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General Medicine · Infectious diseases
Sample itemWhat is the most useful first investigation when pyelonephritis is suspected before antibiotics are started?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Urine dipstick and urine culture
Urinalysis can quickly support urinary infection and a urine culture identifies the organism and susceptibility, enabling antibiotic therapy to be tailored in suspected upper urinary tract infection.
Option by option
A. Bone-density scanning
Bone-density scanning assesses osteoporosis risk.
B. Electroencephalography
EEG records brain electrical activity.
C. Urine dipstick and urine culture (correct)
Correct: urine testing documents infection and guides targeted therapy.
D. Routine spirometry
Spirometry evaluates airflow obstruction, not urinary infection.
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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