This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Contraceptives, Subject name: Gynaecology & Obstetrics
[{'content': 'Pathognomic of Actinomyces pelvic infection in IUCD users is? \nSelect and explain. \nA. Raised ESR., B. Present of granuloma in microscopic lesion., C. Presence of Sulphur granules., D. Pelvic abscess', 'role': 'user'}, {'content': 'Answer: C \nExplanation: Tubo-ovarian abscess with the classic "Sulphur granules"are observed histologically along with gram positive filaments. Approximately 7% of women using an IUD may have a finding of Actinomyces-like organisms on a Pap test. In the absence of symptoms, women with Actinomyces-like organisms on a Pap test do not need antimicrobial treatment or IUD removal. Actinomyces israelli is the species most commonly associated Plastic ine IUDs are associated with a greater prevalence of Actinomyces infection than are copper-bearing IUDs. IUD removal, antibiotic treatment, are recommended.', 'role': 'assistant'}]