#january2020usmle2k
A 68 year-old woman complains of fever, anorexia and right flank pain for 2 days. She vomited twice today. On physical examination, her temperature is 101.3 F and there is moderate tenderness on the right costovertebral angle. Her urinalysis shows leukocytes and pus cells.
What is the most appropriate next step of management?
A – Hospitalization and intravenous antibiotics
B – Outpatient wide spectrum antibiotics and schedule a visit after 3 days
C – Collect blood and urine samples for culture
D – Schedule MRI of the abdomen and pelvis
E – Schedule Intravenous pyelogram
A 68 year-old woman complains of fever, anorexia and right flank pain for 2 days. She vomited twice today. On physical examination, her temperature is 101.3 F and there is moderate tenderness on the right costovertebral angle. Her urinalysis shows leukocytes and pus cells.
What is the most appropriate next step of management?
A – Hospitalization and intravenous antibiotics
B – Outpatient wide spectrum antibiotics and schedule a visit after 3 days
C – Collect blood and urine samples for culture
D – Schedule MRI of the abdomen and pelvis
E – Schedule Intravenous pyelogram
