Case 3 Flashcards
It is the most common manifestation of UTI
a. asymptomatic bacteruiria
b. prostatitis
c. acute pyelonephritis
d. acute cystitis
D
Which of the following is not true about UTI?
a. It is more predominant in males during the neonatal period
b. 20-30% of of women have recurrent episodes
c. in >50 y/o, it is more predominant in females
d. 50-80% of women in general population acquire at least one UTI during their lifetime
C
Pathophysiology of UTI include the following, except:
a. colonization with ascending spread
b. colonization with descending spread
c. hematogenous spread
d. periurogenital spread
B
It is the diagnostic gold standard for detection of UTI
a. urine dipstick test
b. urinalysis
c. urine microscopy
d. urine culture
D
It is the recommended as the 1st line treatment for acute uncomplicated cystitis
a. Nitrofurantoin monohydrate
b. Trimethoprim-sulfamethoxazole
c. Fosfomycin trometamol
d. Amoxicillin-clavulanate
A - CPG
B - Harrison’s
The following are absolute indications for hospitalization in patients with acute pyelonephritis, except:
a. persistent vomiting
b. uncertain diagnosis
c. immunocompromised
d. urinary tract obstruction
C
The following are relative indications for hospitalization in patients with acute pyelonephritis, except:
a. anatomic urinary tract abnormality
b. progression of uncomplicated UTI
c. inadequate access to follow-up
d. age > 60 years old
B
absolute indications: persistent vomiting, progression of uncomplicated UTI, suspected sepsis, uncertain diagnosis, urinary tract obstruction
relative indications: age >60, anatomic urinary tract abnormality, immunocompromised, inadequate access to follow-up, frailty, poor social support
Occurs when chronic urinary obstruction (often by staghorn calculi), together with chronic infection, leads to suppurative destruction of renal tissue
a. acute pyelonephritis
b. chronic pyelonephritis
c. emphysematous pyelonephritis
d. xanthogranulomatous pyelonephritis
D
emphysematous: particularly severe form of the disease associated with production of gas in renal and perinephric tissues, occurs almost exclusively in DM patients
Predisposing conditions associated with pyelonephritis, except:
a. Urinary tract obstruction
b. Vesicoureteral reflux
c. Intrarenal reflux
d. Postrenal reflux
D
Hallmark of acute pyelonephritis include the following, except:
a. patchy interstitial suppurative inflammation
b. intratubular aggregates of neutrophilic tubulitis
c. flattening of the papillae
d. tubular injury
C
Chronic: Coarse, discrete, corticomedullary scars overlying dilated, blunted, or deformed calyces, and flattening of the papillae
Can confirm the diagnosis of uncomplicated cystitis in a patient with a reasonably high pretest probability of this disease
a. urine dipstick test
b. urinalysis
c. urine microscopy
d. urine culture
A
Primary antibiotics for UTI include the following, except:
a. Nitrofurantoin monohydrate
b. Nitrofurantoin macrocrystals
c. Fosfomycin trometamol
d. Ciprofloxacin extended release
D
It is the strongest risk factor for recurrent UTI
a. Anatomical urologic abnormalities
b. Spermicide use
c. Sexual intercourse
d. Presence of incontinence
C
