11-23-2007, 10:16 AM
A 39-year-old woman, gravida 4, para 3, comes to the physician for a prenatal visit. Her last menstrual period was 8 weeks ago. She has had no abdominal pain or vaginal bleeding. She has no medical problems. Examination is unremarkable except for an 8-week sized, nontender uterus. Prenatal labs are sent. The rapid plasma reagin (RPR) test comes back as positive and a confirmatory microhemagglutination assay for antibodies to Treponema pallidum (MHA-TP) test also comes back as positive. Which of the following is the most appropriate pharmacotherapy?
A. Erythromycin
B. Levofloxacin
C. Metronidazole
D. Penicillin
E. Tetracycline
A. Erythromycin
B. Levofloxacin
C. Metronidazole
D. Penicillin
E. Tetracycline