Question

Cindy, a grade 2 teacher, visits the clinic you are working in with complaints of frequent urination associated with a burning sensation and some blood in the urine. She has no fever and is otherwise healthy.

What test do you think should be ordered on Cindy to confirm the diagnosis?
A. Urinalysis
B. Urine culture
C. CBC ( complete blood count)
D. Ultrasound abdomen
E. Cat scan

Answer 1

A urinalysis should be ordered to confirm Cindy's diagnosis, as it checks for signs indicative of a UTI. If positive, a urine culture may follow to pinpoint the bacteria and suitable antibiotic treatment.

Step-by-step explanation:

The appropriate test that should be ordered to confirm Cindy's diagnosis, given her symptoms of frequent urination, a burning sensation, and blood in the urine, is urinalysis (Option A). Urinalysis is a common initial test to check for the presence of white blood cells, red blood cells, and bacteria, which can indicate a urinary tract infection (UTI). If the initial urinalysis suggests an infection, a urine culture (Option B) may be done to identify the specific bacteria causing the infection and to determine the most effective antibiotic treatment. Options C, D, and E are not the most appropriate initial tests for these symptoms. However, in certain cases, further imaging such as ultrasound abdomen (Option D) or a CAT scan (Option E) may be warranted based on the patient's history and clinical findings.