American Board of Family Medicine (ABFM) Practice Exam 2025 - Free ABFM Practice Questions and Study Guide

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A patient diagnosed with acute salpingitis should undergo what as part of their treatment plan?

Outpatient antibiotics only

Surgical intervention

Hospitalization and antibiotics

In the case of a patient diagnosed with acute salpingitis, the standard treatment protocol typically involves hospitalization and intravenous antibiotics. This is due to the potential severity of acute salpingitis, which can result from pelvic inflammatory disease (PID) and may lead to complications such as abscess formation, chronic pain, or infertility if not treated appropriately.

Hospitalization allows for close monitoring of the patient’s condition, especially if they present with more severe symptoms or signs of systemic infection, such as high fever, tachycardia, or significant abdominal pain. Intravenous antibiotics can provide more rapid and effective treatment compared to oral regimens, addressing the infection thoroughly.

In some cases, if the patient's condition does not improve with antibiotic treatment, or if there is a risk of complications, surgical intervention might be necessary. However, the immediate and initial approach typically prioritizes hospitalization and antibiotics to manage the infection effectively.

Outpatient treatment may be appropriate for mild cases, but this often depends on specific clinical criteria, including the patient's overall health and the severity of their symptoms. Similarly, observation without treatment is not advisable in cases of acute salpingitis due to the risk of progression and complications. Thus, hospitalization and antibiotics represent the most comprehensive and vigilant approach to

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Observation without treatment

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