A 28-year-old woman presents with dysuria, urinary frequency, and urgency for 1 day. She is afebrile and has no flank pain, nausea, or vaginal dischar...

Question

A 28-year-old woman presents with dysuria, urinary frequency, and urgency for 1 day. She is afebrile and has no flank pain, nausea, or vaginal discharge. Urinalysis shows positive leukocyte esterase and nitrites. She is not pregnant and has no drug allergies. What is the most appropriate first-line treatment?

Accepted Answer

Nitrofurantoin 100 mg twice daily for 5 days

Answer

Ciprofloxacin 500 mg twice daily for 7 days

Answer

Trimethoprim-sulfamethoxazole for 3 days in an area with high resistance

Answer

Amoxicillin 500 mg three times daily for 10 days

Answer

No antibiotics; advise increased fluid intake only

us-abfm MCQ (SBA): Acute uncomplicated cystitis