Paper II
Question
Ciprofloxacin/Ceftriaxone in a pregnant lady diagnosed to have Enteric fever
Answer
Ceftriaxone is the appropriate choice — a third-generation cephalosporin with an established safety profile in pregnancy and reliable efficacy against Salmonella typhi. Ciprofloxacin is contraindicated in pregnancy given its risk of cartilage damage in the developing fetus, a class-wide fluoroquinolone concern, making ceftriaxone the safer choice for enteric fever in this patient.