A 28-year-old female presents with a 2-day history of dysuria, urgency, and frequency. She reports no fever or flank pain. She has had similar symptoms in the past and has been treated with antibiotics. She is otherwise healthy and takes no medications. MCQs: What is the most likely diagnosis for this patient? A) Complicated UTI B) Uncomplicated UTI C) Pyelonephritis D) Interstitial cystitis What is the appropriate first-line treatment for this patient? A) Ciprofloxacin B) Nitrofurantoin C) Amoxicillin D) Fosfomycin Answers with Explanations: Answer: B) Uncomplicated UTI Explanation: The patient's symptoms and history suggest a straightforward diagnosis of uncomplicated UTI. Answer: B) Nitrofurantoin Explanation: Nitrofurantoin is a first-line treatment option for uncomplicated UTIs. Diagnosis: History and Symptoms: Classic symptoms of an uncomplicated UTI (e.g., dysuria, urgency). Urinalysis: Positive for nitrites, leukocyte esterase, and bacteria. Empiric Treatment: First-Line Antibiotic: Prescribe nitrofurantoin (Macrobid) for 5 days or trimethoprim-sulfamethoxazole (TMP-SMX) if local resistance patterns allow. Follow-Up: Instruct the patient to return if symptoms do not improve within 48-72 hours or if they worsen
