Medical disorders in pregnancy: pregnancy-related UTI: practice question

A OBG question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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OBG · Medical disorders in pregnancy: pregnancy-related UTI

Sample item

A woman at 30 weeks develops fever with chills, flank pain and costovertebral angle tenderness. What is the management?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

D. Admit and give IV antibiotics such as ceftriaxone

Acute pyelonephritis in pregnancy needs hospital admission, IV fluids and IV antibiotics until afebrile for 24 to 48 hours, followed by oral antibiotics to complete 10 to 14 days. Suppressive therapy may be given for the remainder of pregnancy. Complications include septic shock and ARDS.

Option by option

  • A. Observe

    Observation risks sepsis and preterm labour.

  • B. Oral nitrofurantoin for 3 days at home

    Nitrofurantoin does not reach adequate renal tissue levels.

  • C. Immediate delivery

    Delivery is not needed for pyelonephritis.

  • D. Admit and give IV antibiotics such as ceftriaxone (correct)

    Correct. Inpatient IV therapy is standard.

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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Questions about this OBG question

What is the answer to this OBG question?

The best answer is D, Admit and give IV antibiotics such as ceftriaxone. Acute pyelonephritis in pregnancy needs hospital admission, IV fluids and IV antibiotics until afebrile for 24 to 48 hours, followed by oral antibiotics to complete 10 to 14 days.

Why is "Observe" not the answer?

Observation risks sepsis and preterm labour.

Why is "Oral nitrofurantoin for 3 days at home" not the answer?

Nitrofurantoin does not reach adequate renal tissue levels.

Why is "Immediate delivery" not the answer?

Delivery is not needed for pyelonephritis.

What concept does this question test?

It tests Medical disorders in pregnancy: pregnancy-related UTI in OBG. Suppressive therapy may be given for the remainder of pregnancy. Complications include septic shock and ARDS.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Medical disorders in pregnancy: pregnancy-related UTI?

Learn management algorithms as steps: PPH, eclampsia, ectopic pregnancy. Then use the flashcards and the other OBG questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.