L20: Urinary Tract and Genital Infections Flashcards
UTI’s or pyelonephritis refer to infections of the kidneys and ureters, which make up the…
A. Lower Urinary Tract
B. Upper Urinary Tract
B. Upper Urinary Tract
True or False: Urethritis may be due to either NF or STI, whereas BV is usually due to displaced flora
False -
while Urethritis may be due to either NF or STI, BV is usually due to OVERGROWTH of NF at a site that it’s normally found
Which four gram (-) bacilli commonly cause cystitis and pyelonephritis?
(hint: PEP K)
Which four gram (+) cocci commonly cause cystitis and pyelonephritis
(hint: SOS E)
Gram (-) Bacilli
1) P. mirabilis
2) E. coli
3) P. aeuroginoas
4) Klebsiella
Gram (+) Cocci
1) S. aureus
2) Other coag-negative staph
3) S. saprophyticus
4) Enterococcus
Which is the number one agent of UTI’s?
E. coli
Which of the following gram (-) bacilli secretes urease (urea to ammonia) leading to:
1) Alkaline urine
2) Urine crystals/stones made of struvite
A. P. mirabilis
B. E. coli
C. P. aeuroginoas
D. Klebsiella
A. Proteus mirabilis
What is the most common route for UTI’s?
Ascending Route
What path does a pathogen take to cause a UTI?
Urethra - colonization
Bladder - penetration
Ureter - ascension
Kidney
Once pathogen colonized urethra, it migrates to the bladder. As result, there is immune response induced by ___, leading to ___ accumulation on catheter, provides environment for attache of uropathogens that express __ ___ proteins
catheterization; fibrinogen; fibrinogen-binding proteins
___ is important for establishing a UTI while ___ can assist in tissue invasion
A. Biofilm; Hemolysins
B. Urease; Capsule
C. Adhesions; Hemolysins
D. Capsule; Biofilm
C. Adhesions; Hemolysins
Which of the following is NOT a symptoms of Cystitis (bladder infection)?
A. Hematuria
B. Increased urinary frequency or urgency
C. Fever
D. Suprapubic pain
C. Fever
- Fever is associated with Pyelonephritis
What is the most common mechanism of transmission of urogenital infections?
A. Hand-Genital
B. Vertical
C. Fomites
D. Sexual
D. Sexual
Which of the following is NOT part of normal vaginal flora?
A. Lactobacillus
B. Anaerobes
C. Klebsiella
D. Staphylococci
E. Streptococci
C. Klebsiella
A patient has pus or exudate. Tests show they have co-infection with Chlamydia and Gonorrhea. Which complication should you warn them about?
A. Cervical Cancer
B. HIV
C. Pelvic Inflammatory Disease
C. Pelvic Inflammatory Disease
A patient has HPV (genital warts). Which complication should you warn them about?
A. Cervical Cancer
B. HIV
C. Pelvic Inflammatory Disease
A. Cervical Cancer
Which of the following pathogens is a gram (-) diplococci that should be grown on selective media, such as: Thayer Martin
A. N. gonorrhoeae
B. C. trachomatis
A. N. gonorrhoeae
What are 2 ways that N. gonorrhoeae can infect mucosal surfaces and survive within a neutrophil?
How does N. gonorrhoeae establish an infection?
1) Attach to mucosal cell
2) Penetrate cell
- Est. infection by passing into sub-epithelial space