Case Scenario: A 30-year-old pregnant woman (12 weeks gestation) presents with dysuria and urinary frequency. She denies fever or flank pain but expresses concern about the implications for her pregnancy. MCQs: What is the most likely diagnosis for this patient? A) Complicated UTI B) Uncomplicated UTI C) Asymptomatic bacteriuria D) Pyelonephritis What is the appropriate first-line treatment for this patient? A) Nitrofurantoin B) Ciprofloxacin C) Amoxicillin D) TMP-SMX Answers with Explanations: Answer: B) Uncomplicated UTI Explanation: The symptoms and presentation are consistent with an uncomplicated UTI during pregnancy. Answer: C) Amoxicillin Explanation: Amoxicillin is safe for use during pregnancy and appropriate for treating UTIs. Diagnosis: History and Symptoms: Typical symptoms of a UTI during pregnancy. Urinalysis: Positive for leukocyte esterase, nitrites, and bacteria. Empiric Treatment: First-Line Antibiotic: Prescribe cephalexin or amoxicillin as they are safe in pregnancy. Avoid TMP-SMX and fluoroquinolones due to potential risks. Follow-Up: Schedule follow-up urinalysis in 1-2 weeks to ensure the infection is cleared and monitor for any recurrence.
