A 27-year-old gravida 1 para 0 at 10 weeks has routine urine culture growing 100,000 CFU/mL of E coli. She has no dysuria, fever, frequency, or flank

Question

A 27-year-old gravida 1 para 0 at 10 weeks has routine urine culture growing 100,000 CFU/mL of E coli. She has no dysuria, fever, frequency, or flank pain. She has no drug allergies. Which of the following is the most appropriate next step in management?

Accepted Answer

Treat with a pregnancy-appropriate antibiotic

Answer

Treat with fluoroquinolone as first-line therapy

Answer

Do not treat unless symptoms develop

Answer

Perform cystoscopy today

Answer

Order CT urogram

ASB pregnancy — USMLE Step 3 MCQ

A 27-year-old gravida 1 para 0 at 10 weeks has routine urine culture growing 100,000 CFU/mL of E coli. She has no dysuria, fever, frequency, or flank pain. She has no drug allergies. Which of the following is the most appropriate next step in management?