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UTI renal impairment — GPhC CRA MCQ

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EasyRenal and Hepatic ImpairmentUTI renal impairmentGPhC CRA

A woman with lower UTI has eGFR 25 and cannot take nitrofurantoin. What is the most appropriate alternative?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Seek prescriber selection of an alternative based on culture and renal function

Antibiotic choice in renal impairment should consider efficacy, renal thresholds and local susceptibility. In this vignette, "Seek prescriber selection of an alternative based on culture and renal function" is the safest single best answer. The other options are less appropriate because they miss the key clinical risk, conflict with UK medicines guidance, or delay needed review.

Reference: BNF