Delirium superimposed on dementia — SCE Geriatric Medicine MCQ
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Correct answer: A — Do not treat asymptomatic bacteriuria; reassess if symptoms develop
Explanation lettering: E = shown as C · C = shown as D · D = shown as E
A is correct: this is asymptomatic bacteriuria in a non-pregnant adult and routine treatment provides no benefit while increasing adverse effects and resistance. B treats a laboratory result rather than a syndrome. C assumes dementia automatically supplies symptoms. D perpetuates unnecessary screening. E overinterprets malodour without new urinary or systemic features.
Reference: NICE NG109 lower UTI recommendations: https://www.nice.org.uk/guidance/NG109/chapter/recommendations