Biweekly USMLE Thread

Random super nitpicky question about giving metronidazole in pregnancy:

UW Question ID 3707

>!spoiler<G1P0 GA 10 wks is found to have B. vag, PO metronidazole rather than delaying treatment until second semester>!spoiler<

The drug's a preg category B, i.e. No evidence of risk in studies

Per UpToDate: it "should only be used in pregnancy only if it is clearly needed, and it should be avoided during the first trimester"

DynaMed lists it under contraindications:

"pregnancy, first trimester, in patients being treated for trichomoniasis (immediate-release tablets, capsules)"

So my question: what's the right answer on a test, and also what's the right thing to do IRL?

/r/medicalschool Thread