skip to main content

Urosepsis — CCFP MCQ

Instant feedback + full explanation. One question, done properly.

HardEmergency presentations in communityUrosepsisCCFP

A 70-year-old woman with diabetes presents to the clinic with fever, rigors and dysuria. Blood pressure is 86/52, heart rate 122, respiratory rate 28, oxygen saturation 94%, and she is confused. What is the most appropriate next step in management?

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

Reveal the answer and explanation

Correct answer: A — Activate EMS for emergency transfer, initiate supportive care (oxygen, positioning) within clinic capability, and communicate the suspected urinary source to the receiving team

Explanation lettering: E = shown as A · A = shown as B · B = shown as C · C = shown as D · D = shown as E

The patient has sepsis with organ dysfunction (low BP, confusion) and a probable urinary source. Per Canadian best practice (CMAJ 2017), early identification and escalation are crucial. Clinic settings cannot safely manage this acuity; EMS transfer and on-site supportive measures are essential. Options A and B defer care dangerously. Option C prioritizes lab confirmation over urgent care in an unstable patient. Option D severely underestimates the threat: this is not simple cystitis. Only option E fully aligns with Canadian sepsis management and patient safety.

Reference: CMAJ. Reducing the global burden of sepsis. 2017. https://www.cmaj.ca/content/189/1/E2