This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Gynaecology & Obstetrics
[{'content': 'Acute PID is treated by:a) IV antibiotics (broad spectrum)b) Drainage of TO massc) Abdominal hysterectomyd) Laparoscopic exploration \nSelect and explain. \nA. acd, B. bcd, C. abd, D. ab', 'role': 'user'}, {'content': 'Answer: C \nExplanation: Management of PID\n• Broad-spectrum antibiotics (oral or IV)\n• If tubo-ovarian mass/abscess is present – it should be treated medically but, if there is no response drainage should be done.\n• Drainage of a pelvic abscess by colpotomy may occasionally be needed\nPlace of surgery in acute PID: Surgery can range from laparoscopy to laparotomy.\nIndications\n• No response to treatment and worsening of condition\n• Ruptured tubo-ovarian abscess\n• Drainage of a pelvic abscess\n• Doubtful diagnosis\nOther measures\n• Male partners should receive prophylactic treatment for gonococcal and chlamydial infection\n• Male partners should be counseled regarding condom use to prevent further exposure\n• PID patients and their partners should be counseled regarding HIV and STDs and should be offered confidential HIV testing.\n• If an IUCD is present, it must be removed once treatment is commenced.\n• Contraceptive counseling must be provided', 'role': 'assistant'}]