test 2025 - Free Antimicrobial Recall Practice Questions and Study Guide

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What is the appropriate treatment for a positive culture of bacterial vaginosis in a female patient?

Metronidazole gel 0.75% for 7 days

Metronidazole gel 0.75%, one full applicator intravaginally once daily for 5 days

The appropriate treatment for bacterial vaginosis (BV) involves targeting the overgrowth of certain bacteria in the vagina with effective antimicrobial agents. The most recommended treatment from the options provided is metronidazole administered as a gel formulation. This specific approach is beneficial because metronidazole directly addresses the bacterial imbalances that characterize BV, which is essential for restoring the normal vaginal flora.

Using metronidazole gel at the dosage of one full applicator intravaginally once daily for five days is particularly effective. This regimen allows for a concentrated dose at the site of infection, maximizing the therapeutic effect while minimizing systemic side effects. The five-day treatment duration is also aligned with clinical guidelines that have shown it to be effective in symptomatic relief and clearance of the infection.

The other options do not represent the current first-line treatment strategy. While metronidazole gel does come in other regimens, such as a longer seven-day course, the specific option of five days has been shown to offer effective results in clinical scenarios. Clindamycin cream can also be an alternative treatment for BV; however, it is not typically the first choice due to various factors including potential for increased side effects like irritation. Fluconazole, typically used for yeast infections,

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Clindamycin cream vaginally

Fluconazole 150mg orally

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