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General Surgery · Urology: recurrent UTI and asymptomatic bacteriuria
Sample itemIn which situation is asymptomatic bacteriuria treated?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Pregnancy
Asymptomatic bacteriuria is treated in pregnancy (to prevent pyelonephritis and preterm birth) and before urological procedures that breach the mucosa. Otherwise treatment adds resistance without benefit. Recurrent UTIs in women are managed with behavioural measures and prophylaxis.
Option by option
A. Pregnancy (correct)
Correct. Pregnancy is a standard indication.
B. Patient with a long-term catheter
Catheter colonisation is not treated without symptoms.
C. Diabetic woman with no symptoms
Asymptomatic diabetics are not treated.
D. Elderly nursing home resident
Elderly residents are not treated routinely.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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