Infection - Urinary tract infection

Question 1

when is the ideal urine sample taken

a.start stream
b.mid stream
c.end stream

Answer 1

b.mid stream

bladder urine is sterile but passes through non sterile mucosa

Question 2

how much bacteria in the urine is considered significant

a. >10 ^2
b. >10^3
c.>10^4
d.>10^5

Answer 2

d.>10^5

Question 3

what is the classic triad of a UTI

Answer 3

frequency
urgency
dysuria

Question 4

who is likely to develop utis with aymptomatic bacteriuria

a.elderly / pregnant people

b.young / pregnant people

c.elderly people/ babies

Question 5

who is likely to develop utis with aymptomatic bacteriuria

a.elderly / pregnant people

b.young / pregnant people

c.elderly people/ babies

Answer 5

a.elderly / pregnant people

Question 6

what bacteria is the most common cause of UTIs

a.staph aureus
b.neisseria meningitis
c. h pylori
d. e coli

Answer 6

d. e coli
gram negative
and other enterobacterriacae

Question 7

in which group can antibiotics be given for a UTI without a sample being sent to the lab

a.women over 45
b.women under 65
c.men under 65
d.men over 45
e.children under 16

Answer 7

b.women under 65

Question 8

all of which type of UTI are considered complicated

a.upper
b.lower

Answer 8

a.upper

Question 9

urethritis and cystitis are examples of which type of UTI

a.upper
b.lower

Answer 9

b.lower

Question 10

pyelonephritis is an example of which type of UTI

a.upper
b.lower

Answer 10

a.upper

more complicated

Question 11

which antibiotics are usually given for UTIs

Answer 11

nitrofurantoin and trimethoprim

Question 12

frequency, urgency, dysuria , loin pain, fever and rigors are indicative of which type of UTI

a.complicated
b.uncomplicated

Answer 12

a.complicated

Question 13

what antibiotic is given along with IV fluids in a complicated UTI

a.nitrofurantoin
b.trimethoprim
c.gentamicin

Answer 13

c.gentamicin

aminoglycoside ends up as high conc in kidneys

Question 14

what test should be done for asymptomatic bacteriruria in pregnant women

a.blood test
b.u and e
c. dipstick test
d.swab

Answer 14

c. dipstick test

2 consecutive samples of midstream urine with presence of wbc with or without nitriles

Question 15

what antibiotic is given for asymptomatic bacteriauria in pregnancy

a.amoxicillin
b. nitrofurantoin
c.trimethoprim
d.gentamicin

Answer 15

b. nitrofurantoin

(guided by cultures)
repeat samples later in pregnancy

Question 16

renal scarring is a risk for which group following a UTI

a.elderly
b.ethnic minorities
c. children
d.pregnant women

Answer 16

c. children

Question 17

a dipstick test for UTIs in children has very strong..

a.specificity
b.precision
c.positive predictive value
d.negative predictive value

Answer 17

d.negative predictive value

negative result excludes UTI

Question 18

WHICH ANTIBIOTIC IS GIVEN TO CHILDREN WITH UTIs

A.nitrofurantoin
b.trimethoprim
c.gentamicin
d.cefalexin

Answer 18

d.cefalexin
or coamoxiclav

Question 19

what action should be taken for neonnates with recurrent infections/ pyelonephritis

a,IV antibitoics
b.co amoxiclav
c.antibiotics without sample
d.referral to paediatrician

Answer 19

d.referral to paediatrician

Question 20

elderly people have a greater vulnerability to which bacteria when treated with antibiotics

a.staph aureus
b.neisseria meningitis
c. h pylori
d. e coli
e.c diff

Answer 20

e.c diff

Question 21

which bacteria is likely to be present in post procedural prostatitis

a.staph aureus
b.neisseria meningitis
c. h pylori
d. e coli
e.c diff

Answer 21

a.staph aureus

a skin organism

Question 22

which antibiotics given for bacterial prostatitis

A.nitrofurantoin
b.trimethoprim
c.gentamicin
d.cefalexin
e.ciprofloxacilin

Answer 22

e.ciprofloxacilin

fluoroquinoline so reaches high level in prostate

Question 23

first line tretament for UTI due to a catheter

a.catheter removal
b.IV antibiotics
c. oral antibiotics

Answer 23

a.catheter removal