A 43-year-old woman has dysuria and urinary frequency for 1 day. She is afebrile and has no flank pain, vaginal discharge, pregnancy, diabetes, or

Question

A 43-year-old woman has dysuria and urinary frequency for 1 day. She is afebrile and has no flank pain, vaginal discharge, pregnancy, diabetes, or recent instrumentation. Urinalysis shows leukocyte esterase and nitrites. Which of the following is the most appropriate next step in management?

Accepted Answer

Treat empirically with nitrofurantoin

Answer

Delay therapy until cystoscopy

Answer

Obtain CT scan of the abdomen and pelvis

Answer

Admit for intravenous cefepime

Answer

Prescribe fluconazole

Acute uncomplicated cystitis — USMLE Step 3 MCQ

A 43-year-old woman has dysuria and urinary frequency for 1 day. She is afebrile and has no flank pain, vaginal discharge, pregnancy, diabetes, or recent instrumentation. Urinalysis shows leukocyte esterase and nitrites. Which of the following is the most appropriate next step in management?