LOWER tract

Question 1

Acute cystitis pain is usually referred to which part of the urethra?

Answer 1

Distal

Question 2

3 most common UTI bugs:

Answer 2

E. coli
Staph saprophyticus
Klebsiella pneumoniae

Question 3

How many episodes per year of cystitis is required to be classified as “recurrent”?

Answer 3

3

Question 4

How is the treatment different between acute and recurrent cystitis?

Answer 4

Acute: Cipro 1-3 days
Recurrent: Prophylaxis from TMP-SMX or Keflex

Question 5

Fever + perineal pain + exquisite DRE tenderness + hematuria =

Answer 5

Acute Bacterial Prostatitis

Question 6

Chronic Bacterial prostatitis no longer has what symptoms that are present in acute?

Answer 6

No fever
No hematuria
Will have low back pain

Question 7

How do you treat bacterial prostatitis?

Answer 7

CIPRO
acute = 21 days
chronic = 1-3 months

Question 8

What’s a major distinction between non-bacterial and bacterial prostatitis?

Answer 8

no history of UTI
negative culture
no fever

Question 9

T/F. Acute epididymitis usually presents with fever?

Answer 9

TRUE

Question 10

How does treatment differ in acute epididymitis if it has STD or non-STD origin?

Answer 10

STD: Ceph IM + Doxy

non-STD: Cipro 21 days

Question 11

What patient characteristics can help you determine if a patient’s epididymitis is STD or non-STD in etiology?

Answer 11

Age and Risk factors.

<40 more likely to be STD

Question 12

What’s the med of choice in interstitial cystitis?

Answer 12

Amitriptyline