Q3:
D. Give her levofloxacin 500mg orally daily with metronidazole 500mg twice daily to take at home for 14 days.

This is an effective regimen in Ghana. It would not be recommended in the U.S. or in Asia because of the frequency of fluoroquinolone-resistant N. gonorrhoeae in those locations.

There is an alternative regimen listed here that would also be appropriate. Have you found it?