Urinary Tract Infection — UKMLA MCQ

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EasyRenal medicine & UrologyUrinary Tract InfectionUKMLA

A 25-year-old woman presents with dysuria, increased frequency, and mild suprapubic pain. Urinalysis shows nitrites and leukocyte esterase positive. No fever or flank pain. What is the most likely diagnosis?

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Correct answer: C — Cystitis (uncomplicated UTI)

Nitrites and leukocyte esterase positivity in the absence of systemic symptoms or flank pain in a young female strongly suggests an uncomplicated cystitis (lower UTI). Pyelonephritis typically presents with fever, flank pain, and systemic symptoms. Gonococcal urethritis often has different discharge features. Interstitial cystitis is a chronic pain syndrome. Nephrolithiasis typically presents with colicky flank pain and hematuria.

Reference: CKS UTI in Women