Pelvic Infection

Pelvic organ infection is usually caused by organisms  

A. Derived from the normal flora of the vagina and endocervix

B. From sexually transmitted pathogens

C. Asymptomatic bacteriuria

D. Unhygienic surrounding

Most common pyogenic gram negative pathogen causing pelvic infection

A. E. coli

B. P. seudomonas

C. Klebsiella 

D. N. gonorrhoeae

 Pelvic inflammatory disease is an infection not related to

A. Inflammation of the upper genital tract organs

B. Ascending spread of microorganisms

C. From a surgical infection

D. Spreads from the cervicovaginal canal

Which is true regarding protective effects of OCP

A. Prevents spread of organism 

B. Hormones prevent bacterial colonization

C. Prevents reflux of menstrual blood

D. Increases the immune power

True regarding the microorganism causing Acute Pelvic inflammatory disease

A. N. gonorrhoeae in 30 % & Chlamydia trachomatis in 30 % cases

B. 70% cases are due to Chlamydia trachomatis

C. N. gonorrhoeae is the culprit in most cases

D. Mycoplasma is responsible in 30% cases

The pathological process in Pelvic inflammatory disease is initiated mostly as

A. Cervicitis

B. Vulvovaginitis

C. Endosalpingitis

D. Endometritis

CDC recommended first-line treatment for outpatient therapy in  Pelvic inflammatory disease

A. Doxycycline plus ceftriaxone

B. Clindamycin plus gentamicin

C. Metronidazole plus Cefoxitin

 D. Cefotetan plus doxycycline


  • Patients with PID may develop chronic pain, an ectopic pregnancy, or infertility. 
  • About 25% will have chronic pelvic pain, usually due to adhesions. 
  • Impaired fertility affects 10-50% of females and is usually due to scarring and adhesions within the fallopian tubes.

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