Section 5: UTIs and Infective Endocarditis

Question 1

Diagnosis:

• Urinary frequency
• Urgency
• Burning
• Dysuria

Answer 1

Cystitis

Question 2

Cystitis

1. Best initial test
2. Most accurate test

Answer 2

1. Urinalysis
2. Urine culture

Question 3

Cystitis

1. Rx of uncomplicted case
2. Rx of complicated case

Answer 3

1. TMP/SMX orally for 3 days if E.coli resistance in the area is low. If resistance is > 20%, then ciprofloxacin or levofloxacin is the drug of choice
2. TMP/SMX orally for 7 days if E.coli resistance in the area is low. If resistance is > 20%, then ciprofloxacin or levofloxacin is the drug of choice. Complicated means an anatomic abnormality is present, such as stone, stricture, tumor or obstruction

Question 4

List the causes of epididymitis statring from the most common to the least common

Answer 4

1. Chlamydia trachomatis
2. N. gonorrhea
3. E. coli
4. Viruses