Recurrent urinary tract infection — DRCOG MCQ
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Correct answer: C — Consider vaginal oestrogen after assessment
Consider vaginal oestrogen after assessment is the best answer because the vignette is testing Recurrent urinary tract infection and the recommended approach is consistent with NICE NG112; NICE CKS. The other options are less suitable because they either delay time-critical assessment, treat a different presentation, or omit the key safety step. Specifically, Request outpatient ultrasound in three months; Start long-term antibiotics without culture; Advise oral analgesia and routine follow-up; Request CA125 would be suboptimal in this scenario. In DRCOG-style primary care questions, the safest answer is usually the step that matches the acuity and gestation rather than symptomatic treatment alone.
Reference: NICE NG112; NICE CKS