Paper II
2021 February (Supplementary) (2010 Scheme)

Question

Ciprofloxacin/Norfloxacin in urinary tract infection

Q140.3 marksShort Answers

Answer

Chosen drug: Ciprofloxacin

Justification: Ciprofloxacin has broader systemic bioavailability, better tissue penetration, and a more established role for both uncomplicated and complicated urinary tract infections (including upper tract/pyelonephritis), whereas norfloxacin has lower systemic bioavailability and is generally reserved for uncomplicated lower UTIs (cystitis) only, since its lower plasma concentrations make it less reliable for infections beyond the bladder — making ciprofloxacin the more broadly appropriate choice.

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