A 20-Year-Old Woman Comes to the Office Due to Increasing

A 20-year-old woman comes to the office due to increasing vaginal discharge and vulvar pruritus.  The patient has had vaginal discharge for the past 4 days.  She is sexually active with multiple partners and uses oral contraceptive pills.  Vital signs are normal.  Pelvic examination is performed, and wet mount microscopy of a vaginal swab is shown in the exhibit. 
Which of the following is the most appropriate pharmacotherapy for this patient?

A) Acyclovir
B) Ceftriaxone
C) Clindamycin
D) Doxycycline
E) Fluconazole
F) Metronidazole

Correct Answer:

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