chap 47: Urinary Tract Infection

Question 1

1. The treatment goals when treating urinary tract infection (UTI) include:
2. Eradication of infecting organism
3. Relief of symptoms
4. Prevention of recurrence of the UTI
5. All of the above

Answer 1

4. All of the above

Question 2

2. Sally is a 16-year-old female with a urinary tract infection. She is healthy, afebrile, with no use of antibiotics in the previous 6 months and no drug allergies. An appropriate first-line antibiotic choice for her would be:
3. Azithromycin
4. Trimethoprim/sulfamethoxazole
5. Ceftriaxone
6. Levofloxacin

Answer 2

2. Trimethoprim/sulfamethoxazole

Question 3

3. Jamie is a 24-year-old female with a urinary tract infection. She is healthy, afebrile, and her only drug allergy is sulfa, which gives her a rash. An appropriate first-line antibiotic choice for her would be:
4. Azithromycin
5. Trimethoprim/sulfamethoxazole
6. Ceftriaxone
7. Ciprofloxacin

Answer 3

4. Ciprofloxacin

Question 4

4. Juanita is a 28-year-old pregnant woman at 38 weeks’ gestation who is diagnosed with a lower urinary tract infection (UTI). She is healthy with no drug allergies. Appropriate first-line therapy for her UTI would be:
5. Azithromycin
6. Trimethoprim/sulfamethoxazole
7. Amoxicillin
8. Ciprofloxacin

Answer 4

3. Amoxicillin

Question 5

5. Which of the following patients may be treated with a 3-day course of therapy for their urinary tract infection?
6. Juanita, a 28-year-old pregnant woman
7. Sally, a 16-year-old healthy adolescent
8. Jamie, a 24-year-old female
9. Suzie, a 26-year-old diabetic

Answer 5

3. Jamie, a 24-year-old female

Question 6

6. Nicole is a 4-year-old female with a febrile urinary tract infection (UTI). She is generally healthy and has no drug allergies. Appropriate initial therapy for her UTI would be:
7. Azithromycin
8. Trimethoprim/sulfamethoxazole
9. Ceftriaxone
10. Ciprofloxacin

Answer 6

3. Ceftriaxone

Question 7

7. Monitoring for a healthy, nonpregnant adult patient being treated for a urinary tract infection is:
8. Symptom resolution in 48 hours
9. Follow-up urine culture at completion of therapy
10. “Test of cure” urinary analysis at completion of therapy
11. Follow-up urine culture 2 months after completion of therapy

Answer 7

1. Symptom resolution in 48 hours

Question 8

8. Monitoring for a child who has had a urinary tract infection is:
9. Symptom resolution in 48 hours
10. Follow-up urine culture at completion of therapy
11. “Test of cure” urinary analysis at completion of therapy
12. Follow-up urine culture 2 months after completion of therapy

Answer 8

2. Follow-up urine culture at completion of therapy

Question 9

9. Monitoring for a pregnant woman who has had a urinary tract infection is:
10. Symptom resolution in 48 hours
11. Follow-up urine culture at completion of therapy
12. “Test of cure” urinary analysis at completion of therapy
13. Follow-up urine culture every 2 weeks until delivery

Answer 9

4. Follow-up urine culture every 2 weeks until delivery

Question 10

10. Along with an antibiotic prescription, lifestyle education for a nonpregnant adult female who has had a urinary tract infection includes:
11. Increasing her intake of vitamin C-containing orange juice
12. Voiding 10 to 15 minutes after intercourse
13. Avoiding ingesting urinary irritants, such as asparagus
14. All of the above

Answer 10

2. Voiding 10 to 15 minutes after intercourse

Question 11

11. Lisa is a healthy nonpregnant adult woman who recently had a urinary tract infection (UTI). She is asking about drinking cranberry juice to prevent a recurrence of the UTI. The correct answer to give her would be:
12. Sixteen ounces per day of cranberry juice cocktail will prevent UTIs.
13. 100% cranberry juice or cranberry juice extract may decrease UTIs in some patients.
14. There is no evidence that cranberry juice helps prevent UTIs.
15. Cranberry juice only works to prevent UTIs in children.

Answer 11

2. 100% cranberry juice or cranberry juice extract may decrease UTIs in some patients.