Asymptomatic bacteriuria — DRCOG MCQ
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Correct answer: C — Prescribe a pregnancy-suitable antibiotic after culture review
The best answer is “Prescribe a pregnancy-suitable antibiotic after culture review”. Prescribe a pregnancy-suitable antibiotic after culture review is the best answer because the vignette is testing Asymptomatic bacteriuria and the recommended approach is consistent with NICE NG201, BNF. The other Specifically, Offer reassurance without further assessment, Book a non-urgent community midwife appointment, Offer empirical antifungal treatment, Request outpatient ultrasound in three months 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. Antenatal decisions combine gestation, maternal stability, fetal risk and whether care can safely remain in the community. Screening, diagnostic testing and urgent assessment are not interchangeable. The UK pathway should be followed with clear safety-netting whenever symptoms may evolve before the next routine appointment.
Reference: NICE NG201: Antenatal care: https://www.nice.org.uk/guidance/ng201/chapter/recommendations