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Uncomplicated lower UTI — GPhC CRA MCQ

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ModerateInfectionsUncomplicated lower UTIGPhC CRA

A 31-year-old woman asks for treatment for cystitis. She is not pregnant, has dysuria and frequency for 24 hours, no flank pain or fever, and her last eGFR was 82mL/min/1.73m2. What is the most appropriate action?

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Correct answer: A — Assess suitability for local pharmacy UTI pathway or advise prescriber treatment if needed

Lower UTI symptoms without fever, flank pain or pregnancy may be managed through local pharmacy pathways where available, or referred for appropriate antibiotic assessment. Red flags such as pyelonephritis symptoms would change management. Fluconazole is not appropriate for typical cystitis symptoms without features of candidiasis. Hydration advice and safety-netting are important.

Reference: NICE CKS UTI lower; local PGD/service specification