Urgent Care For UTI 2

Question 1

A 28-year-old woman presents with dysuria and frequency for 2 days. Urinalysis shows positive nitrites and leukocyte esterase. She has no fever or flank pain. What is the most appropriate next step?

Accepted Answer

Prescribe nitrofurantoin 100 mg twice daily for 5 days

Answer

Nitrofurantoin for 5 days is first-line therapy for uncomplicated UTI in non-pregnant women per current IDSA guidelines.

Question 2

Which organism is responsible for the majority of uncomplicated UTIs in outpatient settings?

Accepted Answer

Escherichia coli

Answer

E. coli accounts for approximately 80–85% of uncomplicated UTIs in community settings.

Question 3

A 65-year-old man with an indwelling urinary catheter has a UA with bacteriuria but no symptoms. What is the recommended management?

Accepted Answer

No antibiotic treatment; asymptomatic bacteriuria in catheterized patients does not require treatment

Answer

Asymptomatic bacteriuria in catheterized patients should not be treated with antibiotics as treatment does not improve outcomes and promotes resistance.

Question 4

A pregnant woman at 16 weeks gestation has a urine culture growing >100,000 CFU/mL of E. coli. She has no symptoms. What is the correct management?

Accepted Answer

Treat with antibiotics, as asymptomatic bacteriuria in pregnancy requires treatment

Answer

Asymptomatic bacteriuria in pregnancy must be treated to prevent progression to pyelonephritis and adverse pregnancy outcomes.

Question 5

A 35-year-old diabetic woman presents with 3 days of dysuria, left flank pain, fever of 38.9°C, and costovertebral angle tenderness. What diagnosis best fits this picture?

Accepted Answer

Acute pyelonephritis

Answer

Fever, flank pain, and costovertebral angle tenderness together with urinary symptoms indicate acute pyelonephritis.

Urgent Care Practice Test

Urgent Care Practice Test

Urgent Care For UTI 2