A 23-year-old woman presents with dysuria and frequency. Urinalysis is negative for pyuria and bacteriuria. Physical examination reveals vulvovaginal ...

Question

A 23-year-old woman presents with dysuria and frequency. Urinalysis is negative for pyuria and bacteriuria. Physical examination reveals vulvovaginal irritation and discharge. What is the recommended management?

Accepted Answer

Evaluate for vaginitis or urethritis rather than treating asymptomatic bacteriuria with antibiotics

Answer

Treat as cystitis with trimethoprim-sulfamethoxazole

Answer

Treat as cystitis with nitrofurantoin

Answer

Start a fluoroquinolone empirically

Answer

Begin a 7-day course of amoxicillin

us-abfm MCQ (SBA): Dysuria-Non-UTI

A 23-year-old woman presents with dysuria and frequency. Urinalysis is negative for pyuria and bacteriuria. Physical examination reveals vulvovaginal irritation and discharge. What is the recommended management?