2 Weeks Of Dysuria in Medicine / Internal Medicine — 45yo Woman | Infectious Diseases | SMLE Q#12041
SMLE Question #12041
Medicine / Internal Medicine
Infectious Diseases
Objective: OBJ-349
Last updated: February 2026
A 45-year-old woman presents to a primary care clinic with 2 weeks of dysuria, urinary frequency, and suprapubic discomfort. She denies flank pain, fever, nausea, and vaginal discharge. She has no chronic illnesses and takes no regular medications. Examination shows mild suprapubic tenderness with no costovertebral angle tenderness. The physician wants to confirm the diagnosis before prescribing antibiotics. What is the most appropriate next investigation?
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