American Board of Internal Medicine (ABIM) Certification Practice Exam

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What is the duration of doxycycline treatment for epididymitis?

  1. 7 days

  2. 10 days

  3. 14 days

  4. 21 days

The correct answer is: 10 days

The recommended duration of doxycycline treatment for epididymitis, particularly when caused by sexually transmitted infections such as chlamydia, is typically 10 days. This regimen is effective in ensuring adequate antibiotic coverage to resolve the infection and prevent complications. The 10-day course allows sufficient time for the medication to reach therapeutic levels and effectively target the pathogens involved in the infection. A duration shorter than this may not fully eradicate the infection, whereas a longer course may not provide additional benefits and could potentially increase the risk of side effects or resistance. Overall, the 10-day treatment aligns with clinical guidelines for managing uncomplicated epididymitis attributed to sexually transmitted organisms.