Young woman with suspected UTI who has symptoms that are refractory to 2 courses of antibiotics and urethral tenderness on physicial exam, most consistent with urethritis which is most commonly caused by N. Gonorrhea or Chlamydia trachomatis
Key idea: On the NBME, when it says that a woman is sexually active and uses oral contraception, that means that they do not need condoms and are at increased risk for STIs
Key idea: Empiric urethritis treated with azithromycin + ceftriaxone, gonorrhea positive only treated with azithromycin + ceftriaxone and chlamydia positive only treated with azithromycin only
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