Reproductive System Disorders Q 17 - Gyan Darpan : Learning Portal
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Sunday, 3 April 2022

Reproductive System Disorders Q 17

A 26-year-old female client seeks care for a possible infection. Her symptoms include burning on urination and frequent, urgent voiding of small amounts of urine. She’s placed on trimethoprim-sulfamethoxazole (Bactrim) to treat possible infection. Another medication is prescribed to decrease the pain and frequency. Which of the following is the most likely medication prescribed?
    A. Nitrofurantoin (Macrodantin)
    B. Ibuprofen (Motrin)
    C. Acetaminophen with codeine
    D. Phenazopyridine (Pyridium)

Correct Answer: D. Phenazopyridine (Pyridium)

Phenazopyridine may be prescribed in conjunction with an antibiotic for painful bladder infections to promote comfort. Because of its local anesthetic action on the urinary mucosa, phenazopyridine specifically relieves bladder pain. Adjunctive therapy with phenazopyridine for several days may help provide symptom relief. Even without treatment, the UTI will spontaneously resolve in about 20% of women. The likelihood that a female will develop acute pyelonephritis is very small.

Option A: Nitrofurantoin is a urinary antiseptic with no analgesic properties. Nitrofurantoin is a good choice for uncomplicated UTI, but it is bacteriostatic, not bactericidal, and must be used for 5 to 7 days. Nitrofurantoin is an antibiotic medication that is used for the treatment of uncomplicated lower urinary tract infection. It is effective against most gram-positive and gram-negative organisms.
Option B: Ibuprofen is a medication used in the management and treatment of inflammatory diseases, rheumatoid disorders, mild to moderate pain, fever, dysmenorrhea, and osteoarthritis. It is in the non-steroidal anti-inflammatory drug (NSAID) class of medications.
Option C: While acetaminophen with codeine is an analgesic, they don’t exert a direct effect on the urinary mucosa. Acetaminophen is used to reduce pain and fever. Unlike NSAIDs (nonsteroidal anti-inflammatory drugs), it lacks anti-inflammatory activity. Codeine is a narcotic analgesic (pain reliever) derived from opium. It is used alone and in combination products to treat mild to moderate pain and as a cough suppressant.

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