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Acute uncomplicated cystitis — ABFM Board MCQ

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EasyUrology/RenalAcute uncomplicated cystitisABFM Board

A 25-year-old nonpregnant woman has dysuria and urinary frequency for 2 days. She has no fever, flank pain, vaginal discharge, or pregnancy risk. Urinalysis shows leukocyte esterase and nitrites. Which of the following is the most appropriate initial treatment?

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Correct answer: D — Nitrofurantoin for 5 days

Nitrofurantoin is a first-line option for acute uncomplicated cystitis in nonpregnant women when pyelonephritis is not suspected.

Reference: American Family Physician clinical reviews and AAFP guidance: https://www.aafp.org/pubs/afp.html