A 27-year-old nonpregnant woman has dysuria, frequency, and suprapubic discomfort for 2 days. She is afebrile with no flank pain or vaginal

Question

A 27-year-old nonpregnant woman has dysuria, frequency, and suprapubic discomfort for 2 days. She is afebrile with no flank pain or vaginal discharge. Urinalysis shows leukocyte esterase and nitrites. Which of the following is the most appropriate next step in management?

Accepted Answer

Nitrofurantoin therapy for 5 days

Answer

Doxycycline therapy for 7 days

Answer

CT scan of the abdomen and pelvis

Answer

Ciprofloxacin therapy for 14 days

Answer

Urine culture before treatment in every episode

Uncomplicated cystitis — USMLE Step 3 MCQ

A 27-year-old nonpregnant woman has dysuria, frequency, and suprapubic discomfort for 2 days. She is afebrile with no flank pain or vaginal discharge. Urinalysis shows leukocyte esterase and nitrites. Which of the following is the most appropriate next step in management?