This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Obstetrics, Subject name: Gynaecology & Obstetrics
[{'content': 'A pregnant patient with a positive test for gonorrhea and no testing for chlamydial infection should be treated with which of the following? \nSelect and explain. \nA. Ceftriaxone 250 mg IM once and azithromycin 1 g orally once, B. Cefixime 400 mg orally once, C. Erythromycin 500 mg orally four times daily for 7 days, D. Azithromycin 1 g orally once and amoxicillin 500 mg orally three times daily for 7 days', 'role': 'user'}, {'content': 'Answer: A \nExplanation: Treatment of Uncomplicated Gonococcal Infections During Pregnancy Ceftriaxone. 250 mg intramuscularly as a single dose Or Cefixime, 400 mg orally in a single dose Or Spectinomycin, 2g intramuscularly as a single dose Plus Treatment for chlamydial infection unless it is excluded The current treatment for uncomplicated gonococcal infection during pregnancy is 250 mg of ceftriaxone intramuscularly plus 1 g of azithromycin orally. The latterprovides another drug with a different mechanism of action against N gonorrhoeaeand treats chlamydial co-infections.', 'role': 'assistant'}]