Lower urinary tract infection Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 30-year-old G1P0 woman at 16 weeks’ gestation presents to the primary care clinic with three days of dysuria, urinary frequency, and urgency. She has not had fevers, chills, flank pain, or vaginal discharge. She has no significant past medical history, and her current pregnancy has been uneventful. Her vital signs are within normal limits. On physical examination, the patient has mild suprapubic tenderness and no costovertebral angle tenderness. Urinalysis is positive for nitrites and leukocyte esterase and reveals 15–20 WBCs (0–5/hpf) and 3–4 RBCs (0–5/hpf). Which of the following is the best next step in management?

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Initiate empiric treatment with IV ceftriaxone

Initiate empiric treatment with bactrim

Initiate empiric treatment with oral amoxicillin-clavulanate

Initiate empiric treatment with oral ciprofloxacin

Obtain a renal ultrasound