130 UTI

Question 1

A 35/F complaints of dysuria and urgency for 1 week. She takes Metformin and Sitagliptin. She had history of increased menstrual flow and had spontaneous abortion a year ago. Urine culture shows E. Coli. Which features in the patient history would classify her to have complicated UTI?
A. E. Coli on urine culture
B. Intake of Metformin and Sitagliptin
C. History of spontaneous abortion
D. 35 years old with history of AUB

Answer 1

B. Intake of Metformin and Sitagliptin

Question 2

Clinical entities encompassing UTI

Answer 2

Asymptomatic bacteruria
Cystitis
Prostatitiz
Pyelonephritis

Question 3

True or false. Catheter associated bacteruria can either be symptomatic or asymptomatic

Answer 3

True

Question 4

In healthy post menopausal women, what are the risk factors for UTI

Answer 4

Sexual activity
Diabetes Mellitus
Incontinence

Question 5

True or false. UTI is more common in women then in men. After age 50, obstruction from prostatic hypertrophy leads to UTI as high among men as among women

Answer 5

True

Question 6

Factors associated with Pyelonephritis

Answer 6

Frequent sexual intercourse
Sexual sexual partner
UTI in previous 12 months
Maternal history of UTI, diabetes and incontinence

Question 7

True or false. Since Pyelonephritis is ascending infection, ancedent cystitis occurs.

Answer 7

False. Pyelonephritis can occur with a prior cystitis

Question 8

True or false. Early recurrence of UTI within two weeks is regarded as reinfection.

Answer 8

False. Regarded as relapse.

Question 9

Only consistently documented risk factor for recurrent UTI

Answer 9

Frequent sexual intercourse

Spermicide use

Question 10

True or false. ASB has no clinical consequence in pregnancy and thus not treated until with fever and urinary symptoms

Answer 10

False. ASB had clinical consequence in pregnancy. It is associated with maternal Pyelonephritis then preterm delivery

Question 11

True or false. Majority of men with UTI have functional or anatomic abnormality

Answer 11

True

Question 12

Most common urinary obstruction in men which predispose them to UTI

Answer 12

Prostatic hypertrophy

Question 13

Contribute to ASB in diabetic women

Answer 13

Impaired cytokine secretion

Question 14

True or false. Increased duration of diabetes and use insulin is associated with elevated risk for UTI compared to oral hypoglycemic agents.

Answer 14

True

Question 15

Usual uropathogens of UTI. Common isolates?

Answer 15

UTI are usually causes by enteric gram negative rods
75% of isolates: E Coli
15% of isolates: Staph saprophyticus
5% of isolates: klebsiella, proteus, enterococcus, citrobacter

Question 16

Predominent organism in complicated UTI

Answer 16

E Coli