The question number 124 in the document is:
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**Q124)** A 23-year-old primigravida at 12 weeks of gestation comes for a routine follow-up at the antenatal care clinic. She is asymptomatic. Urine culture and sensitivity reveal the presence of *Escherichia coli* (E. coli). What is the most appropriate management?
**A)** Discharge home on ciprofloxacin
**B)** Admit and start IV ceftriaxone
**C)** No need to treat
**D)** Discharge home on nitrofurantoin
**E)** Monitor with follow-up urine culture
**Answer:** D
**Explanation:** Asymptomatic bacteriuria in pregnancy should be treated to prevent complications such as pyelonephritis. The most appropriate treatment in this case would be an antibiotic that is safe during pregnancy, such as nitrofurantoin. Ciprofloxacin is not recommended due to potential adverse effects on the developing fetus, and asymptomatic bacteriuria should not be left untreated during pregnancy.
**Specialty:** Obstetrics
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This is the paraphrased version of question 124 from the document, with five options and an explanation for the correct answer.