Urinary Tract Infection Flashcards

1
Q

Which of the following is the definition of bacteriuria?

1 - WBC in urine
2 - sepsis due to UTI
3 - bacteria in the blood
4 - bacteria in the urine

A

4 - bacteria in the urine

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2
Q

Which of the following is the definition of pyuria?

1 - WBC in urine
2 - sepsis due to UTI
3 - bacteria in the blood
4 - bacteria in the urine

A

1 - WBC in urine

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3
Q

Which 2 of the following would be included under the definition of a complicated UTI?

1 - >6 months in duration
2 - UTI with anatomical or functional abnormality
3 - UTI in patient with reduced immunity e.g. diabetes, chemotherapy, immunosuppression
4 - >2 UTIs in 6 months

A

2 - UTI with anatomical or functional abnormality
3 - UTI in patient with reduced immunity e.g. diabetes, chemotherapy, immunosuppression

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4
Q

Which of the following would match the definition of an isolated UTI?

1 - >6 months in duration
2 - UTI with anatomical or functional abnormality
3 - 6 months between infections
4 - >2 UTIs in 6 months

A

3 - 6 months between infections

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5
Q

Which of the following would match the definition of an recurrent UTI?

1 - >6 months in duration
2 - UTI with anatomical or functional abnormality
3 - 6 months between infections
4 - >2 UTIs in 6 months or 3 in 12 months

A

4 - >2 UTIs in 6 months or 3 in 12 months

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6
Q

Which of the following would match the definition of an persistent UTI?

1 - recurrence with the same organisms after treatment
2 - UTI with anatomical or functional abnormality
3 - 6 months between infections
4 - >2 UTIs in 6 months or 3 in 12 months

A

1 - recurrence with the same organisms after treatment

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7
Q

All of the following are symptoms of a UTI, EXCEPT which one?

1 - storage symptoms
2 - voiding symptoms (urine stream issues)
3 - haematuria
4 - dysuria and pain
5 - dyspareunia

A

5 - dyspareunia
- this is pain during sex

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8
Q

In a patient with suspected UTI, which of the following would we expect to be raised?

1 - blood levels
2 - pH
3 - nitrites
4 - protein
5 - leukocytes
6 - glucose
7 - all of the above

A

7 - all of the above

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9
Q

In a patient with a UTI, we may image to rule out renal calculi or transitional cell cancer. What imaging would be 1st choice in this instance?

1 - CT
2 - ultrasound
3 - MRI
4 - X-ray

A

2 - ultrasound

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10
Q

In a patient with a UTI, we may consider giving the patient antibiotics. What other advice should patients with a UTI be given?

1 - high fluid intake
2 - cranberry juice
3 - bladder emptying
4 - avoid bubblebaths
5 - probiotics
6 - all of the above

A

6 - all of the above
- these can be done by patients to reduce the risk of UTIs

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11
Q

The location and type of UTI a patient has affects the antibiotics they are given. Which of the following would typically be 1st line in a patient with urosepsis?

1 - Nitrofurantoin
2 - Gentamicin
3 - Ceftriaxone
4 - Cefalexin

A

2 - Gentamicin
- this is an aminoglycaside

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12
Q

The location and type of UTI a patient has affects the antibiotics they are given. Which of the following would typically be 1st line in a patient with UTI in men, women or recurrent UTI?

1 - Nitrofurantoin
2 - Gentamicin
3 - Ceftriaxone
4 - Cefalexin

A

1 - Nitrofurantoin

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13
Q

The location and type of UTI a patient has affects the antibiotics they are given. Which of the following would typically be 1st line in a patient with acute pyelonephritis or prostatitis?

1 - Nitrofurantoin
2 - Gentamicin
3 - Ceftriaxone
4 - Cefalexin

A

3 - Ceftriaxone
- this is a Cephalosporins

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14
Q

If a patient has a catheter in and they have developed bacteriuria, but they are asymptomatic, should they be prescribed antibiotics?

A
  • no
  • should only be prescribed if symptoms of infection or if there is a catheter associated UTI
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15
Q

If a patient has developed a urinary catheter infection, which antibiotic is 1st line?

1 - Nitrofurantoin
2 - Gentamicin
3 - Ceftriaxone
4 - Cefalexin

A

2 - Gentamicin
- should be given 30-60 minutes before removing the catheter

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