A 19-year-old Caucasian woman - ritonavir

[ArchivalUser]

A 19-year-old Caucasian woman without health insurance presents to the gynecologist's office complaining of mild dysuria, nocturia, and increased urinary frequency. These symptoms began yesterday shortly after she had intercourse with her partner of three months. Past medical history is noncontributory. Current medications include oral contraceptives and she reports an allergy to sulfa. Temperature is 36.7C (98F), blood pressure is 124/78 mm Hg, pulse is 68/min, and respirations are 13/min. Mild suprapubic tenderness is apparent on palpation. Urinalysis is positive for leukocyte esterase and nitrites and demonstrates moderate pyuria. She is requesting the most cost effective treatment. What is the next best step in managing this woman's condition?

A.


Prescribe phenazopyridine




B.


Prescribe trimethoprim/sulfamethoxazole



C.


Prescribe trimethoprim




D.


Prescribe ciprofloxacin




E.


Prescribe metronidazole

[ArchivalUser]

D. I think not complicated cystitis and allergy to sulfa

[ArchivalUser]

C. Regarding the cost and U/A result.

[ArchivalUser]

Answer is C.

[ArchivalUser]

cc

[ArchivalUser]

D. Think they put the OCP's to put emphasys that she's not pregnant and quinolones are safe.

[ArchivalUser]

The correct answer is CCCC

[ArchivalUser]

good question. have OCP doesn't mean she isn't preg.