QuestionSBA
QuestionChoice
Doxycycline has a number of indications including in sexually transmitted infections, malaria prophylaxis, and lyme disease. It is not used to treat a lower urinary tract infection.
10006890
e
Doxycycline
QuestionChoice
Nitrofurantoin is the first-line antibiotic of choice in a suspected lower urinary tract infection.
10006886
a
Nitrofurantoin
QuestionChoice
Trimethoprim is contraindicated in this patient due to her history of folic acid deficiency, but may be used as an alternative to nitrofurantoin in eligible patients. Trimethoprim inhibits folic acid synthesis so may result in decreased levels in this patient.
10006887
b
Trimethoprim
QuestionChoice
Flucloxacillin is typically used in skin infections e.g. cellulitis. It would not be used to treat a urinary tract infection.
10006889
d
Flucloxacillin
QuestionChoice
Co-amoxiclav is the first-line antibiotic of choice in an upper urinary tract infection (pyelonephritis). However, nitrofurantoin or trimethoprim are first-line in a lower urinary tract infection.
10006888
c
Co-amoxiclav
Concept
Chapter
2693
3757
Urinary Tract Infection
Topic
142
Nephrology
13924
A 34-year-old woman presents to her GP complaining of urgency and stinging on urination. She is sexually active, but always uses contraception. On examination, there is some slight suprapubic tenderness. She has a past medical history of folic acid deficiency and asthma for which she takes a salbutamol inhaler. The GP suspects a lower urinary tract infection.

Which of the following choices of antibiotic is most appropriate for this patient?
a