Urology system review

Question 1

which population do we screen for asymptomatic bacteriuria and why?

Answer 1

All pregnant women because they are at risk for preterm labor

Question 2

white blood cell casts in urine is indicative of what urinary diagnosis?

Answer 2

acute pyelonephritis

Question 3

what is the first line antibiotic for uncomplicated urinary tract infection?

Answer 3

Nitrofurantoin (Macrobid)

Question 4

what are the three listed antibiotics for treatment of uncomplicated urinary tract infections?

Answer 4

Fosfomycin 3 gram orally single dose
Bactrim
Cipro/levofloxacin

Question 5

what is the treatment for pyelonephritis?

Answer 5

Ceftriaxone 1g IM or IV stat single dose PLUS
either
Bactrim DS 1 PO BID for 14 days OR Augmentin BID q12 for 10-14 days

Question 6

GFR is affected by what factors?

Answer 6

age, sex, and race

Question 7

if there is red blood cell casts in urine, what is it indicative of ?

Answer 7

glomerulonephritis

Question 8

when should nitrofuratonin be given to a pregnant female?

Answer 8

only in the 2nd trimester
can cause defects in first trimester and in third trimester it can cause fetal hyperbilirubinemia

Question 9

what is considered the best measure of renal function in primary care?

Answer 9

eGFR

Question 10

what is the definition of a UTI?

Answer 10

100,000 CFU/ml of a single organism