1 Day Of High in Obstetrics & Gynecology — 34yo Woman | General Gynecology | SMLE Q#11516
SMLE Question #11516
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 34-year-old woman, gravida 2 para 1, at 33 weeks’ gestation presents with 1 day of high fever, rigors, severe right flank pain radiating to the groin, dysuria, and urinary frequency. She has had two prior urinary tract infections during this pregnancy treated with oral antibiotics. Examination shows marked right costovertebral angle tenderness. Which investigation is the most appropriate next step to evaluate the urinary tract in late pregnancy?
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