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dysuria

Practice targeted AMC-style multiple-choice questions on dysuria.

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Ultrasonographic picture taken from a patient with left ureteral stone with hydronephrosis, created in Taiwan
Image by morning2k CC BY 2.5 · Source

A 35-year-old male presents with left flank pain and dysuria. An ultrasound is performed. What is the MOST appropriate next step in management?

A. Discharge with analgesia and follow-up
B. Increase oral fluid intake and reassess in 24 hours
C. Refer for immediate nephrectomy
D. Non-contrast CT of the abdomen and pelvis
E. Administer intravenous antibiotics
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A 25-year-old woman presents to the clinic with a 3-day history of dysuria, increased urinary frequency, and urgency. She denies fever, flank pain, or vaginal discharge. She is sexually active and uses oral contraceptives. On examination, she is afebrile and her vital signs are stable. Urinalysis shows pyuria and bacteriuria. What is the most appropriate treatment?

A. Trimethoprim-sulfamethoxazole
B. Ciprofloxacin
C. Ceftriaxone
D. Amoxicillin
E. Nitrofurantoin
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Ultrasonographic picture taken from a patient with left ureteral stone with hydronephrosis, created in Taiwan
Image by morning2k CC BY 2.5 · Source

A 38-year-old woman presents with acute onset left flank pain, radiating to the groin. She reports dysuria and hematuria. Vitals: HR 88, BP 130/80, Temp 37.1°C. A bedside ultrasound is performed, as shown. What is the MOST appropriate next step?

A. Non-contrast CT of the abdomen and pelvis
B. Refer for immediate nephrostomy tube placement
C. Repeat ultrasound in 24 hours
D. Discharge with analgesics and follow-up with urology
E. Administer IV antibiotics
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