This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Genital Tract Infections (Too hot to handle!), Subject name: Gynaecology & Obstetrics
Criteria to diagnose PID include all of the following except: 
Select and explain. 
A. Uterine tenderness, B. Cervical motion tenderness, C. Nausea and Vomiting, D. Adnexal tenderness
C: Nausea and Vomiting
Answer: C: Nausea and Vomiting 
Explanation: Criteria for the diagnosis of PID: - Minimum Criteria 1) Lower abdominal tenderness 2) Adnexal tenderness 3) Cervical motion tenderness. Additional criteria 1. Culture and senstivity of Endometrial biopsy Vaginal swab Cervical swab Culture media for Gonorrhea: Thayer Main media Chlamydia: Mc Coy cell lines (PCR preferred) 2. | ESR/CRP 3. | TLC 4. Fever>100.4degF Elaborate criteria 5. Diagnostic Laproscopy : gives direct evidence, if done, is the best way to diagnose PID 6. USG: documents pelvic/ tubo ovarian abscess Discharge criteria Temperature<99.5degF