Question

A 34-year-old woman presents with dysuria, urinary frequency, and suprapubic discomfort for 2 days. She has no fever, flank pain, or vaginal symptoms and is otherwise healthy. Which management is most appropriate for presumed acute uncomplicated cystitis?

Accepted Answer

Empirical oral antibiotics such as nitrofurantoin for 5 days without further investigations

Answer

Urinalysis and urine culture, then delay antibiotics until culture results

Answer

Renal ultrasound before starting treatment

Answer

Cystoscopy to exclude bladder cancer

Answer

Intravenous broad-spectrum antibiotics in hospital

Practice question

A 34-year-old woman presents with dysuria, urinary frequency, and suprapubic discomfort for 2 days. She has no fever, flank pain, or vaginal symptoms and is otherwise healthy. Which management is most appropriate for presumed acute uncomplicated cystitis?