PANRE Practice Test 15

10 free PANRE practice questions in the real exam format, covering the official content areas, with an explanation for every answer.

PANRE Practice Test 15Tutor mode

Question 1 of 10

Renal System

A 29-year-old woman comes to the urgent care clinic because of 2 days of fever, right flank pain, nausea, dysuria and urinary frequency. She has no drug allergies and tolerates oral fluids. A urine pregnancy test is negative. Local resistance of Escherichia coli to fluoroquinolones is under 10%. Temperature is 38.7°C (101.7°F), heart rate 104/min, respirations 16/min, blood pressure 118/72 mmHg, and oxygen saturation 99% on room air. There is right costovertebral angle tenderness. Urinalysis results are shown; urine culture is pending. Which of the following is the most appropriate pharmacotherapy?

Urinalysis
TestResultReference range
Specific gravity1.0201.005–1.030
Leukocyte esterasePositiveNegative
NitritePositiveNegative
Leukocytes>50/hpf0–5/hpf
Erythrocytes5–10/hpf0–3/hpf
BacteriaManyNone
CastsWhite blood cell castsNone