Genitourinary Problems

Question 1

upper tract infections involve?

Answer 1

kidneys (pyelonephritis),

Question 2

lower tract infections involve?

Answer 2

bladder (cystitis), urethra (urethritis), prostate (prostatitis)

Question 3

comlpicated UTI

Answer 3

bladder or kidney infection in men or women with functional or structural genitourinary abnormalities

Question 4

most common uropathogen found in community acquired uncomplicated UTIs

Answer 4

Escherichia coli

Question 5

Escherichia coli is most commonly found in which type of UTI?

Answer 5

most common uropathogen found in community acquired uncomplicated UTIs

Question 6

P. mirabilis is usually found in men or women?

Answer 6

men

Question 7

P. fimbriae is usually associate with which problem?

Answer 7

Pyelonephritis

Question 8

risk factors for recurrent UTIs

Answer 8

Intercourse in the past month, age at first UTI, maternal Hx of UTIs, new sex partner in past year, spermicide use in the past year

Question 9

Voiding Cystourethrography (VCUG) is used to diagnose what?

Answer 9

Vesicoureteral Reflux

Question 10

when do you order a Renal Sonogram

Answer 10

for recurrent UTIs

Question 11

what is the gold standard for evaluating Hematuria, Renal Masses or Renal Calculi

Answer 11

CT scan

Question 12

gold standard to confirm UTI diagnosis and determine susceptibilities for appropriate antimicrobial therapy. Must do if recurrent UTI or fever

Answer 12

urine culture

Question 13

first line agents for uncomplicated or recurrent UTIs

Answer 13

Fosfomycin (Monurol), Nitrofurantoin (Macrobid), Trimethoprim/Sulfamethoxazole (Bactrim)

Question 14

second line agents for uncomplicated or recurrent UTIs

Answer 14

fluoroquinolones

Question 15

alternative agents for uncomplicated or recurrent UTIs if first and second line agents are contraindicated

Answer 15

Amoxicillin/clavulanate (Augmentin), Keflex

Question 16

How long do you treat women for an acute UTI?

Answer 16

3-7 days

Question 17

How long do you treat women for Acute Pyelonephritis

Answer 17

10-14 days

Question 18

How long do you treat men for an acute UTI?

Answer 18

7-14 days

Question 19

How long do you treat men for Acute Pyelonephritis

Answer 19

14 days

Question 20

How long do you treat men for Relapsing infection or Prostatitis

Answer 20

6-12 weeks

Question 21

First line treatment for Pyelonephritis

Answer 21

Cripro, Cefixime, Ofloxacin

Question 22

second line treatment for Pyelonephritis

Answer 22

Levaquin, Bactrim, Augmentin

Question 23

outpatient treatment for Acute Bacterial Prostatitis

Answer 23

Cipro, Levaquin or bactrim

Question 24

Gram negative bacilli that are the cause of Acute bacterial prostatitis

Answer 24

E.coli, Pseudomonas, Klebsiella

Question 25

what will happen to bands with acute bacterial prostatitis

Answer 25

shift to left, bands will increase

Question 26

bloodwork for acute bacterial prostatitis

Answer 26

UA with culture, CBC, blood cultures, serum PSA

Question 27

pain with ejaculation is commonly seen with that problem?

Answer 27

acute bacterial prostatitis

Question 28

crystal forming substances that can cause kidney stones

Answer 28

calcium, oxalate, uric acid

Question 29

Substances that inhibit stone formation

Answer 29

citrate

Question 30

what medicines can help prevent kidney stones? (not antibiotics)

Answer 30

Alpha blockers (flomax), citrate, magnesium hydroxide, allopurinol, Thiazide diuretics, NSAIDS-for pain