A 20-year-old woman comes to the office due to dysuria, urgency and frequency. This symptoms started 2 days ago. She denied any fever or chills. She has recurrent episodes of cystitis and one epiosde of acute pyelonephritis over the past eight months. The symptoms tend to occur a few days following sexual intercourse. The patient has no other medical problems and takes no medications. Her temperature is 36.7 C (98 F), blood pressure is 110/70 mm Hg, respirations are 16/min, and pulse is 65/min. Abdominal and genitourinary examinations are normal. Which of the following is the most likely predisposing factor for pyelonephritis in this patient?

Question

A 20-year-old woman comes to the office due to dysuria, urgency and frequency. This symptoms started 2 days ago. She denied any fever or chills. She has recurrent episodes of cystitis and one epiosde of acute pyelonephritis over the past eight months. The symptoms tend to occur a few days following sexual intercourse.  The patient has no other medical problems and takes no medications.  Her temperature is 36.7 C (98 F), blood pressure is 110/70 mm Hg, respirations are 16/min, and pulse is 65/min.  Abdominal and genitourinary examinations are normal.  Which of the following is the most likely predisposing factor for pyelonephritis in this patient?

Quizplus · Accepted Answer

The Answer is E

A 20-Year-Old Woman Comes to the Office Due to Dysuria