PANCE Exam Practice Questions: Quiz 357

A 25-year-old woman complains of dysuria, frequency, and suprapubic pain. She has not had previous symptoms of dysuria and is not on antibiotics. She is sexually active and on birth control pills. She has no fever, vaginal discharge or history of herpes infection. She denies back pain, nausea, or vomiting. On physical examination she appears well and has no costovertebral angle tenderness. A urinalysis shows 20 white blood cells per high power field. Which of the following statements is correct?
- a. A 3-day regimen of trimethoprim-sulfamethoxazole is adequate therapy.
- b. Quantitative urine culture with antimicrobial sensitivity testing is mandatory.
- c. Obstruction resulting from renal stone should be ruled out by ultrasound.
- d. Low-dose antibiotic therapy should be prescribed while the patient remains sexually active.

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