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PANCE Practice Question for April 7th

A 15-year-old girl comes to the clinic because of mild vulvovaginal itching and a foul-smelling vaginal discharge. She is otherwise generally healthy and takes no medications. She is sexually active with one male partner and says that they use condoms sporadically. Her sexual partner is asymptomatic. Examination shows deeply erythematous vaginal mucosa and a diffusely inflamed and friable cervix. There is a moderate amount of gray-green vaginal discharge. A microscopic image of the vaginal discharge is shown.

What is the treatment of choice in this patient?

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