American Midwifery Certification Board (AMCB) Practice Exam

The treatment protocol for chancroid involves the use of antibiotics that are effective against the causative agent, Haemophilus ducreyi. This bacterium is sensitive to certain medications, and the recommended treatments include either an intramuscular injection of ceftriaxone or oral administration of azithromycin.

Ceftriaxone is a cephalosporin antibiotic that is often used for various bacterial infections, including chancroid, due to its broad-spectrum activity and effectiveness against H. ducreyi. Azithromycin, a macrolide antibiotic, is also effective and is often preferred in certain populations due to its convenience and tolerability.

The other options are not appropriate for the treatment of chancroid. Vancomycin is primarily used for serious Gram-positive infections and is not effective against H. ducreyi. Amoxicillin is generally ineffective against this particular organism. Oral fluconazole is an antifungal medication and does not have activity against bacterial pathogens such as Haemophilus ducreyi. Therefore, the selected treatment options in the correct answer are the preferred and most effective methods for addressing chancroid.